Clinical Leadership Position for Utilization Management
3 weeks ago
Job Summary: We are seeking a highly skilled and experienced Senior Psychiatrist and Medical Director to lead our Utilization Management team. The ideal candidate will have a strong background in clinical leadership, with expertise in psychiatric medicine and utilization management.
Key Responsibilities:
- Provide clinical leadership and guidance to the Utilization Management team
- Develop and implement utilization management programs and policies
- Collaborate with the UM Unit Manager to co-chair the UM Committee
- Review data and reports to inform decision-making and make recommendations for improvement
- Provide clinical oversight of UM activities and consultation to UM Clinical Reviewers as needed
Requirements:
- Current valid unrestricted CA license issued by the Medical Board of California or the Osteopathic Medical Board of California
- Successful completion of an accredited residency program in a Psychiatric medical specialty area
- Possession of valid Drug Enforcement Agency registration with the United States Department of Justice
Preferred Qualifications:
- Seven (7) years of BH Clinical Practice experience
- Two (2) years of utilization management experience
- Proven leadership, problem-solving, and ability to manage multiple priorities
Working Conditions:
- 1.0 FTE position
- Hybrid work arrangement (3 days in-person, 2 days remote)
- Clientele: safety net, Medi-Cal/uninsured, severely mentally ill, dual diagnosis, homeless/housing-unstable
-
Clinical Leadership and Operations Manager
3 weeks ago
San Francisco, California, United States University of California , San Francisco Full timeUniversity of California, San Francisco - Clinical Leadership and Operations ManagerAt the University of California, San Francisco (UCSF), we are seeking a highly skilled and experienced Clinical Leadership and Operations Manager to join our team. This is an exciting opportunity to lead and manage the daily operations of our Intake and Counseling Services...
-
Clinical Coordinator
4 weeks ago
San Leandro, California, United States Clinical Management Consultants Full timeClinical Pharmacy Coordinator OpportunityClinical Management Consultants is seeking a highly motivated and experienced Clinical Pharmacy Coordinator to join our dynamic healthcare team in Northern California.This is an exceptional opportunity to make a significant impact on patient care and contribute to the growth and development of clinical services within...
-
Clinical Leadership Director
4 weeks ago
San Francisco, California, United States Recruitment Reimagined Full timeJob SummaryThe Clinical Leadership Director will lead physicians and advanced practice providers in delivering a proactive, team-based care approach that prioritizes better patient outcomes and a positive experience for both patients and clinical staff. This role, in collaboration with operational leadership, is accountable for executing the clinical model...
-
Senior Psychiatrist
4 weeks ago
San Francisco, California, United States San Francisco Department of Public Health Full timepbJob Summary/b/ppThe San Francisco Department of Public Health is seeking a highly skilled and experienced bSenior Psychiatrist - Utilization Management/b to join our team. As a key member of our Behavioral Health Services team, you will provide clinical leadership and guidance to our team, working in partnership with the UM Unit Manager as Co-Chair of the...
-
Clinical Reviewer
4 weeks ago
San Francisco, California, United States MedRisk Full timeJob DescriptionMedRisk is seeking a skilled Clinical Reviewer to join our team in the utilization review program. As a Clinical Reviewer, you will play a critical role in promoting quality outcomes and enhancing the physical, psychosocial, and vocational health of individuals.Key Responsibilities:Evaluate medical data for utilization review requests and...
-
Clinical Nurse Utilization Manager
4 weeks ago
San Francisco, California, United States MedRisk Full timeJob SummaryAs a Clinical Services Manager - RN, you will play a critical role in ensuring optimum recovery on every claim while establishing trust, providing education, delivering information, and care. You will provide case direction to field case managers when on-site intervention is required.Key ResponsibilitiesPerform within the professional practice...
-
San Francisco, California, United States San Francisco Department of Public Health Full timeJob SummaryThis is a newly formed unit that will operate under the direction of the Director of BHS Managed Care and the UM Unit Manager. The desired candidate will provide clinical leadership, guidance and support for the team and work in partnership with the UM Unit Manager as Co-Chair of the UM Committee. This position is currently 0.6 FTE. As the unit...
-
Senior Director of Clinical Monitoring
3 weeks ago
South San Francisco, California, United States Clinical Dynamix Full timeJob SummaryThe Associate Director, Global Monitoring Operations is a critical role within Clinical Dynamix, responsible for ensuring the quality and execution of insourced and CRO outsourced studies. This position requires a strong leader who can manage assigned CRAs, optimize productivity, and ensure efficient end-to-end delivery of Monitoring...
