- Fallon Health (Worcester, MA)
- …of purpose:** The PA Nurse uses a multidisciplinary approach to review service requests (prior-authorizations), focusing on selected complex medical and psychosocial ... health care professionals, member and/or family * Refers cases to medical review according to policy and procedure * Documents clinical, functional, psychosocial… more
- Elevance Health (NV)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- CareFirst (Baltimore, MD)
- …reduction of and/or recuperation of losses to CareFirst through the clinical review of medical records and claims, resulting in the savings and/or recovery ... support both prepayment reviews and/or post-payment investigations. **ESSENTIAL FUNCTIONS:** + Review of medical records and claims. Investigate potential fraud and… more
- J&J Family of Companies (Pensacola, FL)
- …development and clinical success, including procedure sales, support and driving utilization for all Auris Surgical Robotics Technologies. The Field Sales Account ... part of the sales process, referral education sales activities, conducting Business Review Program sessions, managing any post sales installation and will support… more
- Humana (Washington, DC)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of all… more
- Humana (Raleigh, NC)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Commonwealth of Pennsylvania (PA)
- …develop goals, complete employee performance reviews, conduct interviews, direct and review the work of subordinates, assign training, and evaluate results. Levels ... plans to meet organizational and forest resource management goals, including the utilization and management of funds designated for area management programs and… more
- Genesis Healthcare (Exeter, NH)
- …Clinical Operations Area Director in the timely completion of the annual merit review for therapy staff. 6. Assists Clinical Operations Area Director in the hiring ... 7. Participates in and coordinates the timely completion of the annual merit review for therapy staff. 8. Assumes responsibility for hiring therapy staff (in… more
- AbbVie (North Chicago, IL)
- …equipment, processes, utilities, facilities, controls and safety systems, through continuous review and improvement of job plans. + Develop engineering solutions to ... and enforce an Asset Operations Plan Priorities that will ensure optimum utilization and operating efficiency of facility's assets, and development of an Asset… more
- Optiv (Overland Park, KS)
- …right staff assignments are made in right timeframes. + Maximize utilization . + Increase visibility of availability. + Assess skills/certifications against pipeline, ... the identification and assignment of services team members and subcontractors. + Review schedule data proactively to maintain high degree of timelines, accuracy, and… more
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Surgical Technologist, Operating Room, Varied Shift
- Brockton Hospital (Brockton, MA)