IT Director jobs in the Medical & Health category and Healthcare Services industry at UnitedHealth Group

Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) Responsible for day-to-day operations in addition to quality and training. Director of Operations will work closely with Mana...
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Description: The primary functions of the Director of LTSS/HCBS Services are:1. Implementation and oversight of all clinical management functions for individuals receiving LTSS services, including but not limited to: Assessment, service planning, care coordination, transition planning, consumer hearings, participant and caregiver education and training;2. Implementation and oversight of all provid...
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Description: United Health Care Military and Veterans is currently seeking a Director of Accreditation for Clinical Quality Management Team. In this role, you will be directly responsible for the supervision of accreditation coordinators and leading successful accreditation activities. Organizes and leads cross-functional accreditation teams. Conducts accreditation gap analysis and budget and cost...
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Description: Health Services Director Responsibilities: Provides leadership to and is accountable for the performance of managers and/or senior level professional staff Develops functional, market level, and/or site strategy, plans, production and/or organizational priorities Develops, translates and executes strategies or functional/operational objectives for a Healthplan clinical team including ...
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Description: Health Services Director Responsibilities: Provides leadership to and is accountable for the performance of managers and/or senior level professional staff Develops functional, market level, and/or site strategy, plans, production and/or organizational priorities Develops, translates and executes strategies or functional/operational objectives for a Health plan clinical team including...
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Description: Under the general direction of the Medical Management Director, the Utilization Management Nurse provides authorizations for hospital admissions, skilled nursing facilities, rehabilitation facilities, specialist providers, outpatient services and ancillary services such as home healthcare, durable medical equipments, orthotics/prosthetic devices, colostomy supplies and Infusion servic...
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Description: This position works under the direction of the director of accreditation. Primary responsibility is to coordinate and conduct accreditation activities for standards related to UM, DM, and CM. You will assist the director of accreditation with establishing cross-functional accreditation teams. Actively participates in meetings and leads work groups as needed. You will prepare applicati...
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Description: Position Summary: Option to work from home after 90 days of Proven Performance the Medical Review Nurse conducts independent review, research and analysis of requests for retrospective medical necessity determination with concentration on prudent standards of best practice and clinical decision sets. Adherence to Health Plan benefits and Medicare Guidelines is required. Outstanding Cu...
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Description: Position Description: Positions in this function are responsible for investigating, reviewing, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. This may include participation in telephone calls or meetings with providers, clients and investigative team. Ensure adherence to state and federal ...
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Description: The Enrollment Field Nurse is a field based role to support the public sector population in the state of NY. This position would be working with ages from birth to geriatric in the home and community setting providing holistic case management services to members who are receiving or may be in need of medical daycare services or personal care assistant services. This role includes trav...
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Description: Position Description: As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work. Primary Responsibilities: Troubleshooting issue...
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Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. Under the general direction of the Director of Case Management Services, this position provides case management services to plan ...
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Description: As the Hospice Manager you will be responsible for the Hospice RNs, LPNs, CNAs out in the field for the west team. Your team of nurses are responsible for clinical care and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating) as it relates to end of life palliative care. Team player with ability to see ...
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Description: The RN Case Manager is a field based role to support the public sector population in the state of NY. This position would be working with ages from birth to geriatric in the home and community setting providing holistic case management services to members who are receiving or may be in need of medical daycare services or personal care assistant services. This role includes traveling i...
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Description: The Field Care Coordinator is a field based role to support the public sector population in the state of NY. This position would be working with ages from birth to geriatric in the home and community setting providing holistic case management services to members who are receiving or may be in need of medical daycare services or personal care assistant services. This role includes trav...
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Description: General Strategize, develop and direct operations to ensure provision of high quality, cost-effective care management services Ensure compliance with State and Federal regulations, compliance with company policies and procedures Provide leadership to and be accountable for the performance of Clinical Service Managers, Care Managers, and support staff. Care Management Review and produc...
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Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work *This position is based in our Houston, Texas office and could potentially evolve into a te...
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Description: As the OR RN Supervisor you will receive Direction from the RN Clinical Director and will work collaboratively with Southwest Surgical Center Administrator/Medical Director, Southwest Surgical Center Anesthesia Lead, surgeons, surgery center staff and primary care teams. The OR RN Supervisor gives direction to operating room staff for day to day management of patient flow and patient ...
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Description: Home Visit Nurse Practitioner, Full-time, The Home-Visit Nurse Practitioner is responsible, as part of the patient care team, for the overall patient care management process. An advocate for the patients, the Nurse Practitioner will provide total care for the patients assigned in collaboration with the physician of record and patient care team. The Nurse Practitioner will communicate ...
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Description: Position Description: The R&R Unit is responsible for working directly with consumers and families upon request, recruiting consumers and families for OHPS initiatives, supporting existing consumer initiatives, supporting the grievance process, engaging in quality initiatives; collaborating with Care Managers, providers, and community agencies to support consumer access to needed serv...
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Description: In this function, the Clinical Pharmacist would help to increase the breadth and depth of drug therapy management for health plan members by reviewing member medications, identifying medication-related opportunities and providing consultative services directly to the member to close these opportunities. In addition, the Clinical Pharmacist would serve as a consultative resource to the...
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Description: The Home-Visit Nurse Practitioner is responsible, as part of the patient care team, for the overall patient care management process. The Nurse Practitioner will be assigned to provide primary care home visits. An advocate for the patients, the Nurse Practitioner will provide total care for the patients assigned in collaboration with the physician of record and patient care team. The N...
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Description: Primary Responsibilities: Work with the Military Treatment Facility (MTF) to process referrals and help address and resolve referral issues and concerns. The HCC will be the primary point-of-contact for the MTF Referral Management Center (RMC) team, and will attend regular referral team meetings at the MTF. Assist the TSC and MTF BCAC staff review referral and authorization issues for...
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Description: Improve Your Quality of Life While Helping Others! Get better informed to determine your fit into this position. Click here to view the Realistic Job preview: Nurse_Practitioner_OptumHealth.pdf Join our exceptional Evercare team. As a Nurse Practitioner on the Hospice and Palliative Care Team, you will provide palliative care to patients in skilled nursing facilities, hospitals and th...
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Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. *This position requires ACHA level II background checks (fingerprinting) by the state of FL for all clinicians that have face to ...
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