Medical Management Director jobs in Raleigh, NC

Medical Management Director directs and oversees the operations and strategic planning of the organization's medical management initiatives and programs. Establishes case management, utilization review, quality and outcome management, and community education programs to provide high quality, cost effective health care services. Being a Medical Management Director develops and implements clinical guidelines for care designed to improve outcomes while managing costs. Requires a bachelor's degree. Additionally, Medical Management Director typically reports to top management. The Medical Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Medical Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

Recently Added Medical Management Director jobs

W
Case Management Director
  • Watertown Regional Medical Center
  • Henderson, NC FULL_TIME
  • Description

    Maria Parham Health

    Who We Are:

    People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. With 205 licensed beds, Maria Parham Health is equipped for every health care need one can encounter. We are fully licensed by Joint Commission, the College of American Pathologists, and Rated Highest in Patient Safety from Leapfrog.

    Where We Are:

    Henderson offers a great outdoors, including the region's largest lake, providing endless hours of fun boating, fishing, skiing and camping. Throw in great golfing, hunting and two fantastic recreational organizations and you may find yourself having a hard time deciding what to do next!

    Why Choose Us:

    * Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

    * Competitive Paid Time Off, PTO cash out, and PTO donation programs

    * Employee Assistance Program - mental, physical, and financial wellness assistance

    * Loan Repayment and Tuition Reimbursement/Assistance for qualified applicants

    * Robust employee recognition and awards programs

    * And much more...

    Position Summary:

    The Case Management Director is the first line manager designated as the leader for Case Management team. the Case Management Director has accountability and responsibility for departmental functions of case management, concurrent coding, utilization review, financial outcomes management, social work, patient education. Plans, coordinates, directs the fiscal, personnel and patient care needs and the age of the patient in as cost effective manner as possible. Collaborates with Quality Management and Nursing Directors in promoting positive clinical outcomes. Responsible for integration of the department into the overall functioning of the organization. Performs other related duties as assigned.


    Reports to: Chief Financial Officer

    Responsibilities of the Position:

    • Develops and implements departmental goals, plans, and standards consistent with the clinical,
      administrative, legal, and ethical requirements/objectives of the organization.
    • Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.
    • Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
    • Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates in compliance with allocated funding. Coordinates and directs internal/external audits.
    • Creates and fosters an environment that encourages professional growth.
    • Integrates evidence-based practices into operations and clinical protocols.
    • Provides clinical leadership for the Patient Care Coordinators and Social Worker for day to day issues regarding quality, resource management, utilization review, and discharge planning.
    • Reviews the delivery of services and care provided in the acute care setting for medical necessity, appropriateness, and conformance to professional standards developed by the Hospital , managed care, and regulatory organizations.
    • Collaborates with Nursing Director regarding interdisciplinary patient care rounds.
    • Participates in hospital and departmental safety programs.
    • Other responsibilities as assigned by leadership.

    Qualifications
    Minimum Education
    Bachelors degree preferred
    Masters degree preferred or an equivalent work experience and education.
    Required Certification
    BLS (Basic Life Support) from AHA (American Heart Association)
    Minimum Work Experience
    3 years experience in nursing or social work preferred or equivalent work experience and education.
    Previous supervisory experience preferred
    Required Skills
    Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

    EEOC Statement:

    Maria Parham Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

    Job Case Management/Social Services
    Primary Location NC-Henderson
    Schedule Full-time
    Work Schedule Day shift, 7-10 hr/shift, weekdays only

     

  • 28 Days Ago
Apply this Job
C
Director of Medical Surgical Services RN
  • Clinical Management Consultants
  • Clayton, NC FULL_TIME
  • Calling all Inpatient Nurse Leaders! An exciting opportunity working as an Medical Surgical Services Nursing Director is readily available in North Carolina. The Nursing Clinical RN Director Medical S...
  • 1 Month Ago
Apply this Job
T
Medical Director
  • Theoria Medical
  • Snow, NC FULL_TIME
  • Company Overview Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. T...
  • 21 Days Ago
Apply this Job
T
Medical Director
  • Theoria Medical
  • Goldsboro, NC FULL_TIME
  • Position Type: Part-time, exempt Compensation: Up to $400,000 annually monthly Medical Director Stipend Job Highlights Work-Life Balance: Competitive compensation with balanced hours. Weekend & On-Cal...
  • 12 Days Ago
Apply this Job
T
Medical Director
  • Theoria Medical
  • Wilson, NC FULL_TIME
  • Position Type: Part-time, exempt Compensation: Up to $400,000 annually monthly Medical Director Stipend Job Highlights Work-Life Balance: Competitive compensation with balanced hours. Weekend & On-Cal...
  • 12 Days Ago
Apply this Job
T
Medical Director
  • Theoria Medical
  • Greenville, NC FULL_TIME
  • Position Type: Part-time, exempt Compensation: Up to $400,000 annually monthly Medical Director Stipend Job Highlights Work-Life Balance: Competitive compensation with balanced hours. Weekend & On-Cal...
  • 25 Days Ago
Apply this Job
View All Medical Management Director Jobs
Salary Company Skills Job Openings
Filters

