are determined to make life better for people around the world. Purpose: The Case Management Medical Review Scientist... and regulatory guidance to cross-functional teams to enable completion of case management and medical review work. Provide training...
as required by law. ** Must be an Indiana resident ** The Medical Management Nurse is responsible for review of the most complex...Anticipated End Date: 2025-12-26 Position Title: Medical Management Nurse Job Description: Location: This role...
Anticipated End Date: 2026-01-02 Position Title: Appeals Medical Director – Indiana Medicaid... Job Description: Appeals Medical Director – Indiana Medicaid Location: This role enables associates to work virtually full-time, with the...
Anticipated End Date: 2025-11-15 Position Title: Behavioral Health Medical Director-Psychiatrist Appeals... Job Description: Behavioral Health Medical Director-Psychiatrist Appeals Location: This role enables associates to work virtually full-time...
by diagnosis, dollar amount and/or high utilization of medical services and refer those identified for large case management... of medical necessity as it relates to precertifications and case management. Flexibility – must be willing to adjust as the...
recommendations to the Local Office Director. Review and/or authorize leave requests for Family Case Managers and other staff... to ensure maximum efficiency in case management and costs. Establish and/or communicate and interpret policy and objectives...
recommendations to the Local Office Director. Review and/or authorize leave requests for Family Case Managers and other staff... to ensure maximum efficiency in case management and costs. Establish and/or communicate and interpret policy and objectives...
recommendations to the Local Office Director. Review and/or authorize leave requests for Family Case Managers and other staff... to ensure maximum efficiency in case management and costs. Establish and/or communicate and interpret policy and objectives...
medicines to those who need them, improve the understanding and management of disease, and give back to our communities through... Director, Reimbursement Lead – Immunology – Derm Key Responsibilities: Virtual Reimbursement Hub Work with vendors...
to individual service, a team mentality, and attention to detail. Reports To: Executive Director Experience and Qualifications... their goals Ability to interact successfully with a variety of medical, social and psychological professionals Ability to use...
as directed by the medical director and/or attending physician. You’ll manage and facilitate resource applications to meet patient..., hospice case management, or other relevant clinical experience. Valid driver's license and auto insurance in your name...
; Ability to successfully utilize a case management system to manage a docket, case information, party information, and serve... and adoption of model laws Research and analyze legal issues Serve as IDOI Legislative Director Attend committee hearings...
health care team and assuring the delivery of quality home health services. Provides ongoing case management of all patients... documentation review within agency defined time frame. Reviews and approves final Plan of Care (485) within Electronic Medical...
medicines to those who need them, improve the understanding and management of disease, and give back to our communities through... Generate, review, revise, and maintain as needed all the manufacturing and validation documentation (e.g. master production...