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With over 32 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place. Location: Glendale, CA Seeking a Board-Certified Oncologist and/or Hematologist to participate in pre-authorization and quality improvement solutions for our oncology and diagnostic imaging solutions. Physician Reviewers determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health plan medical policy.....


With over 32 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place. Currently seeking a Board-Certified Cardiologist to participate in pre-authorization and quality improvement solutions for echocardiography, vascular Doppler ultrasound, high-tech diagnostic imaging and cardiac procedures. Physician Advisors determine the medical necessity of requests using clinical appropriateness guidelines and health plan medical policy.


With over 32 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place. Currently seeking a Board-Certified Cardiologist to participate in pre-authorization and quality improvement solutions for echocardiography, vascular Doppler ultrasound, high-tech diagnostic imaging and cardiac procedures. Physician Advisors determine the medical necessity of requests using clinical appropriateness guidelines and health plan medical policy.


Are you a BC MD or DO BC by an Approved ABMS Board preferably in a primary care specialty (Internal Medicine, OB, Med/Peds, Family Practice Pediatrics or Emergency Medicine) or other specialty (and familiar with Medicare patients) who is ready for a change? This is a 32 hour a week position with the expectation you will be involved in some clinical activity. This is and outstanding opportunity for someone who is interested in working a Utilization Review role in the Indianapolis region. It is....


TITLE: Charge Nurse RN(Registered Nurse) OB LOCATION: Chattanooga area, Tennessee Would you be interested in working for a healthcare leader in the region? Would you like to be in a position in a facility where you make a difference? The facility is centrally nestled between Nashville, Chattanooga, and Huntsville, AL. Its a few hours West of the Smokie Mountains and Northwest of Atlanta. So if you want to live in a rural community with low crime and enjoy the outdoors area that has mountains....

- Miles City, MT

TITLE: Director of Nursing LOCATION: MONTANA Would you like to live and work in an area where you can enjoy the outdoors and a low cost of living? The location is a picturesque town bordered by the beauty of the badlands, rolling hills, and the Yellowstone River. Are you interested in a career where you can have balance? Summary: The Hospital is seeking a an experienced Registered Nurse to provide Clinical Leadership to a 21 bed Critical Access Hospital. The Director of Nursing has overall....


TITLE: Director Behavioral Health Unit LOCATION: West of Casper, WY Would you be interested in living in an area with a historic downtown district with numerous art galleries, specialty shops and restaurants? How about a greenway that parallels the scenic Popo Agie River. It is the perfect place for people who love the outdoors as you can enjoy walking trails, rock climbing, mountain biking, fishing, horseback riding and camping. In the winter cross country skiing and snowmobiling are popular....

- Madison County, NY

RN Case Manager Job Description Primary Functions: Our RN Case Managers will administer skilled nursing care to patients requiring professional nursing service per the physician’s orders and under the direction / supervision of the Director of Patient Services/Clinical Team Manager.The RN Case Manager will manage each patient’s care efficiently and effectively to achieve positive patient outcomes, and be responsible for the overall plan of care and the outcome of that care, including care....

- Cortland, NY

RN Case Manager Job Description Primary Functions: Our RN Case Managers will administer skilled nursing care to patients requiring professional nursing service per the physician’s orders and under the direction / supervision of the Director of Patient Services/Clinical Team Manager.The RN Case Manager will manage each patient’s care efficiently and effectively to achieve positive patient outcomes, and be responsible for the overall plan of care and the outcome of that care, including care....


RN Case Manager Job Description Primary Functions: Our RN Case Managers will administer skilled nursing care to patients requiring professional nursing service per the physician’s orders and under the direction / supervision of the Director of Patient Services/Clinical Team Manager.The RN Case Manager will manage each patient’s care efficiently and effectively to achieve positive patient outcomes, and be responsible for the overall plan of care and the outcome of that care, including care....

- Plattsburgh, NY

Physical Therapist for a Strong regional 30 year old employee owned Home Care company Join a team of Physical Therapists Primary Functions: Evaluate patient using diagnostic muscle, nerve, joint and functional ability tests.Prepare an assessment of the patient’s condition at the time of the initial evaluation & perform periodic re-evaluations.Develop a written problem list & plan of care.Write clinical/progress notes on the date of the visit and incorporate same in the patient’s....

- New York, NY

Develop new and grow existing relationships with key referral sources in NYC including: hospital discharge planners, social workers, case managers, and physicians, as well as community Assisted Living, and Rehab facilities.Developing referrals for private pay home careRequired QualificationsDemonstrated success in home health care sales perefer experience in private payCompetent organizational skillsExcellent oral/written communication and interpersonal skillsMust demonstrate the ability to....


Are you a BC MD or DO BC by an Approved ABMS Board preferably in a primary care specialty (Internal Medicine, Med/Peds, Family Practice, Psychiatry, Pediatrics or Emergency Medicine) or other specialty (and familiar with Medicare patients) who is ready for a change? This is and outstanding opportunity for someone who is interested in working a Utilization Review role in the Kansas City, Kansas region. It is required you have a Pennsylvania license that is in good standing. It is a plus if you....


Manager, Clinical Services - Manchester Are you a social worker with a passion for work with children and juveniles? Be part of a team that makes a BIG difference for people with complex needs. Create and deliver community-first solutions : housing, employment, case management, foster care, crisis management, and supports people with emotional and behavioral needs.- Oversee intensive case management and therapy services to ensure the quality of services. Serves as the leader to the treatment....


Supervisor, UM - Bedford, NHInnovative health plan continues to expand. Supervisor will lead and mentor the UM staff, including identifying opportunities for process improvement. Benefits and perks are great – growth opportunities are unlimited!!! - Ensure appropriate usage of resources in order to facilitate the UM process - Ensure compliance within applicable state program guidelines - Evaluate compliance policies and procedures and analyze/recommend enhancements - Assist with ensuring....


Our firm is in search of a PRACTICING Board Certified MD or DO interested in becoming Chief Medical Director interested in directing and coordinating the medical management, quality improvement and credentialing functions of a Managed Care Organization. We are open to considering those who are BC in Internal Medicine, Med/Peds, Family Practice, Psychiatry, Pediatrics or Emergency Medicine) or other specialty (and familiar with Medicare patients). Here is what our ideal, qualified candidate....


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....


Are you a Psychiatrist interested in being a part of a brand new state of the art Rehab facility? Do you have at least 5-10 years direct inpatient care experience and are ready and wanting to step into a leadership role. Leadership experience is not required, but very helpful. In this role you will be focused on inpatient care and responsible for the direction of the adult unit(s). If all of this sounds like you, you should read on especially if you are looking for a long term opportunity and....

- Maitland or Sunrise, FL

Director, Case ManagementINNOVATIVE health plan truly values their nurses . The Director will be engaged in creating, defining and directing a complete Case Management Program across a diverse population.This will encompass needs analysis and planning; working with executive leadership to ensure targets are met for the annual operating plan; ensuring compliance with Corporate, State and NCQA standards. Director will be asked to develop and implement methods, policies and procedures to improve....

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