- Select Medical (Tucson, AZ)
- …significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers and other CQI indicators. ... with Select Medical $10,000 Sign-On Bonus Position: Director of Quality Management Location: 355 North Wilmot Road, Tucson, AZ 85711 Schedule: Full - Time… more
- AmeriHealth Caritas (Newtown Square, PA)
- …as needed. The Reviewer will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and refer ... most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and...requests to the Medical Director when guidelines are unmet. The Reviewer will… more
- Trinity Health (Columbus, OH)
- …Utilization Management Intake Coordinator provides administrative support to the medical management department, including data input of members hospitalized ... and precertification relating to medical care. The Coordinator acts as a liaison to...authorizations. Knowledge of managed care issues related to utilization management , HCFA regulations, plan benefits and provider contacts. Ability… more
- CVS Health (Lansing, MI)
- …Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective ... care management solutions that promote high-quality healthcare for members. Position...Use established guidelines to authorize services or escalate to Medical Directors as needed. Navigate multiple computer systems efficiently… more
- Danaher Corporation (Chaska, MN)
- …defining scope, objectives, budgets, schedules, resource allocation, and risk management strategies for construction and real estate initiatives. Coordinate real ... job include Bachelor's degree in Engineering (Civil, Mechanical, Electrical), Construction Management , Architecture, or a related field. Prefer minimum of 7 years… more
- Humana (Phoenix, AZ)
- …Delivery Systems, health insurance, or clinical group practice management Utilization management experience in a medical management review organization ... Become a part of our caring community and help us put health first The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D &… more
- UnitedHealth Group (Wilson, NC)
- …urine dipstick and foot exam (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment ... Have Not Previously Participated in this Program **Home Base Medical Care, part of the Optum family of businesses,...the way clinicians work and live. ** **Home Based Medical Care involves travel to patient residences. As a… more
- InnovaCare Health (Kerrville, TX)
- …The Medical Director has primary responsibility for the clinical oversight and medical management of the Physicians assigned to the designated clinics. The ... mission, vision, and values. Our practices offer Chronic Disease Treatment/ Management , Women?s Health, Wellness, X-Ray/Ultrasound, Urgent Care, Managed Care,...Medical Director ensures that the care delivered by participating… more
- OhioHealth (Dublin, OH)
- …development stage. Initiates and/or coordinates care plans and individualizes critical paths/ medical management plans. Promotes cost effective care by minimizing ... position is a full time, night shift position on Medical Unit 1 at Dublin Methodist Hospital. This position...transfer, or appraise, but may be consulted by higher management in these areas. This job has no supervisory… more
- NANA Regional Corporation (Dayton, OH)
- …General warehousing tasks, customer support, requisition, shipping, receiving, building medical kits, inventory management , Quality Assurance (QA) and ... overall readiness and availability of unit ECMM to include general medical materiel management and warehouse activities, and other duties as assigned. The… more
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