- Elevance Health (Columbus, OH)
- …and consistent medical decisions to members and providers. **Job Summary:** + Perform physician -level case review , following initial nurse review , of Medical ... ** Clinical Operations Medical Director** **Utilization Management of Medical...Oncology regimens and supportive care. + Perform physician -level case review , following initial nurse … more
- Humana (Columbus, OH)
- …specificity and appropriateness of procedure codes based on services rendered + Review medical documentation for clinical indicators to ensure specific ... guidelines and provide reports as needed + Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release… more