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The Case Manager serves as the primary point of contact for patients, managing their treatment journey from onboarding to long-term adherence support. They collaborate with internal and external stakeholders to resolve access issues and ensure patients receive necessary education and training.
The Case Manager serves as the primary point of contact for patients, managing their journey from onboarding through long-term treatment adherence. They coordinate care, provide education, and collaborate with internal and external stakeholders to resolve access and treatment issues.
The Case Manager serves as the primary point of contact for patients, providing personalized support, disease education, and treatment coordination throughout their journey. They also collaborate with internal and external stakeholders to ensure treatment compliance and resolve access or reimbursement issues.
The Care Manager develops, assesses, and facilitates complex care management activities to provide high-quality, cost-effective healthcare outcomes. They coordinate care plans, monitor member status, and collaborate with providers and families to address unmet needs.
The resident will collaborate with health plan clients and account teams to develop and execute clinical strategies that improve member outcomes and optimize pharmacy spend. Responsibilities include analyzing pharmacy trends, supporting formulary management, and participating in cross-functional workgroups to implement innovative healthcare solutions.
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The role involves managing medical records as part of a contingent worker process. Responsibilities include entering information into the Workday HR system.
The Pharmacist Consultant conducts pharmacy benefit manager audits to validate the accuracy of pricing, formulary management, and rebate administration for government clients. They collaborate with team members to analyze claims data, review findings with PBMs, and prepare comprehensive audit reports.
The Senior Clinical Quality Nurse drives clinical performance by conducting quality audits on clinical documentation and ensuring adherence to regulatory and accreditation standards. They also provide coaching to staff, develop audit rubrics, and collaborate with leadership to implement corrective action plans.
The Medical Review Specialist reviews medical bills and documentation to determine the relationship of services to covered injuries. They also assess the appropriateness of medical coding and provide reimbursement recommendations for workers' compensation claims.
The Integrated Care Coordinator serves as the primary care manager for older adults with complex medical and behavioral health needs. They conduct comprehensive needs assessments, develop person-centered care plans, and collaborate with internal teams and community resources to improve health outcomes.
The Pharmacy Technician Team Lead Trainer is responsible for developing and maintaining training programs, onboarding new staff, and conducting virtual training sessions. Additionally, the role involves performing quality audits, monitoring adherence to protocols, and collaborating with leadership on performance improvement initiatives.
The Chief Medical Officer provides enterprise-wide physician leadership, clinical governance, and quality oversight for government agency healthcare programs. They serve as the principal medical advisor, ensuring compliance with detention standards and promoting operational excellence across all supported facilities.
The Medical Quality Control Manager develops and oversees enterprise-wide healthcare quality assurance, performance improvement, and compliance programs for detention healthcare operations. They conduct audits, analyze clinical outcomes, and coordinate accreditation readiness across multiple facilities to ensure adherence to contractual and regulatory standards.
The Manager, Medical Detention Operations oversees healthcare services across multiple detention facilities to ensure compliance with federal standards and contractual requirements. They provide strategic leadership, monitor performance metrics, and collaborate with facility teams to drive operational excellence and quality improvement.
The Medical Director will provide clinical development leadership for clinical-stage assets, serving as a medical monitor and overseeing clinical trial data review. They will also contribute to regulatory document authoring, strategy development, and cross-functional collaboration with internal and external stakeholders.
The Triage RN will respond to symptom management calls from patients and caregivers during evenings, overnights, and weekends. They will provide clinical guidance, emotional support, and care coordination in collaboration with the on-call hospice team.
The Nurse, Pilot will conduct telehealth outreach to provide patient education, care coordination, and clinical support within a virtual environment. They will monitor patient progress, document interactions in electronic health records, and collaborate with multidisciplinary teams to ensure adherence to care plans.
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The Physical Therapist will conduct thorough evaluations of students' mobility and strength to develop and implement personalized treatment plans. They will also collaborate with educational teams to integrate therapy goals into IEPs and document student progress accurately.
The physical therapist will conduct evaluations of students' mobility and strength to develop and implement personalized treatment plans. They will also collaborate with educational teams to integrate therapy goals into IEPs and document student progress.
Provide high-quality, patient-centered physical therapy care while managing an independent practice. Utilize the platform's tools for documentation, billing, and scheduling to maintain clinical autonomy.
Provide high-quality, one-on-one patient-centered physical therapy care while managing your own independent practice. Utilize the platform's tools for scheduling, documentation, and billing to maintain clinical autonomy.
Provide non-promotional disease state education and emotional support to patients and caregivers via virtual or telephonic channels. Manage outbound medication adherence support, collect demographic data, and maintain accurate activity reports while adhering to program guidelines.
The Clinical Analyst will partner with healthcare clients to operationalize CARE solutions by translating clinical requirements into system configurations and workflow designs. They will also act as a bridge between clients and internal product teams to drive improvements in quality, cost, and patient outcomes.
Assess specimen acceptability and perform routine and complex cytogenetics testing in accordance with departmental procedures. Operate and troubleshoot laboratory instruments, evaluate reagents and controls, make technical decisions, and document maintenance and quality control while reporting accurate, timely results.
The Care Coordinator supports care management activities by performing member outreach via phone or home visits to facilitate service delivery and continuity of care. They also document care plans, coordinate with healthcare providers, and provide education on benefits and resources to members.
The analyst will provide consultative support and medical cost-based analysis to identify utilization and unit cost drivers. They will also manage projects and collaborate with local market leaders to develop actionable items for improving care and managing costs.
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Lead a national team of clinicians to provide clinical support to Commercial plan sponsors and prospects while cultivating key relationships with brokers and consultants. Act as the clinical voice of the customer to inform product roadmaps and ensure clinical offerings meet market requirements.
The Medical Director will perform utilization management, medical necessity reviews, and prior authorization determinations to ensure clinically sound decisions. They will also collaborate with multidisciplinary teams and participate in a rotating on-call schedule for clinical support.
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
The Utilization Management Nurse Consultant assesses, plans, and coordinates healthcare services to facilitate appropriate member benefits. They apply clinical criteria to render coverage determinations and consult with internal and external parties to ensure quality care.
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