- University of Miami (North Miami, FL)
- …here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty ... occasional on call weekends may be required Work Location: UM Hospital & Clinics - UHealth SoLe' Mia -...ownership of annual reviews with guidance from the IR Director . + Conducts monthly IR staff meetings in collaboration… more
- University of Miami (Miami, FL)
- …here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty ... to IRBs, sponsors and master agreements, and coordinates with the Research Program Director on remediation. + Coordinates the efforts of relevant team members to… 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
- University of Miami (Miami, FL)
- …here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty ... to IRBs, sponsors and master agreements, and coordinates with the Research Program Director on remediation. + Coordinates the efforts of relevant team members to… more
- CareFirst (Baltimore, MD)
- …activities including concurrent review utilizing MCG. Collaborates with CareFirst medical directors and participates in internal case rounds/discussions ... act as a resource to conduct concurrent review for medical necessity and appropriate level of care for Commercial...for an experienced Registered Nurse and people leader with UM /CM experience living within the greater Baltimore metropolitan area.… more
- University of Miami (Miami, FL)
- …here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty ... with best practices and capitalize on financial opportunities. + Supports the Director and Sr. Financial Analyst with accounting and reporting functions. + Adheres… more
- University of Miami (Miami, FL)
- …here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty ... . The University of Miami/UHealth Gordon Center for Research in Medical Education is currently seeking a full time Manager, Programs to… more
- WMCHealth (Valhalla, NY)
- …and problems. + Participates in daily review of aggregate denials/appeals with the Medical Director , peer, or the Clinical Review Supervisor. + Provides ... Hiring Range: $257,702-$326,205 Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29449) Internal Applicant link Job Details: Job Summary: The Physician… more
- Martin's Point Health Care (Portland, ME)
- …prior authorization requests (prior authorization, concurrent review, and retrospective review) for medical necessity referring to Medical Director as needed ... additional expertise and review. + Utilize evidenced-based criteria, governmental policies, and internal guidelines for medical necessity reviews. + Manage the… 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 ... **What Benefits can you Look Forward to?** + Excellent medical , dental and vision coverage effective on your very...with policies and procedures established either by the laboratory director or technical supervisor. + Provide staff with ongoing… more