Director of Utilization Management

Job SummaryWe are seeking a highly skilled Director of Utilization Management to join our team at Acadia Healthcare. As a key member of our leadership team, you will be responsible for overseeing the utilization management program, ensuring compliance with regulations, and optimizing reimbursement for our facilities.Key ResponsibilitiesUtilization Review:...

Job SummaryThe Director of Utilization Management is responsible for leading the development, implementation, and evaluation of the Utilization Management Program in support of the CommonSpirit Health Care Coordination model. This role oversees the processing of authorizations, inpatient admission and continued stay reviews, retrospective authorizations, and...

Job SummaryWe are seeking a highly skilled and experienced Director of Utilization Management to join our team at Acadia Healthcare. As a key member of our leadership team, you will be responsible for overseeing the day-to-day operations of our Utilization Review department.Key ResponsibilitiesMonitor and optimize the utilization of services to ensure...

Description Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs. Conducts and oversees concurrent and retrospective reviews for all patients. Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization...

Job SummaryWe are seeking a highly experienced and skilled Senior Director of Utilization Review to join our team at Other Executive. This is a leadership role that requires a strong background in healthcare operations, with a focus on utilization review and case management.Key ResponsibilitiesLead the development and implementation of centralized...

Job SummaryWe are seeking a highly experienced and skilled Senior Director of Utilization Review to join our team at Other Executive. This is a leadership role that requires a strong background in healthcare operations, with a focus on utilization review and case management.Key ResponsibilitiesLead the development and implementation of centralized...

The Jewish Federation of Detroit, a leading philanthropic organization serving the metro-Detroit community is seeking an experienced and dynamic senior HR professional to lead the HR team, shape a thriving and engaged workforce while driving our organizational success. The Senior Director, Human Resources will be responsible for overseeing all aspects of HR...

Job SummaryWe are seeking a highly experienced and skilled Senior Director of Utilization Review to join our team at Other Executive. This is a leadership role that requires a strong background in healthcare operations, with a focus on utilization review and case management.Key ResponsibilitiesLead the development and implementation of centralized...

DescriptionRegistered Nurse Case ManagerREPORTING RELATIONSHIP: Supervised by: Director of Clinical Services Positions Supervised: Hospice Aides, LPN's/LVN's Interrelationships: Patients, family, IDG and other health care team members JOB SUMMARY: Hospice RN Case Managers are responsible for overseeing the care of the terminally ill Hospice patient as...

Job SummaryLunghamer Buick GMC is seeking a highly skilled and experienced Administrative Director to oversee and manage all office operations and procedures.Key Responsibilities:Manage and coordinate administrative tasks and projectsSupervise and monitor the work of administrative staffOversee payroll and financial processesPrepare and analyze financial...

About Civica RxCivica Rx is a 501(c)(4) social welfare organization dedicated to reducing chronic generic drug shortages and related high prices in the United States. Our mission is to ensure that patients have access to essential medications.Job DescriptionWe are seeking an experienced Associate Director of Maintenance and Utilities to join our team at...

About Civica RxCivica Rx is a 501(c)(4) social welfare organization dedicated to reducing chronic generic drug shortages and related high prices in the United States. Our mission is to ensure that patients have access to essential medications.Job DescriptionWe are seeking an experienced Associate Director of Maintenance and Utilities to join our team at...

About Civica RxCivica Rx is a 501(c)(4) social welfare organization dedicated to reducing chronic generic drug shortages and related high prices in the United States. Our mission is to ensure that patients have access to essential medications.Job SummaryWe are seeking an experienced Associate Director of Maintenance and Utilities to join our team at Civica...

Statewide Medical Director OpportunityVitalCore Health Strategies, a leading provider of correctional healthcare, is seeking a highly skilled and experienced Statewide Medical Director to join our team. As a key member of our leadership team, you will be responsible for providing clinical guidance, leadership, and oversight of all aspects of correctional...

NEW HIRE SIGN ON BONUS ELIGIBLE POSITION! - $8,000 This position works 8a - 4:30p POSITION SUMMARY: Responsible for the management of one defined area of organized patient care services.# Allocates available resources to promote efficient, effective and compassionate patient care.# Provides clinical and administrative leadership and expertise. #Facilitates...

Statewide Medical Director OpportunityVitalCore Health Strategies, a leading provider of correctional healthcare, is seeking a highly skilled and experienced Statewide Medical Director to join our team. As a key member of our leadership team, you will be responsible for providing clinical guidance, leadership, and oversight of all aspects of correctional...

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 SummarySKLD is seeking a dedicated and compassionate Nurse to join our team in a Full Time capacity. As a Nurse with SKLD, you will play a critical role in providing superior customer service and nursing services to our residents.Key ResponsibilitiesAssess residents' conditions to implement interventions and develop care plans, accurately recording...

Job SummaryThe YMCA of Greater Grand Rapids is seeking a dedicated and experienced Child Care Director to oversee the daily operations and administration of a child development center or program with up to 5 classrooms. This role involves managing a staff team of up to 20 teachers, developing educational programs, ensuring compliance with state and local...