- University of Miami (Miami, FL)
- …established guidelines. + Recovers organs and tissues for research as guided by Medical Director or LAORA leadership in accordance with protocols established by ... seeking a full time OPO Surgical Recovery Specialist. The Recovery Coordinator ( UM LAORA) is responsible for recovery, packaging, preservation and transportation of… more
- Covenant Health (Nashua, NH)
- …the Hospitalist group and UR nurses to determine level of status based on medical necessity + Responsible for collaborating with physicians, the UR staff to identify ... patient stays that lack medical necessity (whether based on initial or continuing stay...the request of the VP MA / CMO and/or Director of Care Coordination or Manager Care Coordination/Case Management… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …all mandatory trainings as required.* May be required to attend Fair Hearings with Medical Director relating to specific cases.* Works independently, as well as ... Community Health Assessment (CHA) Tools to determine functional status, medical , behavioral, psychological, and community resource needs for coordinating,… more
- Corewell Health (Farmington Hills, MI)
- …status and level of care. Uses defined resources to guide decisions, including Medical Director Care Management, Physician Advisors, and management staff. 5. ... observation or inpatient services. 4. May review cases for medical necessity, uses InterQual and/or other UR/ UM ...for medical necessity, uses InterQual and/or other UR/ UM Committee-approved medical necessity screening criteria, when… more
- University of Michigan (Ann Arbor, MI)
- …coordinated across the institution where appropriate. This position reports to the Admin Director , Patient Safety and is a member of the Patient Safety Event Team. ... care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School… more
- University of Michigan (Ann Arbor, MI)
- …appointment (open rank) within the Department of Pediatrics at the University of Michigan ( UM ) Medical School. The University of Michigan is in Ann Arbor, a ... should send a CV and letter of interest to Emily Fredericks, PhD, Director , Division of Pediatric Psychology ( [email protected] ). **Job Summary** The Division… more
- Highmark Health (Wexford, PA)
- …) coverage requests and prepares such cases for clinical review by a pharmacist and/or medical director when required. (20%) + Within the context of the request, ... + Responsible for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate… more
- University of Michigan (Ann Arbor, MI)
- …care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School ... victor for the greater good. **What Benefits can you Look Forward to?** + Excellent medical , dental and vision coverage effective on your very first day + 2:1 Match… more
- Centene Corporation (Austin, TX)
- …on best practice models and utilization management processes + Interact with the Medical Director , or designee, to discuss clinical authorization questions and ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- University of Miami (Miami, FL)
- …to IRBs, sponsors and master agreements, and coordinates with the Research Program Director on remediation. + Coordinates the efforts of relevant team members to ... for clinical trial and research areas. + Provides consultation and guidance for UM held INDs and IDEs. + Develops, implements, maintains and oversees internal… more