Job Description RN Case Manager - Making a Difference in Healthcare Coordination V-Tech Solutions, Inc. is seeking a compassionate and detail...
Responsible for the delivery of patient care that promotes safety and well-being of all patients and staff in the patient rooms area. Plans, directs...
Job Description Company Description Forefront Healthcare is unique, experienced, and specialized in serving the continuum of care. With finely...
* Support case and disease management teams to achieve optimal clinical outcomes for high risk populations * Proficient in evidence based clinical...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Provide daily utilization oversight and external communication with network physicians and hospitals * Daily UM reviews - authorizations...
* Work to improve quality and promote evidence-based medicine * Provide information on quality and efficiency to doctors, patients and customers...
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for...
Job Description We are seeking an energetic, operational minded Office Manager to join our team at the Atwater at Nocatee, a luxury community in...
This role is considered the minimum role for all nurses who have greater than 12 months experience. Provides and coordinates independent care...
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