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Imagine the position to use your automotive or customer service expertise with both our wholesale and retail customers on a daily basis, serve...
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for...
* Record resolutions of med adherence and other quality indicators that have an action plan and follow through with physician and/or mobile team...
* Support interdisciplinary care team with overall member coordination at the direction of RN or NP/PA * Data entry and member chart management...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
* Conduct in-home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs,...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Record resolutions of med adherence and other quality indicators that have an action plan and follow through with physician and/or mobile team...
* Conduct in-home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs,...
SOX Compliance & IT Controls: • Oversee the execution of ITGC SOX 404 audits, evaluating managements compliance with regulatory requirements...
Piedmont Urgent Care seeks talented, patient-oriented Physician Assistants and Nurse Practitioners who are relentlessly dedicated to ensure...
The Global Pricing Lead acts as a Pricing expert to the geography you oversee, by assessing prices of key brands, by leading pricing optimization initiatives...
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for...
* Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive...
* Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values...
* Advance high volume office workflow and programmatic coordination in collaboration with the PRMs. * Complete in office assessment and advise...
* Clinical leadership within Optum Serve and reports to the Chief Medical Officer, Community Care Services. They collaborate with the CEO, Community...
* Conduct in-home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs,...
* Support interdisciplinary care team with over all member coordination at the direction of RN or NP/PA * Data entry and member chart management...
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