’s utilization management, appeals, and clinical governance programs. The Medical Director applies evidence-based clinical judgment...JOB SUMMARY: The Medical Director provides physician-level clinical review expertise within the health plan...
JOB SUMMARY: The Medical Director will exhibit strong expertise in utilization management and health plan leadership... of our health plan’s utilization management programs, ensuring that medical services are delivered in a cost-effective manner...
and refers cases that do not meet established clinical criteria to the Medical Director. Appropriately identifies and refers... quality issues to Medical Management leadership. Appropriately identifies potential cases for Care Management programs...
and refers cases that do not meet established clinical criteria to the Medical Director. Appropriately identifies and refers... quality issues to Medical Management leadership. Appropriately identifies potential cases for Care Management programs...
and refers cases that do not meet established clinical criteria to the Medical Director. Appropriately identifies and refers... quality issues to Medical Management leadership. Appropriately identifies potential cases for Care Management programs...
of complex claims for further research meeting the MRE “pend” criteria. Collaborate with Medical Director..., medical management, configuration, and appeals & grievances. Provide guidance as it relates to clinical appropriateness...
in Medical Billing/Coding and/or Associate's Degree in Health Information Management, Business, or related field preferred...Tulsa, OK Order: 1711566 Order Type : TempToFT Medical Billing Specialist Monday-Friday 8am-5pm | $18-$23...
initiative, drive, and independence; take ownership by demonstrating outstanding account management-based selling skills... and revenue and to deliver product goals. Facilitate partnership with multiple collaboration partners; Regional Director...
Overview Critical Illness Recovery Hospital Director of Quality Management Now Offering $5,000 Sign-On Bonus... Calendar Receiving and reviewing quarterly quality improvement reports. Assisting the Medical Director and Quality Program...
Description & Requirements Maximus is thrilled to announce an opportunity for a Director of Proposal Management. The... as needed or assigned. This position manages the full proposal development lifecycle including RFP analysis, proposal management plans...
Details Department: Labor Management Schedule: Full Time/8-Hour Day Shift, Monday-Friday Location: Onsite presence... at local hospitals or Labor Management Office required - Will support 7 hospitals/locations in the Tulsa, Oklahoma area (Tulsa...
Oklahoma Heart Institute. The Manager Case Management is responsible for assisting the case management director...Job Description: Join our team as a day shift, full-time, Acute Care Case Management Manager in Tulsa, OK...
director with hospital case management, social work, transition management and operational management of the case management...Overview: Join our team as a day shift, full-time, Acute Care Case Management Manager in Tulsa, OK...
customer focused support services. As specialists, we perform services including healthcare housekeeping, management in laundry... us to provide the best outcomes to our clients. Job Summary Job Summary: The Sr. Director of Dining Services is responsible...
Care Executive Director MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: - Previous management experience preferred... Director at our newest office in Tulsa. This person will manage the day-to-day operations, ensure compliance within our network...
System Executive of Clinical Solutions. The Clinical Solutions Director applies management and technical skills in line...Job title: Director of Clinical Solutions Location: Houston, Texas 77024 Shift timing: Mon - Fri | 8:00 AM - 5:00...
Your Job Koch Engineered Solutions (KES) is seeking a strategic and dynamic Director, Human Resources who can create... Management. Act as a trusted advisor and coach to senior leaders, demonstrating courage to challenge ideas misaligned...
. Position Summary The Executive Chef & Director of Culinary Experience leads a refined, multi-venue culinary program designed... innovative culinary techniques, equipment, and best practices. Business & Financial Management Develop and manage the...
management Lead cross functional teams including coding, analytics, compliance, medical economics and operations to ensure... medical management and quality initiatives Drive innovation and efficiency in risk capture methodologies Partner...
a plus. Experience in leadership or management strongly preferred. Experience with Electronic Medical Record systems..., a supportive family-focused culture and first-class compensation and benefits. Your position perks as a Hospice Director Clinical...