Clinical Utilization Management Director

Job SummaryPrime Healthcare Management, Inc. is seeking a highly skilled Clinical Utilization Management Director to join our corporate team. As a key member of our healthcare operations team, you will be responsible for providing comprehensive oversight of the Utilization Review process for our self-insured Employee Health Plans.The ideal candidate will...

Job Summary:As a key member of the Kaiser Permanente team, the Utilization Management Program Director plays a vital role in ensuring cost-effective and quality patient care. This position is responsible for managing the day-to-day operations of the Utilization Management Program, collaborating with multidisciplinary teams to plan and coordinate care across...

Job Title: Physician Clinic Medical DirectorConcentra is seeking a highly skilled Physician Clinic Medical Director to join our team in Ontario, CA. As a key member of our patient care team, you will play a vital role in providing exceptional care to our patients and supporting the Director of Medical Operations to ensure consistency of clinical care...

Job Summary:Kaiser Permanente seeks a skilled Case Manager Utilization RN to join our team. 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 alternate...

Job Title: Physician Clinic Medical DirectorConcentra is seeking a highly skilled and experienced Physician Clinic Medical Director to join our team. As a key member of our leadership team, you will be responsible for providing clinical leadership and direction to our physician clinics, ensuring the delivery of high-quality patient care and exceptional...

Job SummaryWe are seeking a highly skilled and experienced Clinical Services Director to lead our team in delivering exceptional patient care and outcomes. As a key member of our leadership team, you will be responsible for overseeing the clinical services team, developing and implementing clinical strategies, and ensuring compliance with regulatory...

Clinical Management Consultants is seeking a skilled Speech Therapist to join our team. As a Speech Therapist, you will play a vital role in improving the lives of patients by evaluating, diagnosing, and treating cognitive and communication disorders affecting children. Your expertise and understanding of speech-language pathology will be essential in...

Job Title: Epic Program DirectorPrime Healthcare Management, Inc. is seeking an experienced Epic Program Director to lead and oversee the revenue cycle management processes within our organization.Responsibilities:Implement, maintain, optimize, and enhance the Epic Electronic Health Record (EHR) systems to ensure a seamless financial operation.Collaborate...

OverviewPrime Healthcare Management, Inc. is a leading health system with a strong presence in 14 states. With over 45 hospitals and 300 outpatient locations, we provide exceptional patient care and strive for excellence in healthcare delivery. Our team is dedicated to making a positive impact on the lives of our patients and communities.We are seeking an...

Job Title: Tax Manager/DirectorWe are seeking a highly skilled Tax Manager/Director to join our Federal Tax Strategies practice, specifically our Clean Energy Incentives team. As a key member of our team, you will be responsible for delivering a full range of clean energy tax consulting services, including project eligibility determinations, cost segregation...

Job Title: Managing Director, Construction DisputesAt Ankura Consulting Group, we are seeking a seasoned professional to lead our Construction Disputes and Advisory team. As a Managing Director, you will be responsible for setting strategy, leading major client engagements, and developing business growth opportunities.Key Responsibilities:Lead by example and...

Job SummaryWe are seeking an experienced IT Application Analyst to join our Supply Chain Management team at Prime Healthcare Management Inc. As a key member of our team, you will be responsible for analyzing work process design and flow, improving processes, and leveraging technological capabilities to drive business results.Key ResponsibilitiesPartner with...

Job SummaryPrime Healthcare Management Inc is seeking an experienced IT Application Analyst to join our team. As an IT Application Analyst, you will be responsible for analyzing work process design and flow, improving processes, and leveraging technological capabilities to drive business growth.Key ResponsibilitiesAnalyze business processes and identify...

OverviewPrime Healthcare Management Inc is a leading health system with a strong commitment to providing high-quality patient care. We are seeking a skilled Utilization Review Coordinator to join our team.ResponsibilitiesThe Utilization Review Coordinator will play a critical role in the implementation and management of our employee medical benefit program....

Project Engineer Job DescriptionPrime Healthcare Management Inc is seeking a skilled Project Engineer to join our team. As a Project Engineer, you will play a critical role in supervising, managing, and directing on-going construction projects for the organization.Responsibilities:Provide day-to-day coordination of construction projectsEnsure all...

Job SummaryWe are seeking a highly skilled Utilization Review Technician III to join our team at Prime Healthcare. As a key member of our denial management initiatives, you will play a critical role in coordinating the utilization review and appeals process.ResponsibilitiesCoordinate phone calls, data entry, mailing/faxing appeals, and tracking data from...

Join Our Executive Team:Director of Behavioral HealthAs a key member of our executive leadership team, you will blend strategic oversight with hands-on clinical expertise to shape the future of healthcare from the C-Suite.This unique role offers the flexibility to craft your ideal balance of leadership and patient care, tailored to your strengths and our...

Transform Lives as a Nursing Faculty Member at West Coast UniversityAs a Nursing Faculty Member at West Coast University, you will play a vital role in shaping the next generation of nurses. Our student-centered community is dedicated to providing a supportive and innovative environment for our students to thrive.Key Responsibilities:Mentorship and Guidance:...

Job Title: Compliance DirectorLifeways Inc is seeking a highly skilled Compliance Director to join our team. As a Compliance Director, you will be responsible for developing, implementing, and managing our compliance program, ensuring that our organization meets all relevant laws, regulations, and standards.Key Responsibilities:Develop and implement a...

Job SummaryIn this key leadership role, you will oversee the planning, organization, and direction of high-quality, cost-effective in-patient and out-patient clinical nutritional services and feeding operations. This includes the provision of nutritional services, including professional services, nutrition care services, and in- and out-patient feeding and...