- Albany Medical Center (Albany, NY)
- …cards as needed.21. Implementation and documentation of OSHA program visits regarding medical management of employees on the HAZMAT, ASBESTOS, Hearing ... to view the EHS unit as team.6. Good communication skills7. Strong Customer Service skills.8. BLS certification Job duties:Data management :Include but are not… more
- AdventHealth (Davenport, FL)
- …(C-CMO) is responsible for providing leadership, strategic direction and overall operational management of physician services and medical staff ... Medical staff relations, quality measurement credentialing, and previous medical management experience highly desirable **LICENSURE, CERTIFICATION, OR… more
- AmeriHealth Caritas (Washington, DC)
- …clinical care provided by in network and non-network providers + Utilizes a high-performing medical management system that adheres to the terms of contracts and ... Assists IHC Managers in assessing members' need for case management services + ; Attends case ...the member medical record in the electronic medical management system + ; Adheres to… more
- Commonwealth Care Alliance (Boston, MA)
- …Serve as the lead for CCA's Utilization Review functions working closely with other medical management team members. + Support the development of utilization ... etc.) for a clinically appropriate clinical care and care management services . **Working Conditions:** + Standard office...(nice to have):** + 5 or more years of medical management and general management … more
- Cleveland Clinic (Lorain, OH)
- …instructing, leading and developing educational programs. **Cleveland Clinic's Department of Pain Management has a full time opening for a Physician Assistant or ... and compassionate person who is eager to work in a comprehensive pain management program. This position primarily outpatient but will have a small component of… more
- Humana (Concord, NH)
- …Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health ... and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided...providers, clinical group practice management . + Utilization management experience in a medical management… more
- McLaren Health Care (Indianapolis, IN)
- …of high risk, and under and overuse of services . Collaborates with Medical Director and senior management on complex cases and special projects. **This ... but is not limited to review and authorization of services , utilization of medical policy, utilization of...One (1) year previous experience in Managed Care Utilization Management , Medical Management , Case … more
- Intermountain Health (Las Vegas, NV)
- …in partnership with MG Clinical Leadership, for the appropriate utilization of medical services within established guidelines and for assuring that quality ... medical review of complex, controversial, or experimental medical services . Engages in peer-to-peer conversations to...quality improvement efforts. Serves as the chair of Quality Medical Management Committee (QMMC) and other designated… more
- Centene Corporation (Austin, TX)
- …changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national ... procedures, and guidelines that ensure appropriate and effective utilization of healthcare services + Evaluates BH utilization management team performance and… more
- Banner Health (Casper, WY)
- …position has overall responsibility for providing leadership, direction, and administration of medical management , as well as the integration, coordination, and ... Banner Health. In the highly visible role of Chief Medical Officer, you will have leadership oversight of Banner...management to assure efficient and effective delivery of services . 9. This position has overall responsibility for the… more