- 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
- 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
- CDM Smith (Cranston, RI)
- …**Business Unit:** COR **Job Description:** CDM Smith is seeking a Design Practice Manager to join our Digital Engineering Solutions team. This individual will ... lead the Design Practice group, helping to drive the firm's digital transformation...approves paid time off (PTO) and training, ensures human resources (HR) policies are followed and makes recommendations regarding… more
- Oracle (Providence, RI)
- …large revenue opportunities. Assists in articulating product message, coordinates technical resources and hands off deals to a successful close. **Responsibilities** ... Oracle US offers a comprehensive benefits package which includes the following: 1. Medical , dental, and vision insurance, including expert medical opinion 2.… 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
- Evolent (Providence, RI)
- …outcomes** . + Support clinical reviewers as a subject matter expert and resource . + ** Practice & Physician Engagement** + Actively participate in **engagement ... redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal role in… more
- Fujifilm (Providence, RI)
- …is responsible for performing upgrades for Fujifilm Healthcare Americas Corporation (HCUS) Medical Informatics (MI) products to all eligible sites. In addition will ... Business Continuance concepts, the difference between the two, and Fuji's best practice guidelines. Help develop and maintain upgrade documentation for the overall… 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)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director, MSK Surgery you will be a key member of the utilization management ... Surgery 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)
- …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)
- …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 actively uses their medical background,...of regulatory compliance, and work is assisted by diverse resources , which may include national clinical guidelines, CMS policies… 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 actively uses their medical background,...of regulatory compliance, and work is assisted by diverse resources , which may include national clinical guidelines, CMS and… 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 actively uses their medical background,...of regulatory compliance, and work is assisted by diverse resources , which may include national clinical guidelines, CMS policies… 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
- Fresenius Medical Center (Providence, RI)
- …quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of FVC/FMS CQI ... thresholds in collaboration with facility management. + Maintains integrity of medical records and other FVC administrative and operational records. + Complies… more
- VCA Animal Hospitals (Uxbridge, MA)
- Join us as a ** Medical Director** at **VCA Blackstone Valley** and you'll quickly discover that you're well supported by world-class medicine, technology, facilities ... financial wellness tool, and access to additional mental health resources ) + 401k retirement savings plan with company match...university or equivalent + Licensure in good standing to practice in MA, or the ability to obtain +… more