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Keywords: Medical Director, Clinical Reviews, Location: USA

Page: 220

Clinical Pharmacist, Ambulatory/Retail--full-time, days--HUP Pavilion

Ambulatory/Retail Clinical Pharmacist for the Penn Medicine HUP Pavilion Pharmacy. Summary: Reviews physician orders..., conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical...

Company: Penn Medicine
Location: Philadelphia, PA
Posted Date: 31 Jan 2025

Director of Nursing - RN - Long Term Care

's nursing personnel. Advises medical staff, department heads, and administrators in matters related to nursing service... staff and conducts employee performance reviews. Provides nursing care to residents on an as needed basis. Assists in the...

Location: Doon, IA
Posted Date: 25 Jan 2025

Director of Nursing - RN - Long Term Care

's nursing personnel. Advises medical staff, department heads, and administrators in matters related to nursing service... staff and conducts employee performance reviews. Provides nursing care to residents on an as needed basis. Assists in the...

Location: USA
Posted Date: 25 Jan 2025

Director of Nursing - RN - Long Term Care

's nursing personnel. Advises medical staff, department heads, and administrators in matters related to nursing service... staff and conducts employee performance reviews. Provides nursing care to residents on an as needed basis. Assists in the...

Posted Date: 25 Jan 2025

Director of Nursing - RN - Long Term Care

's nursing personnel. Advises medical staff, department heads, and administrators in matters related to nursing service... staff and conducts employee performance reviews. Provides nursing care to residents on an as needed basis. Assists in the...

Location: Steen, MN
Posted Date: 25 Jan 2025

Director of Nursing - RN - Long Term Care

's nursing personnel. Advises medical staff, department heads, and administrators in matters related to nursing service... staff and conducts employee performance reviews. Provides nursing care to residents on an as needed basis. Assists in the...

Posted Date: 25 Jan 2025

Director of Nursing - RN - Long Term Care

's nursing personnel. Advises medical staff, department heads, and administrators in matters related to nursing service... staff and conducts employee performance reviews. Provides nursing care to residents on an as needed basis. Assists in the...

Posted Date: 25 Jan 2025

Director Clinical Review

Short Description: Under the direction of the AVP of Clinical Review and Discharge Planning, the Director of Clinical..., denials, and appeals. Monitors reports and workqueues. In collaboration with the AVP, Medical Director of UM annually...

Posted Date: 11 Jan 2025

Director Clinical Review

Under the direction of the AVP of Clinical Review and Discharge Planning, the Director of Clinical Review maintains..., and appeals. Monitors reports and workqueues. In collaboration with the AVP, Medical Director of UM annually evaluates the UM plan...

Posted Date: 10 Jan 2025

Medical Review Director

Director of the DME Medical Review department, you will oversee the operations of a dynamic team of approximately 150 dedicated... with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health care providers, and medical equipment...

Posted Date: 25 Jan 2025

Medical Director of Case Management and Utilization Review - FT Days - JDCH

difference. It is the foundation of The Memorial Experience. Summary: The Medical Director of Case Management and Utilization... activities. The Medical Director functions as the primary physician advisor for the hospital and supervises other Physician...

Location: USA
Posted Date: 08 Dec 2024

Senior Medical Director of Case Management and Utilization Review - FT Days - MHS

difference. It is the foundation of The Memorial Experience. Summary: The Senior Medical Director of Case Management... Integrity (CDI) and serves as a liaison between CM, UR, and CDI teams and the medical staff. The Senior Medical Director...

Location: USA
Posted Date: 08 Dec 2024

Medical Director of Case Management and Utilization Review - PT Days - MHM

difference. It is the foundation of The Memorial Experience. Summary: The Medical Director of Case Management and Utilization... activities. The Medical Director functions as the primary physician advisor for the hospital and supervises other Physician...

Posted Date: 08 Dec 2024

Medical Director of Case Management and Utilization Review - FT Days - MHW

difference. It is the foundation of The Memorial Experience. Summary: The Medical Director of Case Management and Utilization... activities. The Medical Director functions as the primary physician advisor for the hospital and supervises other Physician...

Location: USA
Posted Date: 04 Dec 2024

Nurse Reviewer - Clinical Review Unit

appropriate for the member's clinical condition or whether the request requires referral to a Medical Director for potential...Job Description: Utilize medical necessity criteria from established medical policies and clinical practice...

Posted Date: 05 Jan 2025

RN Utilization Management Clinical Review Senior Analyst - Work from Home, Arizona or Colorado Area

to an alternate level of care. Consults with manager and medical director to resolve any issues related to delay of services...Position Scope: Manages/Coordinates an active caseload of inpatient case management cases for Cigna. Uses clinical...

Company: The Cigna Group
Location: Colorado
Posted Date: 07 Feb 2025

Clinical Review Nurse

cases to Medical Director and Physicians for review Perform other job duties as needed Skills Clinical review, Rn... providers Suggest alternative care plans for patients that meet their coverage and finical needs Document case reviews Present...

Company: Actalent
Location: Uniondale, NY
Posted Date: 07 Feb 2025
Salary: $50 - 60 per hour

RN Utilization Management Clinical Review Analyst - Work from Home, Anywhere, USA

to an alternate level of care. Consults with manager and medical director to resolve any issues related to delay of services...Position Scope: Manages/Coordinates an active caseload of inpatient case management cases for Cigna. Uses clinical...

Company: Cigna
Location: Bloomfield, CT
Posted Date: 06 Feb 2025

RN Utlization Management Clinical Review Analyst - Work from Home, Arizona or Colorado Area

to an alternate level of care. Consults with manager and medical director to resolve any issues related to delay of services...Position Scope: Manages/Coordinates an active caseload of inpatient case management cases for Cigna. Uses clinical...

Company: Cigna
Location: Denver, CO
Posted Date: 06 Feb 2025

Clinical - Clinical Review Nurse - Prior Authorization

approach. Preferred Skills: * Clinical knowledge with the ability to analyze authorization requests and assess medical...Position Title: Clinical Review Nurse - Prior Authorization Location: Remote EST Duration: 12 Months Schedule...

Company: Pacer Group
Location: USA
Posted Date: 29 Jan 2025