Remote
Description: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member. Participates in the process to evaluate clinical service requests. Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases....humorously informative short-form and long-form video for Morning Brew Inc.'s flagship account... ...take the lead on every aspect of video production. The ideal candidate will possess a... ...and presentation skills Experience filming social and YouTube content Basic knowledge...
...from 8:30am to 5:00pmThis posting is for a contract assignment with ASK Staffing DBA ASK Consulting to provide services to Bristol Myer-Squibb .The starting hourly compensation for this assignment is the following range ($37- $40.24/hr). While the final, individual compensation...
...Client Office Phlebotomist-Casual Days SWThis is a casual, 19 hours per week, phlebotomy position at a client site in Manchester, IA. Must be able to work Monday... ...through a nationally recognized organization or training from a phlebotomy school or medical institution or...
...premier shopping and dining neighborhood of Bostons Back Bay is an iconic property originally opened in 1927 as one of the first Ritz-Carlton hotels in the U.S. and most recently was the Taj Boston. The building was recently transformed into a 286-room luxury hotel with...
...The mission of North Park University is to prepare students for lives of significance and service through education in the liberal arts, professional studies, and theology. Vision Building on our core institutional identityChristian, city-centered, intercultural...