Medical Director Health Plan in Killeen, TX for Baylor Scott & White Health

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Licensed Vocational Nurse LVN/LPN Utilization Management/Pharmacy San Antonio TX

Optum

San Antonio, Texas

NEW!

Manager Clinic Operations 2 McKinney

Baylor Scott & White Health

Mckinney, Texas

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Physician - Chief of Pulmonology

Veterans Affairs, Veterans Health Administration

Columbia, South Carolina, South Carolina

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PM&R Medical Director Johnston, RI

Encompass Health

Johnston, Rhode Island

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RN, Case Management - Full Time

CHRISTUS Health

Lake Charles, Louisiana

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PROGRAM MANAGER (E)

BJC HealthCare

Saint Louis, Missouri

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Physician (Chief Health Informatics Officer)

Veterans Affairs, Veterans Health Administration

Louisville, Kentucky, Kentucky

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Regional EMS Medical Director - Central Illinois

Carle Health

Urbana, Illinois

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Section Chief of Critical Care & CMO of Critical Care

Rush University Medical Center

Chicago, Illinois

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Chief Dosimetrist - Duke Raleigh Hospital - Full Time

Duke University Health System

Raleigh, North Carolina

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Population Health Care Manager-Embedded at LCHC (BSN Highly Preferred)

Duke University Health System

Durham, North Carolina

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RN Case Manager Hospice West & South Orlando

AdventHealth

Altamonte Springs, Florida

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Pharmacy Manager

Optum

Winter Haven, Florida

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Oncology/Palliative Care Medical Director

Providence

Portland, Oregon

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Case Manager-Duke Raleigh Every Weekend

Duke University Health System

Durham, North Carolina

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Family Medicine - Program Director Opportunity

Trinity Health

Schenectady, New York

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Clinical Assistant Nurse Manager

MultiCare Health System

Puyallup, Washington

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Medical Director, Cardiovascular Intensive Care Unit (CICU)

Rush University Medical Center

Chicago, Illinois

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Assistant Nurse Manager - ICU Neuro

BJC HealthCare

Saint Louis, Missouri

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Sr Manager of Strategic Operations and Project Management

AdventHealth

Ormond Beach, Florida

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Business Planning Manager - Business Development

Valley Children's Healthcare

Madera, California

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Assistant Service Chief (Radiologist)

Veterans Affairs, Veterans Health Administration

Marion, Illinois, Illinois

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Pediatric Urology Physician

Geisinger

Danville, Pennsylvania

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Physician (Pain Management)

Veterans Affairs, Veterans Health Administration

Myrtle Beach, South Carolina, South Carolina

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RN Case Manager-In-Home Philadelphia, Montgomery and Bucks County

Optum

Philadelphia, Pennsylvania

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Medical Director Health Plan

JOB SUMMARYResponsible for managing Health Plan medical costs and assuring appropriate health care delivery for plans and members. Is accountable to provide professional leadership and direction in the utilization/cost management (UM) and clinical quality improvement (QI) of the Health Plan, as measured by benchmarked UM and QI goals. Works collaboratively as a clinical resource to other plan functions that interface with medical management such as provider relations, member services, benefits, claims management, etc. Carries out medical policies at the Health Plan consistent with NCQA and other regulatory bodies.ESSENTIAL FUNCTIONS OF THE ROLEIdentify opportunities for corrective action plans to address issues and improve plan and network man

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