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... services, with specialties in cancer care, as well as inpatient rehabilitation ... our first-in-Richmond Gamma Knife Center. Medical Care Unit 32 bed unit covering ... and disease process. The..
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Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities Job..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... benefit administration determinations. The Associate Director, Utilization Management..
... monitors drug development pipeline, and medical literature, while providing clinical support ... Utilizes broad understanding of managed care and PBM knowledge to develop, ... wholly owned hospice and palliative..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic reviews ... Assess discharge plans Coordinated with..
Description The Associate Director, Quality Assurance for Humana/Your Home ... Home Wellness Assessments. The Associate Director, Quality Assurance requires a solid ... requires a solid understanding of medical documentation and..
Description Humana's Enterprise Clinical Management team needs your clinical, business and ... The Clinical Analytics and Trend team uses advanced scientific techniques, data ... and improve the value of care..
Description The Director, Health Services utilizes clinical nursing ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... and/or benefit administration determinations. The Director, Health Services requires..
... for performing clinical audits on medical record documentation for quality and ... as outlined in the Autism Care Demonstration (ACD) policy, TRICARE Operations ... support the submitted charges. Comprehensive..
Description The Medical Director actively uses their medical background, experience, and judgement to ... requested services, requested level of care, and/or requested site of service ... conferences, and other reference..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..
