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This position will manage daily operations of clinical review and eligibility programs for with hands-on oversight for all operational areas for Clinical Support Services with a focus on UM and Behavioral Health programs Successful Candidate will have:Master’s degree in healthcare related degree. RN preferred but not required.Minimum 10 years of progressive operational leadership of a public and/or private sector healthcare entity with at least five years in a position of direct operational....


This position will manage daily operations of clinical review and eligibility programs for with hands-on oversight for all operational areas for Clinical Support Services with a focus on UM and Behavioral Health programs Successful Candidate will have:Master’s degree in healthcare related degree. Minimum 10 years of progressive operational leadership of a public and/or private sector healthcare entity with at least five years in a position of direct operational authority for an entire....


Direct and coordinate the medical management, quality improvement and credentialing functions for the assigned business unit based on, and in support of the strategic plan, establishing the strategic vision and attendant policies and procedures. Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations.Oversees internal medical review guidelines to ensure clinical integrity and compliance and


Medical Director – Immediate opportunity in Baltimore, MD Physicians who are looking for a purposeful career will enjoy this health plan's focus on improved quality and outcomes for the underserved population. You will work with an exceptional CMD, enjoy extensive analytic support along with an opportunity to collaborate on care management and quality initiatives. Medical Directors assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and....


Must reside in Jackson, MS and able to travel 75-80%. MUST be a licensed Physical Therapist or Occupational Therapist. POSITION REQUIREMENTS:Candidate must be a licensed Physical Therapist or Occupational Therapist.A Bachelor’s degree in business finance or marketing with 4 years of experience in the field or a related area is a plus.Must have at least 2 years capital equipment sales experience and a proven track record of success.Must be results-focused, self-motivated, and possess strong....


5-7 years of Class II device experience. MUST have global experience MUST have experience authoring 510K's POSITION SUMMARY: Working with minimal supervision, manage complex projects/products, including responsibility for the content, assembly, pre-final review, and filing of major medical device applications (e.g., IDEs, PMAs, 510(k)s) submitted to the FDA and foreign regulatory agencies. Applies regulatory expertise to the evaluation and solution of product development issues. SPECIFIC....


We are in search of an Associate Medical Director with a background as a Board Certified Orthopedic Surgeon with Spine and/ or Large Joint Surgery experience such as Shoulder, Knee and Hip. This is an ideal opportunity for a physician who is at the end of their 3rd or 4th quarter of their career who no longer wants to be working in surgery or a physician office, but rather from home offering work/life balance and no on call responsibilities. This job affords you the opportunity to use all of....


Part Time or Full Time- We are in search of an Associate Medical Director Board Certified in Medical Oncology (all adult care). To be considered you should have current clinical experience of at least 5 years in Medical Oncology. This is a remote opportunity to be working from home anywhere in the USA. We are looking for the new hire to start as soon as possible or by June of 2017. This is a new, add-on role for our client company. This is an ideal opportunity for a physician who is at the end


Our client is an MCO focused on serving Medicaid, Medicare and uninsured individual It’s the foundation upon which they are creating greater access to care for their members, greater value for customers and greater health for communities. Will consider PT for Des Moines based candidates. Will consider relocation for FTE. Responsible for providing day to day guidance, support, and leadership for the clinical and quality activities and supporting the Medical Director in ensuring the clinical....

- Waltham, MA

Utilization Manager – Waltham Continued growth in this northeast market has created a need for an additional behavioral health clinician to be a part of a program of integrated care. No nights, no weekends, no “on call” …..office -based role with great benefits and growth potential too! Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings, provide and/or review intakes and initial....

- East of Columbus, OH

TITLE: Respiratory Therapist(RRT) LOCATION: Ohio Are you considering a career change? Looking for a smaller community(25K population), that offers a low cost of living(18% lower than US average) and plenty of activities in the area but is within an hour of a large city. If so, an opportunity to work with an integrated health care system based in east central Ohio is looking for someone to join their team. The system is a not-for-profit and has over 300 physicians and multiple outpatient care....

- Oneonta, NY

Evening Nurse Supervisor opportunities at a small hospital in a lovely rural area of upstate NY. These are part-time positions offering FULL BENEFITS and a SIGN-ON BONUS! Relocation assistance! Responsibilities: Provides direction and supervision to all patient care activities in the clinical areas. Participates in the overall Nursing management functions to include leadership, communication, planning, evaluation and supervision of all nursing staff. Acts as a representative of hospital....


Top tier Pharmaceutical company (one n Boston and one in NJ nd one in Seattle)Required:Has completed management of a study or group of studies from planning through close out (Phase 3)Experience with managing VendorsExperience working on global studies with CROs Nice to Have:Experience supporting writing clinical study reports,Supporting sNDA or NDA submissions, Supporting pre-Inspection preparation,Participating in Sponsor Inspections by Regulatory BodiesExperience managing or leading teams....

- Syracuse, NY

Summary The Director of Nursing (DON) supervises the provision of nursing services provided by the Agency. This person, or similar alternate, is available at all times during operational hours and participates in activities with respect to professional services. Collaborates between Departments to facilitate and assure the delivery of high quality patient care. Qualifications - Bachelor of Science Degree in Nursing - Current NYS Licensure as Registered Professional Nurse - Medicare home health


The Clinical Supervisor is an integral part of the patient care team and continually monitors the services provided. This role has shared responsibility for the overall provision and coordination of home health services provided to the Agency’s patients according to acceptable standards of practice. The Supervisor is a resource person with extensive knowledge of the regulatory guidelines governing home health agencies and provides daily support to field clinicians enabling them to provide....


Executive Director Nursing, Women’s & Children’s Services – South Bend, IN JOB SUMMARY This position will report within a matrix organizational structure. Responsible for the overall management and coordination of functions within a division of Nursing. The Executive Director of Women’s and Children’s Services holds the accountability to manage within the context of the organization as a whole, and to transform organizational values into daily operations yielding an efficient, effective....


UP TO $10,000 SIGN-ON BONUS!! GET OUT OF THE CITY MESS AND COME TO BEAUTIFUL IDAHO!! IT'S ALL ABOUT LIFESTYLE. Famous for its pristine landscapes of wild mountains, rolling hills and spring water lakes as well as for its magnificent four-season climate, northern Idaho is a paradise for both summer and winter sports of every kind. It is known for its quality of life, fresh air, friendly people, low cost of living and, yes, WILDLIFE IN YOUR BACKYARD. Numerous National Parks and Recreation Areas....

- Coeur d Alene, ID

Magnificent setting in Northwest US, northern Idaho is a paradise for both summer and winter sports and is known for its quality of life, fresh air, friendly people and low cost of living. A number of national recreation areas as well as national and state parks are nearby. The city is within easy access of several colleges and universities which host a wide variety of year-long academic and cultural activities. This is a well established, highly reputable medical reference lab, independent....

- Northern, NV

TITLE: RN Registered Nurse OB LOCATION: Northern, NV Would you like to work in a facility that will allow you to have work/life balance? This area is not like Las Vegas or Reno. It offers the mountains, skiing, scenic bikeways, lakes and rivers. It also offers a vibrant community that has theatre, galleries and some cowboy country all in a town of 35,000 population. Summary: The facility is a 75 Bed community hospital and looking for a qualified RN to join their Women's Services Department.....

- Amarillo, TX

Job description:Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider optionsUtilize assessment skills and discretionary judgment to develop plan of care based upon assessment with....

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