• Case Management Manager - UPMC

    UPMC (Washington, PA)
    …+ Assists with management of departmental budget. + Collaborates with Director , Medical Director / Physician Advisor and staff to ensure effective ... operations of the Case management department under the direction of the Director . The Manager is accountable for the following Case Management functions: training,… more
    UPMC (07/11/25)
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  • Professional Care Manager

    UPMC (Pittsburgh, PA)
    …+ Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor , Attending Physicians and clinical team to ... requirements and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation… more
    UPMC (07/11/25)
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  • Care Manager RN

    Swedish Health Services (Seattle, WA)
    …for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor . **Resource Management:** Assures prudent ... an interdisciplinary team process that is prioritized and based on determined medical diagnosis, patient needs, and expected patient outcomes. * Interacts with… more
    Swedish Health Services (07/25/25)
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  • Care Manager RN - Emergency Department

    Swedish Health Services (Seattle, WA)
    …for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor . *Resource Management; Assures prudent ... the patient's health, safety and rights. * Advocates for the patient, family, physician , and facility to obtain benefits from insurance carriers and others that… more
    Swedish Health Services (07/19/25)
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  • Clinical Advisor - Registered Nurse…

    Beth Israel Lahey Health (Boston, MA)
    …advocating for the health of patients, families, and communities. The Clinical Advisor provides leadership in the provision of nursing services, supports the ... care to patients and families, under the direction of the nurse manager and/or director . Training, evaluation and competencies for this role are overseen by a Nurse… more
    Beth Israel Lahey Health (07/18/25)
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  • Senior Medical Director - Sharp…

    Sharp HealthCare (San Diego, CA)
    Medical Management and Quality Improvement Director . + Oversees and mentors Medical Directors and Physician Reviewers. + Actively engages with SHC leaders ... employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and...Health Plan's (SHP) physicians ( Medical Directors (both medical and behavioral health) and the Physician more
    Sharp HealthCare (07/19/25)
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  • Physician , Medical Asset Support…

    Immigration and Customs Enforcement (Washington, DC)
    …reviews and other duties requiring medical expertise; Serves as a professional advisor to physician colleagues from medical schools, graduate training ... (IHSC). The incumbent will report directly to the IHSC Medical Director or designee. This is a...not eligible for this position. Responsibilities DUTIES AND RESPONSIBILITIES: Physician Support Duties: Serves at various IHSC medical more
    Immigration and Customs Enforcement (06/14/25)
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  • Medical Director , Clinical Sciences…

    Takeda Pharmaceuticals (Boston, MA)
    …company that will inspire you and empower you to shine? Join us as a Medical Director , Clinical Sciences - Plasma Derived Therapies in our Cambridge office. At ... plasma-oriented therapies for patients with serious, complex diseases. The Medical Director - Immunodeficiency leads and drives...and the conduct of clinical studies. Serves as an advisor to assoc. med directors and clinical… more
    Takeda Pharmaceuticals (07/15/25)
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  • Medical Director - Heartland

    CVS Health (Topeka, KS)
    medical license without encumbrances in one of these states.** + In the Medical Director role you will provide oversight for medical policy ... consistent responses to members and providers. + As a Medical Director you will focus primarily on...Previous UM experience with a Health Plan / Payor/ Physician Advisor in a Healthcare system. Board… more
    CVS Health (07/20/25)
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  • Public Health Advisor , Bureau of Public…

    City of New York (New York, NY)
    …Document intake information collected during Intake Service in the Electronic Medical record. Assist clinicians in patient medical examinations. Specimen ... processing, label, package, order tests in electronic medical record, EMR, and route to specific (and correct)...supplies under the direction of the clinic manager or physician -in-charge (PIC). Why you should work for us: -… more
    City of New York (06/18/25)
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