12 medical director utilization management jobs found

Become a part of our caring community As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you will lead and support a team of dedicated clinicians who deliver compassionate, high quality care in the home setting. By guiding clinical practice, coordinating patient services, and ensuring excellence in every step of the care journey, you'll empower patients to achieve their highest level of independence while helping your team thrive in their roles. As a Registered Nurse Clinical Manager , you will: Oversee clinical operations for the location, including patient care delivery, staff management, documentation quality, and regulatory compliance, working onsite in-office. Review referrals, determine admission appropriateness, assign clinicians, and ensure Plans of Care meet patient needs and agency standards. Guide, support, and educate clinicians; help goal set, care planning, and clinical decision making; and remain available during operating...

Explore opportunities with Lifeline Home Health Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community...

Explore opportunities with HighPoint Homecare, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources....

Full Time Registered Nurse (RN) - $5,000 Sign On Bonus Explore opportunities with Extendicare Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician,...

$5,000 Sign on Bonus for Full Time Explore opportunities with SunCrest Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel,...

$5,000 Sign on Bonus for Full Time Explore opportunities with SunCrest Home Health , a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel,...

Explore opportunities with SunCrest Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources....

Become a part of our caring community   As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you will lead and support a team of dedicated clinicians who deliver compassionate, high‑quality care in the home setting. By guiding clinical practice, coordinating patient services, and ensuring excellence in every step of the care journey, you'll empower patients to achieve their highest level of independence while helping your team thrive in their roles. As a Registered Nurse Clinical Manager , you will: Oversee clinical operations for the location, including patient care delivery, staff management, documentation quality, and regulatory compliance, working onsite in-office. Review referrals, determine admission appropriateness, assign clinicians, and ensure Plans of Care meet patient needs and agency standards. Guide, support, and educate clinicians; help goal‑set, care planning, and clinical decision‑making; and remain available during operating...

Introduction We are seeking a Nurse Manager of Case Management with Parkridge Medical Center to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us! Benefits Parkridge Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...

ABOUT THE ROLE Upperline Health is seeking a Primary Care Physician, Value Based Care Director to serve as the clinical leader for our Chattanooga, TN market, driving outcomes, quality, and total cost of care for a high-risk population. This is a dynamic dual impact role combining direct patient care and clinical leadership and VBC program management focused on improving patient outcomes and scaling best practices across the market. The position will be based in the Chattanooga, TN area to be able to connect with providers, advise on clinical improvements, and assist in market opportunities and growth approximately 30-50% in clinics. ABOUT US Upperline Health is the nation s largest multi - specialty value-based care organization, serving 500,000+ patients across 20+ states. We deliver coordinated, high-quality care across primary care, podiatry, vascular, endocrinology, wound care, and chronic condition management. Our multidisciplinary teams work...

ABOUT THE ROLE Upperline Health is seeking a Primary Care Physician, Value Based Care Director to serve as the clinical leader for our Chattanooga, TN market, driving outcomes, quality, and total cost of care for a high-risk population. This is a dynamic dual impact role combining direct patient care and clinical leadership and VBC program management focused on improving patient outcomes and scaling best practices across the market. The position will be based in the Chattanooga, TN area to be able to connect with providers, advise on clinical improvements, and assist in market opportunities and growth approximately 30-50% in clinics. ABOUT US Upperline Health is the nation s largest multi - specialty value-based care organization, serving 500,000+ patients across 20+ states. We deliver coordinated, high-quality care across primary care, podiatry, vascular, endocrinology, wound care, and chronic condition management. Our multidisciplinary teams work...

This position is incentive eligible. Introduction Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Medical Surgical Nurse Director with Parkridge Medical Center, you can be a manager in an organization that is devoted to giving! Benefits Parkridge Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...