- Evolent (Providence, RI)
- …to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Clinical Reviewer , Physical Therapy As a Clinical ... health outcomes. **Collaboration Opportunities: ** + Functions in a clinical review capacity to evaluate all cases,...physical therapist must hold a state license in physical therapy and hold a physical… more
- St. George Tanaq Corporation (Providence, RI)
- …, or related experience in a healthcare setting + Healthcare Professional with Nursing, Physical Therapy , Respiratory Therapy or Occupational Therapy ... or related discipline may be substituted for Healthcare Professional with Nursing, Physical Therapy , Respiratory Therapy or Occupational Therapy… more
- CVS Health (Providence, RI)
- …be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to ... other teams and departments throughout the company including Case Review Unit (CRU), Commercial PA & appeals, internal Medical...problem solving ability and attention to detail. * Demonstrated clinical expertise in the oncology therapy arena,… more
- CVS Health (Providence, RI)
- … Clinical Pharmacist is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior authorization as per ... therapy knowledge through self-education. Responsibilities: 1.) Evaluate and review all prior authorization requests and render coverage determinations based on… more
- Cardinal Health (Providence, RI)
- …remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer ... life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Clinical Operations Supervisor leads program staff performing actions including… more
- Cardinal Health (Providence, RI)
- …remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer ... therapies to patients who need them-faster.** **_Position Summary_** The Manager, Clinical is responsible for strategic oversight and management of client programs… more
- Fresenius Medical Center (Pawtucket, RI)
- …History and Assessment physical . + Ensures completion of Annual Standing Order Review with each physician as required. **OTHER:** + As a condition of continued ... provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,… more
- Cardinal Health (Providence, RI)
- …remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer ... can get life-changing therapies to patients who need them-faster.** **_What Clinical Operations and Individualized Care contributes to Cardinal Health_** Clinical… more
- Cardinal Health (Providence, RI)
- …remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer ... who need them-faster.** **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties… more
- Highmark Health (Providence, RI)
- …over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and ... utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent conducts… more
- Cardinal Health (Providence, RI)
- …remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer ... life-changing therapies to patients who need them-faster._** **_Job Summary_** What Clinical Operations and Individualized Care contributes to Cardinal Health … more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …(VAPHCS). Major Duties & Responsibilities include, but are not limited to: Clinical assessment is comprehensive (ie, includes mandatory elements) and timely (ie, ... Goals are completed and decision documented. Treatment includes: ? Disease modifying therapy (DMT), or ? Documented rationale for not prescribing DMT. Clinical… more
- Fresenius Medical Center (Warwick, RI)
- …of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance ... or as directed. + Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor....activities. + Enters all treatment data into the designated clinical application accurately and in a timely manner. +… more
- Cardinal Health (Providence, RI)
- …remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer ... who need them-faster.** **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The Duties of the Anesthesiologist are ... medical staff in the administration of the Anesthesia programs. Involved with clinical care, bedside, and didactic teaching of residents, in consultation and… more