JOB SUMMARY: The Medical Director will exhibit strong expertise in utilization management and health plan leadership... of our health plan’s utilization management programs, ensuring that medical services are delivered in a cost-effective manner...
and refers cases that do not meet established clinical criteria to the Medical Director. Appropriately identifies and refers... quality issues to Medical Management leadership. Appropriately identifies potential cases for Care Management programs...
and refers cases that do not meet established clinical criteria to the Medical Director. Appropriately identifies and refers... quality issues to Medical Management leadership. Appropriately identifies potential cases for Care Management programs...
of complex claims for further research meeting the MRE “pend” criteria. Collaborate with Medical Director..., medical management, configuration, and appeals & grievances. Provide guidance as it relates to clinical appropriateness...
in Medical Billing/Coding and/or Associate's Degree in Health Information Management, Business, or related field preferred...Tulsa, OK Order: 1707799 Order Type : TempToFT Medical Billing Specialist Monday-Friday 8am-5pm | $18-$23...
Job Description: Join our team as a day shift, full-time, Director of Case Management in Tulsa, OK... Oklahoma Heart Institute. The Director Case Management has overall responsibility for hospital case management, social work...
Overview: Join our team as a day shift, full-time, Director of Case Management in Tulsa, OK. Why Join Us? Thrive.... Responsibilities: The Director Case Management has overall responsibility for hospital case management, social work, transition...
Details Department: Labor Management Schedule: Full Time/8-Hour Day Shift, Monday-Friday Location: Onsite presence... at local hospitals or Labor Management Office required - Will support 7 hospitals/locations in the Tulsa, Oklahoma area (Tulsa...
utilization management determinations. Work with the Medical Director and pharmacy help-desk in the review process of prior... to direct clinical programs, including Patients-At-Risk. Rotate attendance with Medical Director at PBM National P&T meetings...
Description & Requirements Maximus is hiring a Consulting Managing Director to lead strategic expansion... Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts...
Description & Requirements Maximus is currently seeking a Director, Finance & Accounting. In this role... monthly and quarterly financial close process for assigned businesses. - Coordinates with Project Management to develop...
and championing excellence in every classroom. In partnership with the Center Director, Curriculum Directors foster a joyful, safe.... · Prioritize supervision practices and center-wide compliance with individual medical and dietary needs. · Proactively maintain...
and championing excellence in every classroom. In partnership with the Center Director, Curriculum Directors foster a joyful, safe.... · Prioritize supervision practices and center-wide compliance with individual medical and dietary needs. · Proactively maintain...
and championing excellence in every classroom. In partnership with the Center Director, Curriculum Directors foster a joyful, safe.... · Prioritize supervision practices and center-wide compliance with individual medical and dietary needs. · Proactively maintain...
and championing excellence in every classroom. In partnership with the Center Director, Curriculum Directors foster a joyful, safe.... · Prioritize supervision practices and center-wide compliance with individual medical and dietary needs. · Proactively maintain...
and championing excellence in every classroom. In partnership with the Center Director, Curriculum Directors foster a joyful, safe.... · Prioritize supervision practices and center-wide compliance with individual medical and dietary needs. · Proactively maintain...
and championing excellence in every classroom. In partnership with the Center Director, Curriculum Directors foster a joyful, safe.... · Prioritize supervision practices and center-wide compliance with individual medical and dietary needs. · Proactively maintain...
and championing excellence in every classroom. In partnership with the Center Director, Curriculum Directors foster a joyful, safe.... · Prioritize supervision practices and center-wide compliance with individual medical and dietary needs. · Proactively maintain...
and championing excellence in every classroom. In partnership with the Center Director, Curriculum Directors foster a joyful, safe.... · Prioritize supervision practices and center-wide compliance with individual medical and dietary needs. · Proactively maintain...
and championing excellence in every classroom. In partnership with the Center Director, Curriculum Directors foster a joyful, safe.... · Prioritize supervision practices and center-wide compliance with individual medical and dietary needs. · Proactively maintain...