based on medical necessity. Conduct medical rounds, attend Medical Director meetings and participate in the inter-rater...Summary of Position Manage the daily clinical operation and administration of a Medical Management Department...
clinical detail to the Medical Director for final case determination in accordance with regulation and department policy... to Medical Director any questionable quality issues or inappropriate hospitalizations for immediate intervention and/or refer...
and administrative policies to evaluate medical necessity. Prepare/present clinical detail to the Medical Director for final case... guidelines and benefit sets; Preservice, Concurrent Review, Retrospective, Post-Acute and Care Management. Conduct medical...
that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching... others achieve their goals. In short, We Enable Possibility℠. The Director, Multi Line Account Engineer will be responsible...
execution excellence and accountability across multiple workstreams. This is a remote position with 75% travel. Our airport...Role Overview Sodexo Live! Airport Lounges is seeking an experienced Director, Project Management – Operations...
. Assist with new store openings, remodels and/or store closures as needed. *Extensive travel (50% or more) may... with Regional Director, business leaders and/or store management teams to implement change. Strategic in short term (1-2 years...