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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..
CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL Founded in 1819, the University of Cincinnati embarks upon its third century - building on the past and defining the future ..
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Columbus, Ohio!!rnrnFull-Time Opportunity, M-F 8am - 5pm type hoursrnrnSeeking Board Certified Internal Medicine or Family Medicine PhysicianrnrnThe physician will perform chart ..
... Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department ... The Managing Clinical Pharmacist - Pharmacy Claim Audit & Review will ... pharmacies are dispensing appropriately. The..
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, ..
... 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,..
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 ..