- Sharp HealthCare (San Diego, CA)
- …products and services and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical ... Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement Manager . +… more
- Elevance Health (Chicago, IL)
- …zone hours.** The ** Medical Director** will be responsible for utilization review case management for Commercial business in the New England (CT, ME, and NH) and ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians...external committees. + May chair company committees. + Interprets medical policies and clinical guidelines. + May… more
- Elevance Health (Winston Salem, NC)
- …The ** Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for developing and ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians...external committees. + May chair company committees. + Interprets medical policies and clinical guidelines. + May… more
- Johns Hopkins University (Baltimore, MD)
- …and assist in canceling and rescheduling of clinics for providers. + Working with Clinical Director and Division Manager and clinical support staff to ... We are seeking a **_Sr. Medical Office Coordinator._** Working collaboratively in the Division...+ Support the physician with insurance preauthorization and single case agreement processes by submitting necessary clinical … more
- Sharp HealthCare (San Diego, CA)
- …and oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer. ... + Assists CMO in continued builds strong partnerships with Medical Director PMGs and their clinical teams....clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances. Supervises the process… more
- PeaceHealth (Ketchikan, AK)
- …coordinating and modifying the plan of care with the patient, caregiver, case manager , primary physician and other members of the inter/multi-disciplinary ... **Description** PeaceHealth is seeking a Medical Social Worker - Home Health for a...community resources as clinically indicated in collaboration with the case manager and primary physician. + Coordinating… more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …in training and orientation of new employees. + Provides technical and clinical information and communicates results of monitoring activities to patients, nurses and ... labeling and dispensing. + Participates with nurses and physicians in all clinical activities as required, including start of care prospective review of … more
- Envista Holdings Corporation (Brea, CA)
- …and compensation decisions are dependent on the facts and circumstances of each case . The total compensation package for this position may also include an annual ... performance bonus, medical /dental/vision benefits, 401K match, and/or other applicable compensation plans....take that approach when we help orthodontists achieve their clinical and practice management objectives. We take the same… more
- Ascension Health (Austin, TX)
- …and purchased services savings + Aligns closely with regional Integration leaders, clinical end-users and key stakeholders to facilitate new product review and ... contracting strategies to completion + Supports Integration team with case cost analysis to support market service line and... cost analysis to support market service line and clinical leaders in development of operational savings targets and… more
- ChenMed (Atlanta, GA)
- …team, the incumbent in this role, in close collaboration with the Regional Chief Medical Officer, will enhance clinical leadership by helping to define success ... need great people to join our team. The Regional Medical Director (RMD) is a developmental, pathway role to...is responsible for aiding in the administrative oversight of clinical strategy and care delivery, spanning across two or… more