- CVS Health (Columbia, SC)
- …**Position Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director ( Cardiology ) that can be remote based, work from ... home. This role can be remote based anywhere in the US. The Medical Director ( Cardiology ) will be a Subject Matter Expert (SME) with a background in … more
- Evolent Health (Columbia, SC)
- …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for the culture. **What You'll Be Doing:** As a Cardiology , Physician Clinical Reviewer you will be a key...support. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Cardinal Health (Columbia, SC)
- …for healthcare professionals, patients and others. This role reports to the Director of Regulatory & Medical Affairs. **Responsibilities:** + Identify Key ... other crucial areas, so they can focus on their patients. **What a Senior Medical Science Liaison contributes to Cardinal Health** : The Senior Medical Science… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- Summary As Clinical Director for the Whole Health Program, you will manage and plan how services are delivered and contribute to the process of strategic planning, ... mental health services, surgery, psychiatry, physical medicine and rehabilitation, cardiology , neurology, oncology, dentistry, geriatrics, extended care, and more.… more
- US Tech Solutions (Columbia, SC)
- …to determine if the procedure can be approved or denied. Some may need sent to the medical director . They will also need to be flexible to help others in their ... back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of… more
- US Tech Solutions (Columbia, SC)
- …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... TEAMS + LMSW or LISW with a Master's degree if possible with a medical background Provide social work assistance of varying degrees to our members + Communication… more
- ManpowerGroup (Columbia, SC)
- …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... & Remote after training **Job Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
- ManpowerGroup (Columbia, SC)
- …up review determinations. + Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... & Remote after training **Job Responsbilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
- Evolent Health (Columbia, SC)
- …+ The Manager, Client Services oversees daily utilization management and directs the medical care of our members on behalf of our health plans and serves ... in a supporting role to the Director , Intake and Utilization Management Operations. + This individual...production team but will also work closely with our cardiology and oncology clinical teams on a regular basis.… more