PRINCIPAL RESPONSIBILITIES: This position works under the direct supervision of the Clinical Manager, Enhanced Care... health plan, inlcuding Utilization Management and Pharmacy, which may provide clinical expertise and data on patient...
) and is responsible for evaluating the clinical presentation of members in need of Community Supports services.This role utilizes the... applicable clinical practice standards/guidelines to determine medical necessty for the service required by the member. The...
with clinical practice guidelines to identify potential barriers. Research opportunities for improvement in assessment methodology...Your Role The Case Management team performs and case management (CM) activities demonstrating clinical judgment...
and those involved with members’ care including clinical nurses and treating physicians. Your Work In this role, you will: Research... accordance with clinical practice guidelines to identify potential barriers. Research opportunities for improvement in...
and those involved with members’ care including clinical nurses and treating physicians. Your Work In this role, you will: Research... accordance with clinical practice guidelines to identify potential barriers. Research opportunities for improvement in...
, Community Supports (CS) and is responsible for evaluating the clinical presentation of members in need of Community Supports... services.This role utilizes the applicable clinical practice standards/guidelines to determine medical necessty for the service...
Job Description: PRINCIPAL RESPONSIBILITIES: This position works under the direct supervision of the Clinical... clinical expertise and data on patient utilization patterns, often in real time, to the program. Externally, the team will work...
company handles research, clinical development, sales, marketing, medical affairs, supply chain, and business development... making. Our parent company - one of Japan’s most respected - is a research-driven pharmaceutical company that has tirelessly...
) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members... and those involved with members' care including clinical nurses and treating physicians. The Regional Registered Nurse Case Manager...
company handles research, clinical development, sales, marketing, medical affairs, supply chain, and business development... making. Our parent company - one of Japan’s most respected - is a research-driven pharmaceutical company that has tirelessly...