Director of Utilization Management and Case Coordination

Job Title: Utilization Management Program DirectorManagement Business Solutions is seeking a highly skilled Utilization Management Program Director to lead our team in providing exceptional patient care and ensuring cost-effective utilization of resources.Key Responsibilities:Develop and maintain policies and procedures for Utilization ManagementCollaborate...

Director of Utilization ManagementThe Director of Utilization Management plays a pivotal role in overseeing the Case Management and Utilization Review program. This individual is responsible for developing and managing programs that emphasize appropriate admissions, concurrent and retrospective review of care, and other integrated functions such as Discharge...

Job Title: Director of Case ManagementWe are seeking an experienced and innovative Director of Case Management to lead our interdisciplinary team at Salgado LLC.Job Summary:The Director of Case Management will be responsible for driving quality outcomes, optimizing resource utilization, and shaping the future of patient care coordination in our evolving...

Job SummaryWe are seeking a highly skilled Outpatient UM Clinician to join our team at MedPOINT Management. As a key member of our Utilization Management department, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesReview and process precertification requests for medical necessity,...

Job DescriptionJob SummaryThe Outpatient UM Coordinator provides effective communication between MSO, IPA providers, and members to coordinate member care. Communication to include accessibility to care, validating contract entities, and ensuring timeliness standards are met. The Outpatient UM Coordinator reports directly to the Outpatient Lead Coordinator...

Job OverviewPosition: Outpatient Utilization Management Specialist at MedPOINT ManagementRole SummaryThe Outpatient Utilization Management Specialist is essential in enhancing communication between Managed Services Organizations (MSO), Independent Physician Associations (IPA), and members to guarantee seamless member care. Key responsibilities include...

Director of Case Management OpportunityHCTHealthcare is seeking an experienced nursing professional to serve as the Director of Case Management for a 350+ bed hospital in California. This leadership role is responsible for overseeing the daily operations of the Care Management and Social Services departments.Key Responsibilities:Departmental Oversight:...

Job SummaryHCT Healthcare seeks an experienced nursing professional to serve as the Director of Case Management for a large hospital in California. This is a leadership role that requires strategic thinking and exceptional communication skills.Key ResponsibilitiesDepartmental Oversight: Provide strategic direction and oversight to the Care Management and...

Job Title: Inpatient Nurse Case ManagerMedPOINT Management is seeking a skilled Inpatient Nurse Case Manager to join our team. As a key member of our healthcare team, you will be responsible for facilitating patient transfers, coordinating care, and ensuring seamless transitions between healthcare settings.Key Responsibilities:Facilitate patient transfers to...

About the RoleDirector of Case ManagementKLS Workforce Solutions is seeking a seasoned Director of Case Management to lead our team in delivering exceptional patient care and optimizing resource utilization.Key Responsibilities:Oversee and Optimize Case Management OperationsLead Initiatives to Reduce Denials and Improve ApprovalsBuild Strong Relationships...

Job OverviewHydro Recruiting is seeking an experienced and innovative Director of Case Management to lead our interdisciplinary team. This key role provides an opportunity to influence patient care coordination, enhance resource utilization, and drive quality outcomes in an evolving healthcare environment.Key Responsibilities:Oversee and optimize case...

Job SummaryWe are seeking a skilled Case Manager Utilization RN to join our team at Recruitics JB. As a key member of our multidisciplinary team, you will play a vital role in coordinating and screening for the appropriateness of admissions and continued stays. Your expertise will be instrumental in making recommendations to physicians for alternate levels...

HCT Healthcare seeks an experienced nursing professional to serve as the Director of Case Management for a 350+ bed hospital in California. The ideal candidate will possess a strong background in hospital case management leadership and be able to oversee the daily operations of the Care Management and Social Services departments.Responsibilities include:*...

Job SummaryWe are seeking a skilled and compassionate Case Manager Utilization RN to join our team at Kaiser Permanente. As a key member of our multidisciplinary team, you will work collaboratively with physicians and other healthcare professionals to coordinate and screen for the appropriateness of admissions and continued stays.Key ResponsibilitiesDevelop...

Job DescriptionCompany: MedPOINT ManagementPosition: Inpatient Nurse - Managed Care CoordinationMedPOINT Management, a prominent Medical Services Organization, provides competitive compensation and benefits within a supportive work environment.Key Responsibilities:Oversee patient transfers to designated hospitals when admission to an out-of-network facility...

Director of Case ManagementAt KLS Workforce Solutions LLC, we are seeking a seasoned professional to lead our case management team in delivering exceptional patient care and optimizing resource utilization.Key Responsibilities:Oversee and optimize case management and social work operationsLead initiatives to reduce denials and improve approvalsBuild strong...

Director of Utilization Management Job DescriptionThe Director of Case Management and Utilization Review is responsible for overseeing the Case Management and Utilization Review program. This role involves developing and managing programs that emphasize appropriate admissions, concurrent and retrospective review of care, and other integrated functions such...

Director of Case ManagementAt KLS Workforce Solutions LLC, we are seeking a seasoned professional to lead our case management team in delivering exceptional patient care and optimizing resource utilization.Key Responsibilities:Oversee and optimize case management and social work operationsLead initiatives to reduce denials and improve approvalsBuild strong...

Travel Nurse RN Case Management Job OpportunityTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join their team in Los Angeles, California.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelShift: 10 hours, daysHours per Week: 40Duration: 13 weeksWe are looking for a dedicated and experienced case...

Job Summary:We are seeking a skilled RN Utilization Case Manager to join our team at Recruitics JB. As a key member of our multidisciplinary team, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. Your expertise will be essential in making recommendations to physicians for...