Job Description: Responsibilities ***Join Our Team as a Utilization Review Coordinator!*** North Spring... Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator (on-site) to join our compassionate and dynamic...
Job Description: Responsibilities ***Join Our Team as a Utilization Review Coordinator!*** North Spring... Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator (on-site) to join our compassionate and dynamic...
in treatment. UR specialists are tasked with advocating on the client’s behalf based upon medical necessity for appropriate care... setting. Works with the UR Director and facility contacts on case reviews for pre-service, concurrent, and retrospective...
seeking an Inpatient Care Management Medical Director to join our Optum team. This team is responsible for conducting acute... oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal...
seeking an Inpatient Care Management Medical Director to join our Optum team. This team is responsible for conducting acute... oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal...
Management is responsible for the planning, execution and ongoing management of the TH Michigan Medical Groups’ activities... management of real estate through input into and involvement in the establishment and carrying out TH MI Medical Groups...
JOB SUMMARY: The Medical Director will exhibit strong expertise in utilization management and health plan leadership... of our health plan’s utilization management programs, ensuring that medical services are delivered in a cost-effective manner...
Director to lead Medical Management. As the Senior Medical Director specializing in Medical Management, you will oversee...: Utilization Management, Care Management, Medical Policy, Behavioral Health, Population Health, Quality, and Clinical Informatics...
. We are currently looking for Medical Directors that can work daytime in any of the continental time zones in the US. Primary... Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily...
. We are currently looking for Medical Directors that can work daytime in any of the continental time zones in the US. Primary... Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily...
. We are currently looking for Medical Directors that can work daytime in any of the continental time zones in the US. Primary... Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily...
. We are currently looking for Medical Directors that can work daytime in any of the continental time zones in the US. Primary... Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily...
that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The... that all aspects of the medical management process are consistent with community standards of care. Participate as a member of the...
that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The... that all aspects of the medical management process are consistent with community standards of care. Participate as a member of the...
that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The... that all aspects of the medical management process are consistent with community standards of care. Participate as a member of the...
that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The... that all aspects of the medical management process are consistent with community standards of care. Participate as a member of the...
Manager, and the Medical Director or Physicians. The Lead facilitates office-wide communication, coordinates new clinical...-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means...
Anticipated End Date: 2026-01-26 Position Title: Medical Management Clinician Associate Job Description: Medical...), rotating weekends and holidays as needed by the business. The Medical Management Clinician Associate is responsible...
Anticipated End Date: 2026-01-23 Position Title: Medical Management Clinician Sr. Job Description: Medical... of companies. We are a third-party administrator (TPA) of medical benefits, also providing medical management, human resource...
of complex claims for further research meeting the MRE “pend” criteria. Collaborate with Medical Director..., medical management, configuration, and appeals & grievances. Provide guidance as it relates to clinical appropriateness...