- Excellus BlueCross BlueShield (Rochester, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity ... to the department, either by data analysis or by internal or external referral sources. Applies case management criteria...Certification required + Broad understanding of multiple areas (ie UM and CM). At this level, incumbent is required… more
- Covenant Health (Nashua, NH)
- …plans for discharge. + Responsible for communicating and collaborating with internal departments (such as, patient registration, patient accounts and others), as ... UR nurses to determine level of status based on medical necessity + Responsible for collaborating with physicians, the...the request of the VP MA / CMO and/or Director of Care Coordination or Manager Care Coordination/Case Management… more
- AdventHealth (Orlando, FL)
- …relationships and share observations and provider improvement opportunities. Collaborates with Medical Director (s) to review and provide insight regarding ... based & mission driven organization + Central Florida's premier multi-specialty medical group + Comprehensive Employee Benefits such as Educational Reimbursement +… more
- MTC (Anson, TX)
- …to the health services administrator, and clinically to the MTC Corporate Medical Director . Responsible for providing medical services related ... Full time, Monday - Friday, day schedule** **Benefit package includes:** + ** Medical , Vision, Dental, and Prescription Drug Benefits** + **Life, Accidental Death and… more
- University of Michigan (Ann Arbor, MI)
- …Perform other related duties as requested by the attending physician, and/or NICU medical director . + Utilize new improvements and/or technologies that relate to ... multidisciplinary care providers, increasing educational opportunities for house staff and medical students, and innovating care of the newborn in the Children's… 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, ... (15%) + Responsible for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift… 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 ... $46.27-$69.89 / hour** The benefit package includes: + Excellent medical , dental and vision coverage + 2:1 Match on...and the organization/system. The CNS and the Clinical Nursing Director are partners in leading the nursing clinical practice… more
- University of Miami (Miami, FL)
- …+ Organized, detail oriented, excellent people and communication skills, and knowledge of UM medical school research environment. #LI-YC1 The University of Miami ... (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...Sr. Research Associate 3 to work at the UHealth Medical Campus in Miami, FL. CORE SUMMARY The Sr.… more
- 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 ... 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… 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 ... and substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care +… more