Clinical Reviewer RN - Jackson

We are seeking board-certified physicians to join our team as External Medical Reviewers. In this role, you will provide independent, evidence-based medical reviews for Fair Hearings and Administrative Hearings. · Conduct independent reviews of adverse benefit determinations · Re ...

This position is a clinical leader for groups dedicated to the concurrent review, prior authorization, case management, and clinical coverage review. The Medical Director will collaborate with others across the organization's leadership team to improve health outcomes, reduce hea ...

body{font-family:Arial;}h3,h4{text-align:center}ul{list-style-type:square}Gentiva seeks a Registered Nurse (RN) Clinical Liaison to connect care, guide families, and make every day count. · Job Description & Requirements · Specialty:Clinical Liaison · Discipline:RN · Duration:Ong ...

The Case Manager directs the utilization review of patient charts treatment plans and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. · Directs the utilization review of patient charts and treatment plans pertaini ...

Clinical Psychologist – Veteran Disability Assessments · We are seeking a dedicated Clinical Psychologist to join our team in performing medical assessments for U.S. Veterans as part of the VA's disability benefits process. In performing Disability Assessments, you will review be ...

Facility is seeking Internal Medicine physician to serve as a Clinical Review and Workflow Optimization Specialist- Full-time: 4.5-day workweek, Monday to Friday, 8:00 AM to 5:00 PM- Our team currently includes five internal medicine physicians and two nurse practitioners, with p ...

LQTC3000 · Leidos QTC Medical Services, Inc., operating under the brand name Leidos QTC Health Services, is seeking a Nurse Practitioner residing in Arkansas and surrounding states to help ensure our service members get the best care possible. You will play a vital role in the co ...

Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members targeting improvements in efficiency and satisfaction for both members and providers. · ...

Assist the Quality Outcomes Manager with medical staff quality improvement activities: outcome measurements and data collection. · Prepare and present findings to the medical staff departments and committees. · ...

Job Description · The pharmacist dispenses prescribed drugs in a healthcare facility environment, transfers prescriptions, provides drug information in collaboration to other healthcare professionals, performs medication order entry into the computer, monitors patient profiles fo ...

plans and directs the clinical and operational activities of the Pharmacy Department · reviews patient information to evaluate appropriateness of drug therapy · ...

Job Description · The pharmacist dispenses prescribed drugs in a healthcare facility environment, transfers prescriptions, provides drug information in collaboration to other healthcare professionals, performs medication order entry into the computer, monitors patient profiles fo ...

Research Financial Analyst provides financial and analytical support for clinical research budgeting and billing. · The role requires close collaboration with research teams and billing staff to optimize reimbursement, · support split billing processes, and ensure accurate claims ...

To assess develop implement and evaluate the nursing care and treatment for patients in assigned oncology clinical area. Coordinates the operations of assigned clinical area including protocol and non-protocol chemotherapy regimens calculating dosages administering intravenous ch ...

· To assess and develop the nursing care for patients in assigned oncology clinical area. · Counsels patients on treatment and condition status. · Serves as a liaison between case manager and other hospital staff. ...

Job Summary · To assess, develop, implement, and evaluate the nursing care and treatment for patients in assigned oncology clinical area. Coordinates the operations of assigned clinical area including protocol and non-protocol chemotherapy regimens, calculating dosages and admini ...

The in-Circle Program Therapist is charged with the delivery of needed mental health services. · Valid and current mental health Certification (PCMHT or CMHT) and/or license (LPC, LCSW, LMSW, LMFT, LMFTA) · Must have at least two (2) years clinical experience working with childre ...

Behavioral Health Utilization Management Medical Case Manager · CalOptima · Join Us in this Amazing Opportunity · The Team You'll Join · We are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of e ...

Job Description · Applying for this role is straight forward Scroll down and click on Apply to be considered for this position. · Gastroenterologist Full-Time Opportunity · GV (Sonny) Montgomery VA Medical Center Jackson, MS · The GV (Sonny) Montgomery VA Medical Center in Jackso ...

Job Description · This position is responsible for the day-to-day operations of the care management clinical staff under the general direction of the Care Management Director. The position will integrate knowledge, skills, and experiences to meet the needs of patients and familie ...