THE LARGEST COLLECTION OF JOBS ON EARTH
managerial
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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..
... management of all Health Plan inpatient and outpatient activity including but ... but not limited to acute inpatient, LTAC, observation, SNF, Rehab and ... and various alternatives related to..
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..
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 ..
... 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,..