Clear All
  • Filter Jobs by companies
  • More
Salary Company Skills Job Openings

0 Medical Management Director jobs found in Raleigh, NC area

T
Tax Professionals - Senior, Supervisor, Manager, Director and Partner level - REMOTE / Great Work-li
  • Taurus Search
  • Raleigh, NC
  • Tax Professionals Wanted! ???? Are you a Tax Professional looking for a career that combines expertise with flexibility?...
  • 4/26/2024 12:00:00 AM
Apply this job
C
Director Talent Management
  • Cornerstone Building Brands
  • Cary, NC
  • Company Description Cornerstone Building Brands, headquartered in Cary, North Carolina, is the largest manufacturer of e...
  • 4/25/2024 12:00:00 AM
Apply this job
D
Director Case Management
  • Duke Health
  • Rolesville, NC
  • At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones,...
  • 4/25/2024 12:00:00 AM
Apply this job
D
Director Case Management
  • Duke Health
  • Durham, NC
  • At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones,...
  • 4/25/2024 12:00:00 AM
Apply this job
R
Executive Assistant to Managing Director
  • Recovery Alliance Initiative
  • Chapel Hill, NC
  • Recovery Alliance Initiative of NC (RAI) Awareness. Collaboration. Advocacy. Action. Administrative Assistant to the Exe...
  • 4/24/2024 12:00:00 AM
Apply this job
F
Program Management Director
  • Fhi 360
  • Raleigh, NC
  • Program Management Director page is loaded Program Management Director Apply locations US-REMOTE-NC time type Full time ...
  • 4/24/2024 12:00:00 AM
Apply this job
R
Director Capital Management
  • RRC Solutions Group
  • Raleigh, NC
  • Our Client is hiring for a Director of Capital Management & Rating Agencies. As the Director of Capital Management & Rat...
  • 4/23/2024 12:00:00 AM
Apply this job
C
Director Talent Management
  • Cornerstone Building Brands
  • Cary, NC
  • Company Description Cornerstone Building Brands, headquartered in Cary, North Carolina, is the largest manufacturer of e...
  • 4/22/2024 12:00:00 AM
Apply this job
View All Medical Management Director Jobs

About Raleigh, North Carolina

According to the United States Census Bureau, Raleigh occupies a total area of 144.0 square miles (373.0 km2), of which 142 square miles (369 km2) is land and 0.97 square miles (2.5 km2), or 0.76%, is covered by water. The Neuse River flows through the northeast end of the city. Raleigh is located in the northeast central region of North Carolina, where the Piedmont and Atlantic Coastal Plain regions meet. This area is known as the "fall line" because it marks the elevation inland at which waterfalls begin to appear in creeks and rivers. As a result, most of Raleigh features gently rolling hil...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Management Director jobs
$149,931 to $200,783
Raleigh, North Carolina area prices
were up 1.5% from a year ago
View detail

What does a Medical Management Director do?

Medical Management Director in Montgomery, AL
Work in areas of specialty as varied as Life & Disability Underwriting, Pre-Sales, Retention and Implementation, Risk Analysis and Medical Evidence Underwriting.
December 13, 2019
Medical Management Director in Santa Ana, CA
Leads and participates in cross functional corporate teams which design and implement new care management programs that may impact multiple lines of business.
December 11, 2019
Medical Management Director in Lancaster, PA
Health Plan Management | Health & Disease Management | Online Services | EDI | Stop-Loss | Request a Proposal.
January 19, 2020