- Humana (Montgomery, AL)
- …of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting… more
- Humana (Montgomery, AL)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
- CenterWell (Birmingham, AL)
- …for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, ... documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the...systems and process. Competently performs patient care assignments and staff management activities. + Provides direct patient… more
- Fresenius Medical Center (Opelika, AL)
- …as a resource to facility staff . + Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional ... to the disease management company. Maintains current knowledge of disease management software and systems as pertinent. ** STAFF :** + Responsible for… more
- Highmark Health (Montgomery, AL)
- …and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or ... Utilize robust, data-driven insights from complex healthcare datasets (eg, claims, clinical , utilization , pharmaceutical) to inform policy development, identify… more
- Edwards Lifesciences (Montgomery, AL)
- …post-case management , 3 Mensio management , Therapy Awareness program management and clinical education programs. + Implementing sales and educational ... and implementing growth strategies within focused accounts in partnership with Sales Management . + Developing clinical champions among current and potential… more
- Community Health Systems (Huntsville, AL)
- …health records (EHR) and other healthcare applications, ensuring they meet the needs of clinical staff and align with best practices. + Facilitates training and ... with all policies and standards. **Leadership Responsibilities** + **Supervision and Staff Management ** + Provides leadership, mentorship and professional… more
- Organon & Co. (Montgomery, AL)
- **Job Description** **The Position** The Women's Health Clinical Account Specialist (WHCAS) supports customers by providing clinical information on our Company's ... products, as well as education, and supporting clinical training programs. They do this to support customer...Planning Counselors, Office and Pharmacy Managers and other Support Staff . Within their geography, there are a diverse set… more
- J&J Family of Companies (Montgomery, AL)
- …beyond the EP/IC lab, including, but not limited to physicians, nurses and technicians, clinical and hospital administrators and staff . + Stay current on company ... Description:** We are searching for the best talent for Senior Ultrasound Clinical Account Specialist to be in Alabama Region/Nashville, TN. **About Cardiovascular**… more
- Fresenius Medical Center (Bessemer, AL)
- …courses and that licensures/certifications are current. + Provides support for all clinical staff members at regular intervals and encourages professional ... eligibility for treatment. + Reports changes in patient status regarding any clinical , insurance, or travel and transportation issues. STAFF : + Participates… more
- Abbott (Birmingham, AL)
- …medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Associate** **About Abbott** Abbott is a global healthcare leader, creating ... from physicians, health care professionals, patients, and field sales staff , involving EP products. Performs work that involves a...monitors performance and reports status to manager. As a Clinical Associate on the US Abbott EP team, you… more
- CVS Health (Montgomery, AL)
- …each and every day. The supervisor is responsible for oversight of healthcare management staff including the organization and development of high performing ... teams. Works closely with functional area management to ensure consistency in clinical interventions...experience as a Registered Nurse - 1+ years of Utilization Management experience - Must have experience… more
- Evolent (Montgomery, AL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse… more
- Prime Therapeutics (Montgomery, AL)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... visa or residency sponsorship **Additional Qualifications** + 3-5 years' experience in clinical operations, quality, network, pharmacy or project management OR a… more
- Southeast Health (Dothan, AL)
- …savings data; + Reports cost savings information; + Demonstrates effective time management techniques; + Demonstrates appropriate utilization of supplies; + ... Always the right career direction. Job Description Summary The clinical pharmacist, under the supervision of the Director of...Develops protocols for drug use as needed; + Performs staff pharmacist duties when needed; + Adheres to the… more
- Evolent (Montgomery, AL)
- … Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a… more
- Highmark Health (Montgomery, AL)
- …per week (Tuesday-Thursday).** This role supports the full application product lifecycle for ** clinical and utilization management software** , with a ... and technical teams. They function as a pivotal bridge, translating high-level ** clinical and utilization management software** business needs into… more
- Evolent (Montgomery, AL)
- …Cardiologist)** Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical ... appropriate, high-value care aligned with clinical guidelines. + Collaborate with leadership, management , and clinical staff to address complex cases and… more
- Parexel (Montgomery, AL)
- …Data Management Lead to join our team. If you have a passion for clinical research, strong project management skills, and a knack for data management , ... Science, OR equivalent industry experience. + 7+ years experience in pharmaceutical/biotech clinical data management / Biometrics ( clinical trial data… more
- Evolent (Montgomery, AL)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a… more