- Charter Care Health Partners (Providence, RI)
- Summary: The medical practice resource supports the day to day clinical and administrative workflow within the medical practice . This role will ... assessing opportunities in an effort to ensure continued growth and profitability. The medical practice resource will work with the practice to ensure… more
- Charter Care Health Partners (Providence, RI)
- Summary: The medical practice resource supports the day to day clinical and administrative workflow within the medical practice . This role will ... communicating, and assessing opportunities to ensure continued growth and profitability. The medical practice resource will work with the practice to… more
- Cardinal Health (Providence, RI)
- … Operations Management oversees the business and administrative operations of a medical practice . This position is responsible for reviewing the physician's ... care. + Complete any pre-service appeals to obtain paying approval based on medical necessity. + Communicate effectively with all Revenue Cycle Management staff and… more
- Cardinal Health (Providence, RI)
- …Practice Operations Management oversees the business and administrative operations of a medical practice . Revenue Cycle Management manages a team focused on a ... for in-house and outpatient procedures and documenting it in the patient medical record. + Communicates effectively with the Billing and Office Managers as… more
- Fresenius Medical Center (Fairhaven, MA)
- …reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. + Technically proficient in the specific department and ... knowledge of industry practice and business principles. Works on issues of diverse...implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records.… more
- Genesis Healthcare (Coventry, RI)
- …and within the scope of departmental policies and procedures. Scope of practice includes patient/family assessment and management, resource management, care ... a NBRC approved and accredited program and one year of clinical practice experience under medical direction. * Must have a current Basic Cardiac Life Support… more
- University Medicine (East Providence, RI)
- …without direct supervision. SUPERVISORY RESPONSIBILITY: None. Reports to: Pulmonary Medical Director/Physician Lead & Practice Manager Employees are ... Delegate tasks and direct the activities of unlicensed care providers (schedulers, Medical Assistants and Staff Assistants). + Utilizing supplies, equipment and … more
- Fujifilm (Providence, RI)
- …be an integral part of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and FUJIFILM SonoSite, Inc., ... The Senior Counsel, reporting to the Division General Counsel, Medical Devices, will be an experienced commercial transactions lawyer,...of businesses. This attorney will be a senior legal resource and valued business partner for HLUS and its… more
- Fresenius Medical Center (Warwick, RI)
- …+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab requisitions for ... safe, efficient, and effective manner. + Act as a resource for other staff members. + Routinely meets with...all physician orders are transcribed and entered into the Medical Information system in a timely manner. + Oversees… more
- Evolent (Providence, RI)
- …Quarterback initiatives and collaborate cross-functionally with internal teams (ie, product, medical , pharmacy, strategic accounts), to support practice needs, ... Associate Director, Provider Engagement to lead our oncology-focused provider engagement and practice transformation efforts in the **New Mexico** . Reporting to the… more
- Evolent (Providence, RI)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology ... endovascular procedures, implantable cardiac devices, etc) that do not initially meet medical necessity guidelines or require further evaluation by a subject matter… more
- Evolent (Providence, RI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. ... Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...Assurance (NCQA) guidelines. . Aids and acts as a resource to Initial Clinical Reviewers. . Ensures documentation of… more
- Evolent (Providence, RI)
- …match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, ... and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD… more
- Evolent (Providence, RI)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We ... required. As well as, aids and acts as a resource to Initial Clinical Reviewers. **What You Will Be...Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when… more
- Evolent (Providence, RI)
- …Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We ... Vascular cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of… more
- Evolent (Providence, RI)
- …staff whenever a physician`s input is needed or required. Aids and acts as a resource to Initial Clinical Reviewers. **What You Will Be Doing:** + Serve as the ... Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients,… more
- Humana (Providence, RI)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make ... a context of regulatory compliance, and work is assisted by diverse resources , which may include national clinical guidelines, CMS policies and determinations,… more
- Merck (Providence, RI)
- … Practice (GCP), Investigator-Initiated Studies (IIS), Leadership, Management Process, Medical Affairs, Medical Care, Pharmaceutical Medical Affairs, ... **Job Description** The Regional Medical Scientific Director is a credentialed (ie, PhD,... Scientific Director scope (eg, grants) to appropriate company resources consistent with applicable policies + Maintains current knowledge… more
- Humana (Providence, RI)
- …group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... caring community and help us put health first** The Medical Director relies on medical background and...of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies… more
- CenterWell (Providence, RI)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilizationmanagement experience in a medical ... caring community and help us put health first** The Medical Director, Primary Care relies on medical ...of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies… more