- IQVIA (Wayne, PA)
- …solutions to and partner with Advertising Agencies, Pharmaceutical, BioPharma and Medical Device manufacturers. IQVIA has the largest first party HCP database ... campaigns that can leverage a database of over 10 million Physicians, Nurse Practitioners, Allied Health, and Hospital Professionals. The Senior Consultant position… more
- Stanford Health Care (Palo Alto, CA)
- … Medical Center experience preferred. + Case management, utilization review and/or direct provider interaction experience, preferred. + Experience in public ... and experience in computer systems, reporting software and electronic medical record systems used in functional area. + Demonstrated...+ CCDS-O or CDIP . + Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred… more
- Centene Corporation (Phoenix, AZ)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... benefits including a fresh perspective on workplace flexibility. **Location: Position is remote . Candidate will work PST hours.** Must be licensed in TX and/or… more
- Sanford Health (WI)
- …data systems and ongoing monitoring activities to persons and committees for use in Medical Staff peer review processes and activities to include case review ... to the work of health and healing across our broad footprint.** **Facility:** Remote WI **Location:** Remote , WI **Address:** **Job Schedule:** Full time… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …/ PURPOSE** **This will be a remote position.** Responsible for the review of medical records for appropriate admission status and continued hospitalization. ... Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted based on… more
- Centene Corporation (Tallahassee, FL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... benefits including a fresh perspective on workplace flexibility. NOTE: This is a fully remote role. Preference will be given to applicants who reside in Florida, who… more
- Baylor Scott & White Health (Dallas, TX)
- …health plan and the provider's care coordination departments. Your expertise is needed to review medical necessity. + Working with the team, you'll verify ... efficient resource use. **Schedule** + You will work primarily remote . + Will be required to work onsite at...issues **Essential Functions of the Role** + You will review medical services. Use guidelines to assess… more
- Virtua Health (Pennsauken, NJ)
- …If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than ... over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **_For this position we are seeking a (RN) Registered Nurse who lives in MICHIGAN and must be licensed for the state of MICHIGAN. We cannot ... 5:00PM (Occasional weekends and holidays required)_** **_This is a Remote position, but will require the flexibility to go...requests within required timelines. + Refers appropriate cases to Medical Directors and presents them in a consistent and… more
- Molina Healthcare (Cleveland, OH)
- …are highly preferred. Further details to be discussed during our interview process. Remote position - Home office with internet connectivity of high speed required ... within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in… more