- Hackensack Meridian Health (Lodi, NJ)
- … results with staff and develop action plans for improvement. Responsible for clinical review . Implement action plans and complete trending reports. Attends and ... care that is being delivered. Direct and lead all clinical service programs. Oversee and direct Nurse Manager and...with team members. Assure open lines of communication. + Review employee turnover and vacancy rates and address issues.… more
- Evolent (Helena, MT)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...MD review process to reflect appropriate utilization and compliance with… more
- Luke Staffing (Glendale, CO)
- …alignment with VA policies, standards of care, and national accreditation requirements. **DUTIES:** ** Clinical Review & Coordination:** . Review consults and ... care in accordance with VA and community care guidelines. . Perform clinical review of incoming medical records, documenting communication with ordering… more
- Evolent (Sacramento, CA)
- …Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance... review process to reflect appropriate utilization and compliance with… more
- Abbott (Sylmar, CA)
- …for new algorithms, and facilitates the transition of algorithms into new projects through clinical review and evaluation. Assesses the clinical and system ... and facilitates the transition of algorithms into new projects through clinical review and evaluation. + Contributes to the evaluation and verification of… more
- UTMB Health (Galveston, TX)
- …and billing practices consistent with institutional standards + Participate in clinical quality improvement initiatives and utilization review activities ... on departmental, institutional, or professional committees + Contribute to peer review , credentialing, and clinical pathway development + Support recruitment,… more
- CVS Health (Frankfort, KY)
- …**Responsibilities include:** + Assessment of Members: + Through the use of clinical tools and information/data review , conducts comprehensive assessments of ... with heart, each and every day. **Summary/Position Objectives:** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member… more
- Bristol Myers Squibb (Princeton, NJ)
- …+ The role includes support of across portfolio activities in line with Clinical Excellence, including eg Protocol Review Committee, support of Business ... their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Clinical Development Program Leader sits within Clinical Development,… more
- HCA Healthcare (Las Vegas, NV)
- …and personal growth, we encourage you to apply for our Division Director Clinical Pharmacy opening. We promptly review all applications. Highly qualified ... We care like family! Jump-start your career as a(an) Division Director Clinical Pharmacy today with HealthTrust Supply Chain. **Benefits** HealthTrust Supply Chain… more
- CVS Health (Columbus, OH)
- …cost-effective outcomes. **Position Responsibilities:** + Through the use of clinical tools and information/data review , conducts comprehensive assessments ... Ohio (Includes West, Central, South and Northeast regions) Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more