Healthcare System Clinical And Quality Director Jobs in Rhode Island

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

... Information Humana Care Team Medical Director in Newport Rhode Island Description ... Description The Care Team Medical Director is responsible for improving the ... is responsible for improving the..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Job Information Humana Medical Director - Florida Medicaid in Newport ... Rhode Island Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health..

... Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex .....

Job Information Humana Medical Director - National Medicare Team in ... Rhode Island Description The Medical Director relies on medical background and reviews preauthorization requests for services. ... requests for..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... variable factors that rely on clinical experience and..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Job Information Humana Medical Director - Texas in Newport Rhode ... Rhode Island Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health..

Job Information Humana UM Medical Director - Conviva in Newport Rhode ... Rhode Island Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Rhode Island Description The Medical Director relies on clinical background and reviews Medicare drug requests. The ... Medicare drug..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... live anywhere in..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that ... that..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors Responsibilities..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... Coast hours. Responsibilities..