- Highmark Health (Carson City, NV)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
- Elevance Health (Las Vegas, NV)
- …our care management models for our National Account clients. The medical director will be responsible for supporting the clinical vision and implementation ... the health improvement tools offered to clients/ members. The medical director provides clinical expertise...clinical relevance to account reporting regarding use of medical services by members. Involved in identifying… more
- Humana (Carson City, NV)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- Elevance Health (NV)
- …May be responsible for an entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management ... ** Medical Director ** _Please note that per...responsible for the administration of physical and/or behavioral health medical services , to ensure the appropriate and… more
- HCA Healthcare (Las Vegas, NV)
- …is recognized. Submit your application for the opportunity below:Associate Director of Clinical ResourceHealthTrust Supply Chain **Benefits** HealthTrust ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services ...may vary by location._** We are seeking an Associate Director of Clinical Resource for our team… more
- HCA Healthcare (Las Vegas, NV)
- …midpoint of the range. **Introduction** Do you have the career opportunities as a Clinical Resource Director you want with your current employer? We have an ... services , HCA Healthcare. **Benefits** Southern Hills Hospital and Medical Center offers a total rewards package that supports...of colleagues. Do you want to work as a(an) Clinical Resource Director where your passion for… more
- HCA Healthcare (Las Vegas, NV)
- … medical , dental, and vision plans along with unique benefits, including: + Comprehensive medical coverage that covers many common services at no cost or for ... and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. +...make a difference. We are looking for a dedicated Director of Clinical Learning to be a… more
- HCA Healthcare (Las Vegas, NV)
- …and vision plans, tuition discounts, along with unique benefits, including: + Comprehensive medical coverage that covers many common services at no cost or ... love for you to apply for the _Director of Clinical Education_ position today! Click here to learn more...and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. +… more
- Prime Therapeutics (Carson City, NV)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership… more
- Highmark Health (Carson City, NV)
- …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management ... :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians in leading the day-to-day operational model of… more
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