. We are currently seeking a Utilization Management Medical Director to join our Clinical Performance team. This team is responsible... for each member Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals...
for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff... application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage...
for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff... application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage...
Experience with integration of clinical and financial data, development of utilization and performance reporting tools.... Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities...
Experience with integration of clinical and financial data, development of utilization and performance reporting tools.... Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities...
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...
monitoring and auditing activities, and supporting quality review initiatives across medical and clinical functions. The Director... of utilization management to ensure high-quality clinical outcomes Lead population health initiatives in collaboration with internal...
Director Oncology will provide utilization review determinations and support case and disease management teams to achieve..., and support case and disease management teams to achieve optimal clinical outcomes Serve as a subject matter expert in evidence...
Director Oncology will provide utilization review determinations and support case and disease management teams to achieve..., and support case and disease management teams to achieve optimal clinical outcomes Serve as a subject matter expert in evidence...