Utilization Review. In this role, you will apply clinical expertise and regulatory knowledge to evaluate healthcare services... and the member experience. What You’ll Be Doing Utilization Review & Clinical Determinations Complete timely review...
of Indianapolis and Medical Behavioral Hospital of Indianapolis are looking for a PRN Utilization Review Coordinator to coordinate... patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating...
: The role of Utilization Management Manager oversees the integration of utilization review, clinically appropriate care... experience; clinical experience in managed care and accredited utilization management experience strongly preferred...
-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients’ office... in healthcare. Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost...
About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care... your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director...
for agency outcomes performance. Review patient schedules to ensure appropriate coordination of care and clinical needs. Works... documentation review within agency defined time frame. Reviews and approves final Plan of Care (485) within Electronic Medical...
where infectious disease is no longer a major threat to human health. The Clinical Sales Manager is responsible for the sales efforts...-free DNA, we're helping doctors quickly solve their most challenging cases, with a future vision of accelerating clinical...
PURPOSE OF THE POSITION EEG Clinical Manager works with company management in building and maintaining business... and clinical audits. · Ensure timely and accurate documentation. · Maintain and modify all administrative and clinical...
Anticipated End Date: 2026-02-10 Position Title: Behavioral Health Care Manager I Job Description: Behavioral... Health Care Manager I- BH Care Manager I Locations: The selected candidate must reside within a reasonable commuting...
Anticipated End Date: 2026-02-21 Position Title: Behavioral Health Care Manager I - Indiana Job Description: Work... Behavioral Health Care Manager I – Indiana is responsible for managing psychiatric and substance abuse or substance abuse...
, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot...Anticipated End Date: 2026-01-28 Position Title: Clinical Pharmacist (Indiana License) Job Description: Be Part...
technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. Office location: The selected... for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS and formulary...
patients worldwide. Please visit for more information. Job Description The Leukemia & Transplant Oncology Account Manager... with therapeutic specialists within an assigned geographical territory. The Oncology Account Manager (OAM) is an integral part of the...
compliance with SelectRx and regulatory requirements Review and/or prepare various pharmacy audit/utilization reports.... SelectRX does this by providing a personalized clinical approach driven by a robust technology platform to track adherence...
prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility... improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused...
prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility... improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused...
and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve... peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review...
-medicine The Neuroscience Sales Specialist will: Drive demand generation of Spravato through clinical selling and product... differentiation with approved clinical studies and marketing aids to support the case for adoption. Achieve all sales performance...
care services’ clinical policies and guidelines, 2) develop and assess clinical activities and performance, 3) monitor... and Health Center Coordinator as a leadership team. Concerns of clinical quality are reviewed by the Peer Review Committee...
prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility... improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused...