- US Tech Solutions (Atchison, KS)
- …Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and ... resources. **Job Duties:** + Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and… more
- University of Maryland, Baltimore (Baltimore, MD)
- …staff; development of policies, procedures and clinical protocols; participation in clinician recruitment; oversight of utilization and risk management ... activities, and participation in Peer Review . The Medical Director will maintain a panel of patients, supervise trainees, including medical students and residents,… more
- BJC HealthCare (St. Louis, MO)
- …Information About the Role** A research scientist is a doctoral prepared clinician that educates, mentors and consults for healthcare professionals, as well as ... program. Facilitates and independently conducts academic/clinical research, supports research utilization in nursing/clinical practice and develops an ongoing strategic… more
- Rush University Medical Center (Chicago, IL)
- …readiness to learn. * Selects and promotes optimal, cost effective resource utilization and interventions. Nursing Practice * Provides formal and informal education ... improve outcomes. * Collaborates with other departments to develop and/or review orientation, clinical competency, and additional clinical education programs. *… more
- UnityPoint Health (Fort Dodge, IA)
- …as well as any additional education needs identified by the assessing clinician and/or physician: oTreatment and disease management oMedications purpose, use, side ... to CMS guidance and agency policies and procedures. .Participates in clinical review of records to monitor quality and accuracy, appropriate utilization ,… more