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Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
Responsibilities The RN has multiple roles and functions including care-giver, decision-maker, client advocate, manager, rehabilitator, comforter, communicator, and teacher. The functions include assessment of the nursing needs of the patient, initiation ..
... this role: As a Clinical Manager with Fresenius Medical Care, you ... advanced leadership. As a Clinical Manager, you may advance your career ... part of the future of..
... part of the future of healthcare, apply today. PRINCIPAL RESPONSIBILITIES AND ... departments.Collaborates with the Home Therapies Manager to oversee the facility’s Home ... business operations experience in a..
... or community groups to support regional market priorities, which may include ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
Job Information Humana Chief Medical Officer/Regional VP, Health Services in Tulsa Oklahoma Description For more than 60 years, Humana's business has centered around human care, rooted in empathy and understanding, with ..
... of services provided by other healthcare professionals in compliance with review ... or community groups to support regional market priorities, which may include ... whether services provided by other..
... in Tulsa Oklahoma Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
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 ..
Job Information Humana Behavioral Health Medical Director - Oklahoma Medicaid in Tulsa Oklahoma Description Humana's Oklahoma Medicaid BH Medical Director will oversee our behavioral health (BH) clinical program for Oklahoma Medicaid ..
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 ..
... in Tulsa Oklahoma Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
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 ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
