- Merck & Co. (North Wales, PA)
- Job Description Role Summary: The Global Senior Director Medical Affairs (GDMA) is a subject matter expert in their area of responsibility (eg, defined tumor, ... and tactical execution. Communicates pertinent information to stakeholders (eg, Executive Director Medical Affairs (EDMA), Regional Strategy Leads (RSL),… more
- Insmed Incorporated (NJ)
- …A successful candidate will provide knowledge, understanding, interpretation, and utilization of regulatory guidance and regulations from various health authorities, ... of CMC meetings with the regulatory agencies, and draft and review regulatory documents for agency meetings.Provide interpretation of applicable FDA/EMA/ICH/WHO… more
- HealthCare Support (Houston, TX)
- Utilization Review RN HealthCare Support is actively...guidelines. Refers cases that do not meet criteria to Medical Director for review . 2. Assists ... seeking a Utilization Review RN to fill an opening with a Prestigious...services and if not meeting criteria, refer to the Medical Director . 3. Participates in Community Nursing… more
- Merck & Co. (Rahway, NJ)
- …Position Description: The Office of General Counsel is seeking an Associate Director , IP Technology Management & Operations to provide application administration and ... AI, machine learning, predictive coding, etc.) to improve technology utilization and operational efficiencyEvaluate new vendors, suppliers, and solutions to… more
- Merck & Co. (Rahway, NJ)
- …of own unit.- Receives guidance and oversight from the Operations Director .Works within budgetary/financial objectives set by Director -Compliance - Responsible ... culture by reducing waste and constantly driving continuous improvement. Responsible to review and approve compliance documents, as per procedures or need.-Supply -… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …Full Time Salary Range $32.00 - $48.00 Hourly Description JOB TITLE: UTILIZATION REVIEW /CASE MANAGEMENT - Nurse DEPARTMENT: CASE MANAGEMENT (QUALITY) GENERAL ... SUMMARY The Utilization Review /Case Management Nurse is directly responsible...effective discharge planning is provided. Working closely with the Medical Staff and Nursing units in this effort, effective… more
- InterDent (Woodland, WA)
- …health outcomes. Position Overview We are seeking a dynamic Regional Clinical Director (RCD) to provide clinical leadership and operational support to approximately ... 30 Gentle Dental offices within the designated region and serve as a Dental Director (DD) for Capitol Dental. This is a high-impact leadership role central to our… more
- eviCore healthcare (Houston, TX)
- …for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United ... States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides… more
- Aveanna Healthcare (Birmingham, AL)
- …by the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . Territory is primarily Jefferson County, AL. Schedule Monday - ... the plan of care and patient needs. Participates in quality improvement, utilization review , and infection control activities as requested. Attends appropriate… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …standards. 6. Communicates relevant clinical and other client care information to Department Director , Medical Director , and Treatment Team Members as ... or individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define the structure,… more
- Defense Threat Reduction Agency (Fort Belvoir, VA)
- Summary This position serves as the Director , Human Resources Directorate, serving as the principal and key advisor. Duties Help As a SUPERVISORY HUMAN RESOURCES ... Serves as the principal and key advisor to the Director of DTRA and the senior leadership team on...and agency senior leadership, to effectively manage DTRA's manpower utilization of active component and reserve officers, warrant officers,… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …physicians and other health care workers. REPORTING RELATIONSHIP Reports to the Director of the Medical /Surgical unit. EDUCATION, KNOWLEDGE AND ABILITIES ... or individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define the structure,… more
- WORKCARE INC (Albany, OR)
- …to treatment care guidelines and in collaboration with the WorkCare Consulting Medical Director (CMD) and company policies/procedures. Coordinates care with ... of practice and as supported by the CMD or Medical Review Officer (MRO). Assists the CMD...to incident reports and tracking of injury and clinic utilization data. Actively participates in emergency response team activities,… more
- Laurel Pointe Senor Living (Reading, PA)
- …related office staff, hospital staff including social workers, discharge planners, utilization review , volunteer coordinators, rehabilitation director , ... Generous PTO Plan Career Development Length of Service Bonus Program Affordable Medical , Dental, Vision, Supplemental Benefits 401K Retirement Plan Oh, and did we… more
- CytomX Therapeutics, Inc. (South San Francisco, CA)
- …CA Candidate Location: Hybrid Travel Required: 5% Reports To: Sr. Director , Clinical Operations Department: Clinical Operations Position Type: Temporary (6-12 ... clinical trial conduct including study start-up and conduct processes, clinical document review and tracking, vendor access and administration support, and finally … more
- Fluor Corporation (Morris, IL)
- …this role. Job Description Under General Supervision, this position reports to a Director of Operations. This level is capable of supporting the management of medium ... to Site Business Plan by monitoring budgets, performance and utilization , and provides periodic reporting for the respective site....zero accidents. *Prepare scope of work for bid packages, review bids and make recommendations for award Basic Job… more
- Bassett Healthcare (Cooperstown, NY)
- …continuous improvement in both areas. + Refers cases and issues to Case Review , Utilization Committee, Medical Director , and Director of Quality in ... and accurate information to payors. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The Case Manager… more
- UPMC (Pittsburgh, PA)
- The UPMC Health Plan is seeking a licensed MD or DO for a fully remote Medical Director , Utilization Management role. The Medical Director , ... full remote role._ Responsibilities: + Actively participates in the daily utilization management and quality improvement review processes, including concurrent,… more
- UPMC (Pittsburgh, PA)
- The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC ... Changing Medicine happen. **Responsibilities:** + Actively participates in the daily utilization management and quality improvement review processes, including… more
- Alameda Health System (Oakland, CA)
- …each individual in the classification. + Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. + ... Director , Utilization Management + Oakland, CA...reviews and determine program improvements. + Develop and implement utilization review policies and procedures in accordance… more
