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Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
Description Author, recently launched by Humana, is a health company designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
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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 ..
... objectives, sound research principles and regulatory requirements under the direction of ... at the BIDMC. The Senior Project Manager will oversee research study protocols ... and IPCAVD program. The..
... of Pharmacy Operations, this Pharmacy Manager - Sterile Products role is ... and managing operations, practices, and regulatory compliance across BIDMC’s multiple pharmacy ... process improvement skills, the Pharmacy..
POSITION FEATURES:This position will be coverage for Boston Medical CenterDialysis experience required. Willing to train on Apheresis. THIS PROGRAM IS GROWING :)2021 and 2022 America's 'Most Loved Workplaces' by Newsweek70,000+ dedicated ..
GENERAL SUMMARY/ OVERVIEW STATEMENT: Under the direction of the Executive Director of Patient Experience, the Patient Experience Program Manager will work with leadership and frontline staff throughout BWH, BWFH and MGB ..
... and consultants to meet expected project objectives and hold them accountable ... Sales and Marketing Territory Business Manager - Alpha1- Houston, TX / ... TX Apply for Territory Business..
Job Information Humana Senior Project Manager -- Remote in Boston Massachusetts ... Boston Massachusetts Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
... Compliance Program, including following all regulatory and FMS policy requirements. The ... of Clinical Educators, Regional MSW Manager, facility master social work and ... Licensure required EXPERIENCE AND SKILLS:..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... compliance with established company and regulatory guidelines and procedures in order ... all pertinent company policies and regulatory requirements. In partnership with the ... FMCNA Compliance Program, including followingall..
... a well-organized, dynamic, highly motivated project manager to help us deliver on ... Anderson and the Sr. Lab Manager, the clinical research project manager will have responsibility for day-to-day..
General Summary / Overview Statement Directs daily operations of ambulatory pharmacy services. Works closely with the Director of Ambulatory Pharmacy to grow the ambulatory service line Provides oversight of collaborative drug ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..
... provider experience, as well as project manage the market rollout end-to-end. ... Medicaid markets Create and manage project plans to ensure effective and ... and timelines for provider services..
