- Healthfirst (NY)
- …accredited institution or equivalent work experience NYS RN Demonstrated understanding of UM regulatory requirements, clinical review process, and managed care ... authorization, concurrent review, and service requests Lead, coach, and develop UM managers overseeing interdisciplinary teams of registered nurses, social workers,… more
- Elevance Health (Richmond, VA)
- …face-to-face onboarding and skill development._ The **Medical Management Clinician Sr ** is responsible for ensuring appropriate, consistent administration of plan ... benefits by reviewing clinical information and assessing medical necessity under relevant guidelines...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- University of Michigan (Ann Arbor, MI)
- Admin Manager Sr Healthcare **Early Site Maintenance** We are performing updates and maintenance to our applicant experience. As a result, the site will be ... monitoring of key quality and safety metrics. The Administrative Manager Senior plays a critical role in...**Job Detail** **Job Opening ID** 271722 **Working Title** Admin Manager Sr Healthcare **Job Title** Admin … more
- CenterWell (Boston, MA)
- …and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization… more
- CVS Health (Pittsburgh, PA)
- …all with heart, each and every day. **Position Summary** The Oncology/Medical Specialty Clinical Development Sr . Manager will be responsible for overseeing ... of utilization management programs. This will include both the clinical content of the programs as well as the...therapy, quantity limits, and Oncology and medical Specialty drug UM processes is required. The leader will feel comfortable… more
- CVS Health (Harrisburg, PA)
- …multiple automation projects from conception through delivery, ensuring alignment with UM Clinical Services objectives and organizational priorities. + ... manages the implementation of strategic initiatives for the Utilization Management ( UM ) Clinical Services organization. These initiatives leverage technical… more
- Compass Group, North America (Gwynn Oak, MD)
- …and pet insurance **Job Summary** We are seeking a ** Clinical Nutrition Manager ** to lead our Nutrition Team at UM Rehabilittion and Orthopaedic, Balitmore, ... step in your career with Morrison Healthcare as a CLINICAL NUTRITION MANAGER in** **Gwynn Oak, MD**...**Gwynn Oak, MD** **!** **Location** : Morrison Healthcare at UM Rehabilitation and Orthopaedics **Setting** : Rehab **Schedule** :… more
- University of Maryland, Baltimore (Baltimore, MD)
- …in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale initiative focusing on computational ... track record of securing independent extramural funding and publishing senior author manuscripts. Qualified candidates are researchers who are...to supervise and mentor staff and fellows within the UM -IHC, and may provide clinical service in… more
- University of Michigan (Ann Arbor, MI)
- …Technicians, Medical Laboratory Scientists, Medical Laboratory Scientist Specialists, and Senior Clinical Technologists. + Functional supervision is exercised ... Laboratory Technicians, Medical Laboratory Scientists, Medical Laboratory Scientists Specialists, Senior Clinical Technologists, and other assigned staff.… more
- University of Michigan (Ann Arbor, MI)
- …Michigan Medicine + Investigate shortage management solutions with the Pharmacy Contracting Manager , Senior Pharmacy Buyer, and Drug Shortage Pharmacist(s) + ... Pharmacy Supply Chain Clinical Info Analyst - Intermediate **Early Site Maintenance**...submission of the following: + Completed application via the UM Careers website + Letter of Intent + Updated… more
- University of Michigan (Ann Arbor, MI)
- SENIOR DIRECTOR (Care Management and Social Work) **Early Site Maintenance** We are performing updates and maintenance to our applicant experience. As a result, the ... can not be submitted. Apply Now **Job Summary** The Senior Director of Care Management and Social Work is...departmental goals with Michigan Medicine's mission of excellence in clinical care, education, and research. The role also supports… more
- University of Michigan (Brighton, MI)
- Medical Assistant Senior (CMC) - Brighton Center for Specialty Care **Early Site Maintenance** We are performing updates and maintenance to our applicant experience. ... information sheets to the patient/caregiver. + Provides accurate and efficient clinical support processes that include prescription refills, test results reporting,… more
- Healthfirst (NY)
- …Medicaid and//or Managed Long-Term Care Plan (MLTCP).** + **Demonstrated understanding of UM regulatory requirements, clinical review process, and managed care ... **Duties//Responsibilities:** + **Provide strategic direction and leadership to UM leaders and teams executing department functions including prior authorizations,… more
- Providence (Mission Hills, CA)
- …coordinates all meetings attended by Administrative Director of Managed Care, Contract Manager , Case Managers and UM supervisors. Provides vacation coverage for ... for Employers and the California Fair Chance Act. **About the Team** Providence Clinical Network (PCN) is a service line within Providence serving patients across… more
- University of Maryland, Baltimore (Baltimore, MD)
- …candidate will be expected to supervise and mentor staff and fellows within the UM -IHC, and may provide clinical service in their selected field. Qualified ... one or more of the following: learning health systems, pragmatic clinical trials, population health, therapeutic target discovery, health economics, outcomes… more
- University of Michigan (Ann Arbor, MI)
- …Curriculum is to prepare the proficient emergency / critical care nurse for clinical practice as a Survival Flight Nurse at Michigan Medicine. This program is ... Care, High Risk Obstetrics and Introductory Radiology and Diagnostics. Clinical education will also include Survival Flight Third-rider experience, focused-ICU,… more
- University of Michigan (Ann Arbor, MI)
- …duties below, the supervisor may also perform the duties of a senior technologist (smaller laboratories, fewer than 6 direct reports). **Operational oversight:** + ... procedures, and selecting new equipment. + Work with Lab Manager to evaluate and recommend changes to the lab...+ Minimum of 6 years of experience in a clinical laboratory relative to the title. + Minimum of… more