- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management ... with regulatory and accreditation requirements. This position is responsible for the day-to-day management of the Medical Management Department staff, based… more
- Elevance Health (Washington, DC)
- ** Medical Management Nurse ** **Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The ** Medical Management Nurse ** will be...an equivalent background. + Current active, valid and unrestricted RN license and/or certification to practice as a health… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …requests. + Reviews cases referred by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff according ... MCG(R) screening criteria. Responsibilities: + Manages appropriate cases that require medical necessity review such as home care, elective inpatient and outpatient… more
- Elevance Health (WA)
- ** Medical Management Clinician Associate** Carelon Post Acute Solutions A proud member of the Elevance Health family of companies, **Carelon Post Acute ... , **possible weekends as needed by the business.** The ** Medical Management Clinician Associate** is responsible for...experience. + Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health… more
- Elevance Health (Independence, OH)
- …behavioral health, long term services and supports, and psychosocial needs._ ** Medical Management Clinician** **Location:** This role enables associates to ... hours may be necessary based on company needs. The ** Medical Management Clinician** responsible for ensuring appropriate,...do not require the training or skill of a registered nurse . **How you will make an… more
- Elevance Health (Walnut Creek, CA)
- **Manager II Medical Management ** **Location:** This role requires associates to be in-office **3** days per week, fostering collaboration and connectivity, ... is granted as required by law._ The **Manager II Medical Management ** will be responsible to manage...provide an equivalent background. + Current, active, valid unrestricted RN license to practice as a health professional within… more
- Travelers Insurance Company (Franklin, TN)
- …Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred. **What is a Must Have?** + ... the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on early...Registered Nurse ; Licensed Practical Nurse ...Registered Nurse ; Licensed Practical … more
- Takeda Pharmaceuticals (Boston, MA)
- …inspire you and empower you to shine? Join us as a Director, Clinical Data Management Medical Coding based remotely reporting to the VP, Clinical Data Operations ... + Expert knowledge of GCP, regulatory and ICH guidelines as applicable to clinical data management and medical coding; clinical experience in the one or more of… more
- PeaceHealth (Longview, WA)
- …Bonus and Relocation Assistance may be available! PeaceHealth is seeking a Care Management / Medical Social Work for a Full Time, 0.90 FTE, Variable position. ... discharge planning services for these patients in collaboration with RN Care Management and other members of...a minimum of four years' work experience in a medical or healthcare setting, social service agency, or community… more
- CVS Health (Columbus, OH)
- …in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a ... or initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to include… more