• Medicare Advantage UM Reviewer Physical…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …help us transform healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may have ... and works independently and collaboratively to facilitate care using clinical skills, principles of managed care, nationally recognized medical necessity… more
    Blue Cross Blue Shield of Massachusetts (03/20/25)
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  • Clinical Pharmacist Specialist-…

    University of Michigan (Ann Arbor, MI)
    Clinical Pharmacist Specialist- Cardiology (Part-Time) Apply Now **How to Apply** Applicants will only be considered after successful completion and submission ... of the following: + Completed application via the UM Careers website + Letter of intent + Updated...employer. **Job Detail** **Job Opening ID** 258888 **Working Title** Clinical Pharmacist Specialist- Cardiology (Part-Time) **Job Title**… more
    University of Michigan (03/20/25)
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  • Case Manager, RN or Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Rochester, NY)
    …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
    Excellus BlueCross BlueShield (03/19/25)
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