and continuous improvement. To achieve this, we're looking for a Medical Director, Behavioral Health Children's Services.... Board Certified in child and adolescent psychiatry. Minimum of five years of experience working with children in BH managed...
to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers... include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement...
to align and drive toward shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care... medical director for the Population Health Services Organization (PHSO) quality division. - Analyze Physician/APP KPIs...
utilization management, including review of prior authorizations, concurrent reviews, and appeals. Collaborate with medical... peer-to-peer reviews with providers to discuss medical necessity, care coordination, and best practices. Review...
Responsibilities: MAJOR DUTIES AND RESPONSIBILITIES: Reviews medical files and provides recommendations for utilization review... Review Medical Director to discuss quality of care and credentialing and state licensure issues. Maintain proper...
AND RESPONSIBILITIES: Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity... and workers’ compensation claims. Meets (when required) with Concentra Physician Review Medical Director to discuss quality...
and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects...Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives...
and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects...Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives...
. Growing together. The Chief Medical Officer of United Clinical Services (UCS) Clinical Assessment Review Expert (CAREs) team... Authorization, and Medical Claims Review as distinct examples Work in partnership with enterprise operational, LOB partners...
The Medical Review Supervisor is responsible for overseeing activities and personnel involved in the day to day... operations of CommunityCare’s medical claim review program. The Supervisor guides individuals in implementing auditing...
. Growing together. The Chief Medical Officer of United Clinical Services (UCS) Clinical Assessment Review Expert (CAREs) team... Authorization, and Medical Claims Review as distinct examples Work in partnership with enterprise operational, LOB partners...
: Join Takeda as a Senior Manager, US Medical Information and Review where you will deliver high-quality, balanced and timely... medical and scientific information regarding specific products and provide advanced medical and scientific review...
The Medical Review Supervisor is responsible for overseeing activities and personnel involved in the day to day... operations of CommunityCare’s medical claim review program. The Supervisor guides individuals in implementing auditing...
, utilization review, managed care organization quality review, and quality assurance for programs serving individuals...Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC...
, utilization review, managed care organization quality review, and quality assurance for programs serving individuals...Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC...
, utilization review, managed care organization quality review, and quality assurance for programs serving individuals...Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC...
, utilization review, managed care organization quality review, and quality assurance for programs serving individuals...Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC...
, utilization review, managed care organization quality review, and quality assurance for programs serving individuals...Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC...
, utilization review, managed care organization quality review, and quality assurance for programs serving individuals...Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC...
Immediate need for a talented Atlassian Organization & Multiple Site Administrator (Engineering-Focused). This is a 06...+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the...