• UM Medical Director

    Elevance Health (Louisville, KY)
    …must live within 50 miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration of physical and/or behavioral ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for...of the US. + Minimum of 10 years of ** orthopedic surgery** clinical experience; or any combination of education… more
    Elevance Health (05/10/24)
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  • LPN Utilization Mgmt Reviewer

    Guthrie (Binghamton, NY)
    …as necessary with the hospital Business Office, physician offices, Care Coordination, Medical Director and other hospital departments as appropriate. a) Serves ... work within specified time frames. Knowledge of health benefit plans and related UM requirements preferred. Experience with CPT/ICD coding, medical record or… more
    Guthrie (06/12/24)
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  • RN Manager Case Management

    HCA Healthcare (Englewood, CO)
    …a team of daring managers who care without reservations or limits? Our Swedish Medical Center team is looking for a Manager for Case Management. HCA Healthcare is ... our incredible team members over the course of three years. **Benefits** Swedish Medical Center, offers a total rewards package that supports the health, life,… more
    HCA Healthcare (05/24/24)
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  • Staff Physician

    University of Michigan (Ann Arbor, MI)
    …UHS through various committees, work-groups or special projects as directed by the Medical Director or designee. Complete regular peer review and quality ... faculty, staff, retirees and others in need of urgent, continuing, and preventative medical care at the UM UHS. **Responsibilities **Patient contact (80%)**… more
    University of Michigan (06/15/24)
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  • Instructor - Orthopaedics, Sports Medicine

    University of Miami (Coral Gables, FL)
    …SUMMARY The Clinical Instructor shall function under the supervision of the Program Director of the University of Miami Orthopaedic Surgery of the Spine Fellowship ... consultation, evaluation, diagnosis and non-surgical treatment of patients with general orthopedic spine problems for safe, effective and compassionate patient care.… more
    University of Miami (05/31/24)
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  • Clinical Review Manager, Utilization Review

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …to ensure appropriate coordination of care\. + Seek the advice of the Medical Director when appropriate, according to policy\. + Assists non\-clinical staff ... for letters, retrospective claim review, special review requests, and UM pre\-certifications and appeals, utilizing medical appropriateness criteria,… more
    BlueCross BlueShield of Tennessee (06/27/24)
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