- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …designed to improve overall quality through the use of evidence based medicine and peer review . Participates in clinical review process such as tort claims, ... to ensure that they are performing to the highest standards of clinical care excellence, time efficiency, professional and ethical behavior. Assures that… more
- University of Miami (Miami, FL)
- …has an exciting opportunity for a Clinical Pharmacist - Lymphoma. The Clinical Pharmacist conducts drug utilization review studies and consults with medical ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The UHealth System… more
- University of Miami (Miami, FL)
- …has an exciting opportunity for a Full Time Clinical Pharmacist. The Clinical Pharmacist conducts drug utilization review studies and consults with medical ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The UHealth System… more
- New York State Civil Service (Albany, NY)
- …Bureau is responsible for coordinating and conducting the multi-disciplinary risk assessment and clinical review of individuals who have been convicted of a ... appropriate categories of treatment for an individual's SIST treatment plan; review and finalize completed SIST treatment plans; respond to questions concerning… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …RCT RN possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation ... RCT RN possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation… more
- BrightSpring Health Services (Totowa, NJ)
- …This role will be responsible for activities relating to the proper initiation, clinical review , submission, and follow up of prior authorizations. This role ... *Pet Insurance Responsibilities + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring… more
- CareFirst (Baltimore, MD)
- …capacity. + Reviews authorization requests for initial determination and/or triages for clinical review and resolution. Screens, and/or prioritizes members using ... & Qualifications** **PURPOSE:** This position supports the Inpatient Management clinical teams by handling non- clinical tasks related...review , care coordination and/or quality of care, enabling clinical staff to perform at the top of their… more
- Rochester Regional Health (Rochester, NY)
- …medical necessity in the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization, performing continued ... service by modeling the Brand Promise and Core Values.RESPONSIBILITIES: + Conducts clinical reviews utilizing objective criteria (Interqual) to assign patient to the… more
- HCA Healthcare (Nashville, TN)
- …you find this opportunity compelling, we encourage you to apply for our Clinical Pharmacist opening. We promptly review all applications. Highly qualified ... where our culture and values thrive? Submit your application for our Clinical Pharmacist opening with TriStar Southern Hills Medical Center today and find… more
- HCA Healthcare (Nashville, TN)
- …next step in your career path, we encourage you to apply for our Clinical Nurse Coordinator opening. We review all applications. Qualified candidates will be ... you have the career opportunities as a(an) CNC RN Clinical Decision Unit you want in your current role?...may vary by location. Job Summary and Qualifications The Clinical Nurse Coordinator (CNC) delivers high quality, patient-centered care… more