- Luminis Health (Lanham, MD)
- …and is a clinical expert practitioner specific to the unit at education/ staff development functions as well as designated management functions to promote ... members of management and Human Resources Essential Functions 1. 1. Clinical Decision Making/Judgment . Demonstrates expert clinical knowledge and skill in… more
- Luminis Health (Lanham, MD)
- …and is a clinical expert practitioner specific to the unit at education/ staff development functions as well as designated management functions to promote ... of Human Resources, and recommending discharge in collaboration with members of management and Human Resources Essential Functions 1.1. Clinical Decision… more
- Humana (Washington, DC)
- …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 (Annapolis, MD)
- …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
- Howard University Hospital (Washington, DC)
- …a clinical specialist resource for pharmacists, nurses and physicians. Provides clinical staff development services and instruction within area of expertise ... to pharmacy staff . Assists with evaluation of staff clinical activities and interventions. Documents clinical activities that include, but are not… more
- Immigration and Customs Enforcement (Washington, DC)
- …health facility surveyors and in collaboration with the IHSC Medical Quality Management Unit. SUPERVISORY CONTROLS: The Clinical Senior Nurse Specialist, Medical ... Summary This position supports nursing staff , advances nursing practices, and contributes to the...providing direct patient care at various IHSC facilities, offering clinical and administrative nursing support, and collaborating with the… more
- Amgen (Washington, DC)
- …experience in the utilization of molecular imaging as a quantitative biomarker in clinical trials + Experience with the utilization of clinical MR ... team. Join us and transform the lives of patients while transforming your career. ** Clinical Imaging Director** **What you will do** Let's do this. Let's change the… more
- CareFirst (Washington, DC)
- …of care. Utilizing experience and skills in both care management and utilization management , the Onsite Clinical Navigator will leverage proficiency in ... hospital assignments and admissions volumes on a week-to-week basis, management may occasionally approve the Onsite Clinical ...working onsite to make rounds with members and hospital staff , participates in clinical reviews to determine… more
- Battelle Memorial Institute (Arlington, VA)
- …and organizational objectives. We will support positive programs for equal treatment of all staff and full utilization of all qualified employees at all levels ... and Analytics (HRA) business line is seeking a highly motivated, full-time **Licensed Clinical Social Worker (LCSW)** to join our team in support of our government… more
- Highmark Health (Washington, DC)
- …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 (Washington, DC)
- …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
- Deloitte (Washington, DC)
- …plans for both formal and informal education of physicians, CDI team, health information management and other clinical staff + Develop in-service education ... clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review, informatics RN, Quality, DRG… more
- Fresenius Medical Center (Washington, DC)
- …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
- Insight Global (Washington, DC)
- … clinical pharmacists who act as a drug information resource for daily clinical interventions by staff . Supervises clinical pharmacists and oversees ... Job Description Insight Global is looking for Clinical Pharmacy Manager to support the infusion center...all regulatory requirements, and implementing best practices in medication management . Your role will be vital to optimizing patient… more
- Humana (Washington, DC)
- …corporate communications to be shared with senior leadership. + Supports trend management by conducting analysis of drug spend, utilization , and/or approval ... communicating with staff in different positions and all levels of management positions + Manages the Humana Michigan FIDE-SNP health plan relationship with our… more
- Howard University Hospital (Washington, DC)
- …policy and procedures for all personnel and acts as an administrative liaison, clinical resource, and role model for staff . Responsible for triaging operational ... Clinical Nursing Administration Per Diem: As needed With...float pool and coordinates the daily use of supplement staff . The incumbent coordinates and assists in the monitoring… more
- Trinity Health (Silver Spring, MD)
- …Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Clinical Business Manager, Neuroscience Programs **Schedule:** Full Time, Days **Department:** ... **Position Description** Holy Cross Health is seeking an experienced and dynamic Clinical Business Manager to oversee our Neuroscience Program. The Manager is… more
- Evolent (Washington, DC)
- …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 (Washington, DC)
- …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
- Abbott (Arlington, VA)
- …to field inquiries from physicians, health care professionals, patients, and field sales staff , involving EP products. Performs work that involves a high degree of ... and reports status to manager. + Acts as a clinical interface between the medical community and the business....healthcare professionals. + Provides insight, guidance, and feedback to management on market feedback and components of next generation… more
