- CVS Health (Richmond, VA)
- … System (HCPCS) coding guidelines and principles. * Experience utilizing clinical expertise to review medical records and determine claim payments in ... health care resources. Reporting to the Executive Behavioral Health Medical Director , Aetna Medicaid, this role is...daily support and guidance to the ABA prior authorization clinical team and health plan medical directors.… more
- University of Miami (Miami, FL)
- …at the UHealth medical campus in Miami, Fl. CORE JOB SUMMARYThe Clinical Research Coordinator 3 (A) serves as experienced clinical research professional ... Key Responsibilities Study Coordination and Oversight Supports the PI and Research Director in the implementation of multiple complex clinical research… more
- University of Colorado (Aurora, CO)
- …Cardiology and UCHealth operations, quality, safety, nursing; partner closely with Medical Directors and hospital Clinical Directors. Provide leadership for ... **Associate Head (Vice Chief) for Clinical Affairs, Division of Cardiology** **Description** **Department: Cardiology**...**Why Join Us:** **Why work for the University?** + Medical : Multiple plan options + Dental: Multiple plan options… more
- CVS Health (Phoenix, AZ)
- …of CPT and HCPCS coding guidelines and principles + Experience using clinical expertise in reviewing medical records and making claim payment determinations ... health care resources. Under the direction of the Lead Director , Service Operations, this position will focus on utilization,...Provides day-to-day support and guidance for ABA prior authorization clinical team and the health plan medical … more
- WellSpan Health (York, PA)
- …Institutional Review Board (IRB), physicians and staff members. Serves as a senior non- medical resource for protocol and clinical research information. + Adheres ... institutional research policies, procedures and guidelines. With the oversight of the Director of Research Clinical Operations, has knowledge of and complies… more
- Access Dubuque (Dubuque, IA)
- …Dermatology departments. You will work in partnership with Department Chairpersons and your Clinical Director . You will be responsible for the management of ... or RN: Clinical Manager Position Available! Allergy & Derm ** Medical Associates** 1 Positions ID: o3VPyfw5 Posted On 11/29/2025 **Job Overview** **Description**… more
- Sea Mar Community Health Centers (Seattle, WA)
- …to pay for services. Sea Mar's network of services includes more than 90 medical , dental, and behavioral health clinics and a wide variety of nutritional, social, ... Mar is a mandatory COVID-19 and flu vaccine organization Home Health RN Clinical Manager - Posting #25578 Hourly rate: $44.30 Annual Salary: $92,137.75 Position… more
- Good Samaritan (Sioux Falls, SD)
- …risk program. Will complete chart reviews, documentation of findings, referral for medical director review and required reporting. Will perform healthcare ... and knowledge of accreditation and regulatory agency standards preferred. Quality, medical coding , and/or risk adjustment experience is preferred. Currently… more
- CVS Health (Richmond, VA)
- …Quality Practice Accountable for clinic team performance in achieving and maintaining clinical practice excellence, coding compliance, and adherence to clinic ... a week. This leadership role reports to the Area Director (AD) and leads a team of NPs, PAs,...a team of NPs, PAs, and/or LVNs/LPNs in achieving clinical quality standards and business and financial objectives. The… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …marketing of the unit in the community. + Works directly with the unit Medical Director on the admission of patients. Completes detailed Pre-Admission Screens, ... effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position** The … more