Job Seekers, Welcome to ADCES Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Valley Medical Group
Paramus, New Jersey
Featured! Featured!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Duke University Health System
Durham, North Carolina
NEW! NEW!
NEW! NEW!
NEW! NEW!
Eastern Connecticut Health Network (ECHN)
Manchester, Connecticut
NEW! NEW!
University of Maryland Medical System
Baltimore, Maryland
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Duke University Health System
Durham, North Carolina
NEW! NEW!
Loading... Please wait.
Director, Utilization Management
The Director, Utilization Management is reponsible for direct supervision of Utilization Review nursing staff: Onsite and telephonic review including discharge planning activities and case management to include tracking and trending inpatient and outpatient utilization, provider corrective action for utilization trends that have variances and reporting the UM statistical data to the Medical Director. Direct supervision of the Retrospective review and Appeals team: including tracking and trending types of retrospective reviews and appeals, overturns, fair hearing and IRO results and assuring turnaround times are met. Responsibilities also include compliance with THHSC regulations for conveying adverse determinations decisions to Community Health Choice (Community) provid
Loading. Please wait.