- Parexel (Columbus, OH)
- …leverage your medical expertise to ensure the safety of patients in clinical trials and post-marketing settings. In this pivotal role, you'll perform comprehensive ... and discussing issues related to review process with Line Manager / Project Leader/Designee + Interacting with internal and external...as Subject Matter Experts (SMEs) + Assisting the Project Lead /Functional Lead for audits and inspections +… more
- OhioHealth (Mansfield, OH)
- …while balancing corporate interests and service recovery ; consults with the Risk Manager for case management, and settlement authority in negotiating and ... patients & families as requested by Hospital Safety & Quality leadership; completes clinical chart reviews and presents case summary at monthly Reserves meeting… more
- Parexel (Columbus, OH)
- …in assigned studies and propose /execute remediation plan in coordination with line manager and Project Leader in case of client dissatisfaction Business ... task contracted) and according to the assigned role (Global Lead Physician GLP or Regional Lead Physician...the development and/or review of study documents, such as clinical protocols, Medical Monitoring Plans (MMP), integrated clinical… more
- Elevance Health (Mason, OH)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for developing and… more
- Elevance Health (Mason, OH)
- …for clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers ... manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews....is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Bon Secours Mercy Health (Youngstown, OH)
- … Lead Surgical Tech, Surgery Coordinator and Perioperative Nurse Manager . **QUALIFICATIONS** + Must possess CRCST (Certified Registered Central Service ... cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **This position is represented by a collective… more
- Elevance Health (Mason, OH)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... as required by law. The **Plan Performance Medical Director** serves as a lead clinician and oversees the administration of medical services for the individual ACA… more
- Banfield Pet Hospital (Mason, OH)
- …The primary purpose and function of the Area Chief of Staff is to lead , develop and manage associate veterinarians in their hospitals to ensure Banfield can attract, ... The Area Chief of Staff partners with the Practice Manager (if applicable) to drive the culture and delivery...in partnership with the practice managers. + Validate the clinical skillset and alignment with quality standards of doctors,… more
- Elevance Health (Columbus, OH)
- **LTSS Service Coordinator - Clinician ( Case Manager )** **Candidates should live in one of the following counties:** Athens, Auglaize, Defiance, Gallia, Hocking, ... of an RN, with overall responsibility for the member's case . As required by applicable state law and contract,...RN in identifying members for high risk complications. Obtains clinical data as directed by the responsible RN. +… more
- Molina Healthcare (OH)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and… more