- US Tech Solutions (May, OK)
- …follow-up for improvement as indicated. **Experience** + 3 years of clinical experience required- Managed Care/Medicare experience preferred **Position Summary** ... **Position Summary:** Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from … more
- CVS Health (Topeka, KS)
- …with flexible Weekdays **Position Summary** Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for services requiring ... spent at a desk and on the phone collecting and reviewing clinical information from providers. Precertification nurses use specific criteria to authorize… more
- CVS Health (Salt Lake City, UT)
- …working from home anywhere in the US. **Position Summary** + Utilizes clinical experience and skills in a collaborative process to implement, coordinate, monitor ... and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan language or policy specifics to render a medical determination to… more
- CVS Health (Santa Fe, NM)
- …our remote team. In this role, you'll be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive ... and compassion. **Key Responsibilities** + Apply critical thinking and evidence-based clinical criteria specific to Behavioral Health to evaluate inpatient and… more
- CVS Health (Olympia, WA)
- …24/7 operation and work schedules will include weekends, holidays, and evening hours ** Preferred Qualifications** - 2+ years of clinical experience required in ... work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- The Cigna Group (Bloomfield, CT)
- … preferred , but not required. + Training and experience in chemical dependency preferred . + Minimum of 4 years post-masters clinical experience and a ... The range of diverse concerns provides an opportunity to apply your clinical expertise and customer support experience on a daily basis. **Responsibilities** *… more
- AbbVie (Tampa, FL)
- …in a clinical /technical/consultative sales role with multiple decision makers is preferred . + Experience with Buy & Bill and/or Specialty Pharmacy products is ... well as hospitals/health systems. + Identify/uncover customer needs (training, clinical , operational, reimbursement) and address with appropriate AbbVie resources. +… more
- AbbVie (Columbus, OH)
- …in a clinical /technical/consultative sales role with multiple decision makers is preferred . + Ability to manage a complex sell, learn procedural, technical, ... well as hospitals/health systems. + Identify/uncover customer needs (training, clinical , operational, reimbursement) and address with appropriate AbbVie resources. +… more
- KPH Healthcare Services, Inc. (La Crosse, WI)
- …and clinical management trends, with corresponding recommendations to improve clinical care delivered and potential savings using preferred drug management ... **Overview** **Scope of Responsibilities:** Provides a dynamic link between clinical practice and service development to support new models for delivering patient… more
- Achieving True Self (Lebanon, PA)
- …or even speaking at a conference, ATS is the place for you! + Commitment to Clinical Excellence - If you're looking for a team that values your expertise, invests in ... Support: Dedicated administrative staff assist with authorizations, scheduling, and other non- clinical tasks, allowing clinicians to focus on client care and … more