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... within YNHTC; Living Donor Centers, inpatient/ambulatory operations and nursing practice; assuring ... the YNHTC; Living Donor Centers, inpatient/ambulatory operations and nursing practice. 2. ... the YNHTC; Living Donor Centers,..
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... clinical scenarios predominantly arise from inpatient, post-acute care environments, outpatient service ... outpatient service requests, ER review, pharmacy review work, and sometimes appeals ... authorization and retrospective reviews for..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
... Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department ... The Managing Clinical Pharmacist - Pharmacy Claim Audit & Review will ... pharmacies are dispensing appropriately. The..
... authorization and retrospective reviews for inpatient and outpatient services to ensure ... clinical scenarios predominantly arise from inpatient, post-acute care environments, outpatient service ... outpatient service requests, ER review,..
... connecting people with the care, pharmacy benefits, data and resources they ... have EMR access to mirror Inpatient Care Coordinator partner access. Coordinator ... jobs in Hartford, CT CSI..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..