Director-Utilization Management

Job SummaryWe are seeking a highly skilled and experienced Director of Utilization Management to join our team at Acadia Healthcare Inc. The successful candidate will be responsible for overseeing the utilization management program, ensuring compliance with regulations, and optimizing reimbursement for our facilities.Key ResponsibilitiesMonitor and Optimize...

Job Title: Medical DirectorJob Summary: The Jacobson Group is seeking a seasoned Medical Director to lead our utilization management efforts. As a key member of our team, you will be responsible for ensuring that medical decisions are rendered by qualified medical personnel and that medical care meets quality standards.Responsibilities:Lead the Prior...

Job SummaryUnder general supervision, the Utility District Assistant Director assists the Executive Director in managing personnel and activities for the Utility District. The ideal candidate will have a strong background in public utilities systems, with experience in water and wastewater treatment, distribution, collection, and storm water management.Key...

Job SummaryUnder general supervision, the Utility District Assistant Director assists the Executive Director in managing personnel and activities for the Utility District. This role is responsible for overseeing the effective operation of the divisions, including water and wastewater treatment, water distribution, wastewater collection, storm water...

Job SummaryThe City of Riviera Beach is seeking a highly skilled and experienced Utility District Director to lead the day-to-day operations of the Utilities District. The successful candidate will be responsible for managing, coordinating, and directing the activities of assigned staff, developing and implementing goals, objectives, policies, and procedures...

Job SummarySeeking a highly skilled and experienced professional to assist the Utility District Executive Director in managing personnel and activities for the Utility District. The ideal candidate will have a strong background in water and wastewater treatment, water distribution, wastewater collection, storm water management, and customer service.Key...

Job SummaryWe are seeking a highly skilled and experienced Executive Director of Utility District to lead our team in managing, coordinating, and directing the day-to-day operations of our Utilities District. The successful candidate will have a strong background in civil engineering, environmental engineering, or a related field, and a proven track record...

Key ResponsibilitiesAs a key member of the Acadia Healthcare team, the Healthcare Director of Business Office will be responsible for monitoring and reporting on key metrics such as cash collections, days outstanding, unbilled, denials, daily census, etc. in conjunction with the CFO.The successful candidate will establish and maintain controls for all cash...

Key ResponsibilitiesAs a key member of the Acadia Healthcare team, the Healthcare Director of Business Office will be responsible for monitoring and reporting on key metrics such as cash collections, days outstanding, unbilled, denials, daily census, etc. in conjunction with the CFO.The successful candidate will establish and maintain controls for all cash...

Physician Advisor, Utilization Management: Join Lexington Medical Center in Columbia, SC (Onsite)Join as our Physician Advisor & Medical Director of Utilization Management to join our dynamic healthcare organization to help shape the future of healthcare delivery through effective resource utilization, exceptional patient care, and evidence-based practices....

The Chief Medical Officer (CMO) Utilization Management will develop and manage efforts to improve and maintain cost and utilization trends. Responsible for URAC, NCQA, state departments of insurance, and similar accreditors/regulators for the performance of all utilization management (UM) programs across the enterprise. The CMO is individually responsible...

The Chief Medical Officer (CMO) Utilization Management will develop and manage efforts to improve and maintain cost and utilization trends. Responsible for URAC, NCQA, state departments of insurance, and similar accreditors/regulators for the performance of all utilization management (UM) programs across the enterprise. The CMO is individually responsible...

Job Summary:The Jacobson Group is seeking a highly skilled Medical Director to lead our utilization management reviews and approvals. As a key member of our team, you will ensure that medical decisions are rendered by qualified medical personnel and that medical care meets quality standards.Key Responsibilities:Lead the prior authorization medical necessity...

{"title": "Director of Absence and Disability Management", "content": "At Acosta, we are committed to providing a comprehensive and inclusive work environment that supports the well-being of our associates. As a Director of Absence and Disability Management, you will play a critical role in shaping our absence and disability policies and programs to ensure...

About the RoleWe are seeking a highly skilled and experienced Medical Director to lead our Radiation Oncology team. As a key member of our organization, you will be responsible for guiding strategic utilization review decisions and providing medical advice that impacts our company's strategic planning and patient treatment.Key ResponsibilitiesProvide medical...

OverviewKessler Institute for Rehabilitation - West (West Orange) is seeking a highly skilled Director of Case Management to lead their Case Management team.This is a fantastic opportunity for a strong leader who is looking to take the next step in their professional career or for an experienced director looking to join a dynamic...

Medical Director Pediatric CardiologistWe are seeking a highly skilled Medical Director Pediatric Cardiologist to join our team at Evernorth Health Services, a division of The Cigna Group. As a Medical Director, you will be responsible for providing evidence-based medical reviews for patient care, collaborating with healthcare providers, and staying current...

Job Overview:RWJBarnabas Health is seeking a highly dedicated Clinical Director for our Medical/Surgical and Oncology Unit at Clara Maass Medical Center in Belleville, NJ. With over 700 physicians and 2,100 employees, we offer advanced treatment for a wide variety of medical conditions. In 2017, the Medical Center completed a state-of-the-art campus...

About the RoleWe are seeking a highly skilled Utilization Review Nurse to join our team at The Cigna Group. As a key member of our Appeals and Grievances team, you will play a critical role in ensuring that our members receive the best possible care and support.Key ResponsibilitiesConduct thorough reviews of medical records and other relevant documentation...

About the RoleWe are seeking a highly skilled Director, Total Absence, Disability and Accommodation Management to join our team at Acosta. As a key member of our organization, you will be responsible for leading and managing the operations, policies, and activities of our Disability, Leaves & Accommodations claims team and vendors.Key ResponsibilitiesDesign...