- Providence (Anaheim, CA)
- …are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on ... an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in...hire. + 3 years Clinical experience in an HMO, medical group, affiliated model, hospital or medical … more
- Commonwealth Care Alliance (Boston, MA)
- …access clinical specialty panel physicians to assist in complex or difficult case + Ensure compliance with medical policy. Maintains compliance with ... 023520 Clin Alli-Physicians Group **Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review, the Utilization Review… more
- Elevance Health (Mason, OH)
- …(ABMS) or American Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health profession **Preferred ... necessity decisions. + Brings to their supervisors attention, any case review decisions that require + Medical ...any case review decisions that require + Medical Director review or policy interpretation. **Minimum Requirements:** +… more
- The Cigna Group (Bloomfield, CT)
- **Summary:** + The Medical Director provides timely expert medical review of medical necessity requests for clinical services that do not meet utilization ... review criteria and renders a clinical opinion about the medical service under review while located in a state...attest to review qualifications as required. + Conduct weekly Case Conferences with nursing and social worker teams; discussing… more
- Atlantic Health System (Morristown, NJ)
- …addressing gaps in internal and external resources, and sustainable connections to medical homes and sustainable social supports to improve the patient experience, ... care team members to comprehensively address evolving psychosocial needs, medical needs, and plan of care. Maintain a current...health workers through education, training and one to one case oversight. Annually participate in a minimum of 3… more
- Elevance Health (Winston Salem, NC)
- …(ABMS) or American Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health profession in North ... **Utilization Management Medical Director- NC Medicaid** Location: This role enables...Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible… more
- Samaritas (Grand Rapids, MI)
- …Some of the benefits you may receive are: Full Time/Part Time + Competitive Medical , Dental, & Vision benefits, effective the first of the month following 30 days ... and assistance to three main positions assigned to the UC programs: Medical Coordinator; Intake/Discharge Coordinator and Nutrition and Food Coordinator. This may… more
- Veterans Affairs, Veterans Health Administration (Omaha, NE)
- Summary The Registered Nurse assigned to the Medical /Surgical Unit, is a professional nurse with a broad-based clinical knowledge that enables him/her to effectively ... provide care to a veteran population with widely diverse medical /surgical diagnoses. If you wish to make a difference...be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule:… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY (MSW): The Medical Social Worker (MSW) applies principles of Social Work and other mental health practices to provide patients and families with ... assessment interventions, support, advocacy and case management as a primary provider and/or as ancillary...an independent practitioner or as a member of a medical team. Also may provide support and debriefing to… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take ... health and well-being. The Registered Nurse assigned to the Medical /Surgical Unit on 3 Main, is a professional nurse...be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule:… more