-
Senior Clinical Operations Director
3 weeks ago
South San Francisco, California, United States Clinical Dynamix Full timeJob Title: Senior Clinical Operations DirectorAt Clinical Dynamix, we are seeking a highly skilled Senior Clinical Operations Director to join our team. As a key member of our organization, you will be responsible for monitoring execution and quality oversight for insourced and CRO outsourced studies.Key Responsibilities:Develop and implement monitoring...
-
San Francisco, California, United States NorthStar Anesthesia Full timeJob SummaryNorthStar Anesthesia is seeking a highly skilled and experienced CRNA to fill the role of Regional Director of CRNA Services. This leadership position offers a unique opportunity to join a rapidly growing market and contribute to the success of our organization.As a Regional Director, you will be responsible for leading a team of CRNAs and Chiefs,...
-
Surgery Center Operations Manager
4 weeks ago
San Francisco, California, United States Clinical Management Consultants Full timeJob Summary:The Surgery Center Administrator will serve as the CEO of the Ambulatory Surgery Center, overseeing various department heads and working closely with physicians, surgeons, and external vendors to ensure the smooth operation of the center and align with the strategic goals of the organization.Key Responsibilities:* Oversee financial operations,...
-
Sales Leadership Position
3 weeks ago
San Francisco, California, United States Inizio Engage Full timeKey ResponsibilitiesWe are seeking a highly motivated and experienced Sales Leader to join our team at Inizio Engage. The ideal candidate will have a strong background in the pharmaceutical industry and a proven track record of driving sales growth and leading high-performing teams.Key AccountabilitiesRecruit, hire, and manage a high-performing team of sales...
-
Clinical Operations Manager
4 weeks ago
San Francisco, California, United States HR Recruiting Services Full timeJob SummaryThe Clinical Operations Manager is responsible for managing the day-to-day clinical operations of the MomBaby unit, ensuring the highest quality of care is provided and is in compliance with federal, state, and local regulatory requirements.Key Responsibilities:Develops and implements action plans to improve staff development and quality...
-
Lead RN
4 weeks ago
San Francisco, California, United States Saint Alphonsus Health System Full timeJob Summary: We are seeking a highly skilled and experienced RN Lead to join our team at Saint Alphonsus Health System. As a Clinical Nurse Leader, you will provide clinical leadership and support within the Meridian Peds Clinic and throughout the network. This is a working RN position, meaning you will still provide some patient care, including Triage,...
-
LVN Clinical Manager
4 weeks ago
San Marcos, California, United States Sharp Community Medical Group Full timeJob SummarySharp Community Medical Group is seeking a compassionate and skilled Licensed Vocational Nurse (LVN) to take charge of our Medical Assistants and elevate our patient care experience. The ideal candidate will demonstrate leadership skills, primary care expertise, and excellent communication skills.Key ResponsibilitiesManage and mentor Medical...
-
Utilization Management Nurse
3 weeks ago
San Francisco, California, United States University of California , San Francisco Full timeJob SummaryThe Utilization Management Nurse is a key member of our interdisciplinary team, responsible for evaluating the efficiency and appropriateness of treatments and services provided to patients. This role requires strong clinical expertise, excellent communication skills, and the ability to work collaboratively with healthcare professionals to ensure...
-
Case Manager Utilization Specialist
4 weeks ago
San Francisco, California, United States University of California , San Francisco Full timeJob SummaryThe Pre-Admission Utilization Management Nurse is responsible for applying utilization management principles and techniques, as well as clinical nursing background and expertise, for the assessment of patients' admissions prior to their entry into the inpatient hospital setting.The incumbent works in a collaborative relationship with admitting,...
-
San Francisco, California, United States Medicorp Inc Full timeNP/PA Supervisor OpportunityWe are seeking a highly experienced Nurse Practitioner or Physician Assistant to join our team as a supervisor in Southern California. As a key member of our leadership team, you will be responsible for supervising our APP team and providing direct patient care for 3 days a week.Key Responsibilities:Supervise and mentor our APP...
-
Nursing Supervisor
3 weeks ago
San Francisco, California, United States University of California Full timeJob SummaryAs a Nursing Supervisor at the University of California, you will play a crucial role in ensuring optimal patient outcomes through effective leadership and provision of patient care delivery in assigned nursing units or areas. You will promote a collaborative environment for a shared voice in nursing practice and exchange of ideas to continually...
-
San Francisco, California, United States MedRisk Full timeJob SummaryAs a Clinical Services Manager - RN Telephonic Case Management, you will play a pivotal role in ensuring optimal recovery outcomes for every claimant while fostering trust, providing education, and delivering personalized care. You will collaborate with field case managers to provide case direction when on-site intervention is required.Key...