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Manages activities of the unit(s), monitors quality, service and utilization standards. Supervises the day to day shift activities. Essential Functions: - Manages the units day to day clinical operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement. Ensures the highest quality of care is provided and is in compliance with federal, state, and local regulatory requirements and established departmental policies and procedures. - Develops and


Sr. Contract Negotiator- HEALTH PLAN - Bedford,NH Very visible role engaging with CEO’s, CFO’s, Board of Directors to present data and work through contract specifics with providers. Company offers exceptional analytics support and generous benefits and career growth. Sr. Contract Negotiator will coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State....


Medical Management Trainer – Appleton, WI Innovative national health plan! Newly created role will provide hands on training to clinical staff in Medical Management – RN’s and social workers. Great opportunity to influence quality of care for this underserved population. · Develop and conduct clinical educational classes/course · Develop, conduct and ensure maintenance of Case Management (CM) education · Conduct interqual training for CM staff · Conduct training to ensure proper inpatient....

- Appleton/Fox Valley, WI

Training Auditor (Clinical)Be part of a NEW team! You will be responsible for developing and conducting a variety of training programs and auditing tools for the medical managemnet team. You will provide insight to the Managers on areas of improvement and growth needed for the staff. GREAT growth opportunities and generous benefits!Conduct training needs analyses to determine specific training needs for clinical staff Identify, select, or develop appropriate training programs, including the....


Our firm is in search of a RN, LVN/ LPN with case management experience. This position is focused on improving health outcomes, increased patient engagement in self-care, and improve coordination and health care delivery through our client’s Accountable Care Organizations (ACOs). This is a company who is an advocate on promoting from within….if you are looking for a long term opportunity and one that offers room for advancement, read on… Our client is specifically looking for a candidate who....

- Cambridge, MA

Global Pharmaceutical company in Boston, MA has a new urgent need for a Senior Manager, Contracts for R and D One year contract (and up for renewal up to 4 years), full benefits (including health offered, Paid Time Off and more) Title: Contracts, Sr. Manager OBJECTIVE: - Conducts contract management, administration, and execution for Clinical Development Operations group within R&D Organization - Global site budget responsibility for development, management, and finalization - Types of....


Essential Job Duties - Supervises assigned nursing and paraprofessional personnel in the delivery of services to patient clients and families - Extensively interacts with patient clients and families monitoring and ensuring the quality of services provided - Proactively seeks way to improve client satisfaction - Participates in the coordination and management of all services rendered to clients and families by office staff and per diem employees under his/her supervision - Provides on-site....


Medical director needed for Global Pharmaceutical company with US Headquarters in Massachusetts The role of the Medical Director, GPSI–US is to provide medical management and leadership for processing and analyzing safety reports for assigned compounds. The role is responsible for the overall safety assessment, pharmacovigilance activities, US label review, US periodic aggregate reports, and regulatory reporting activities for marketed/investigational products. The position also provides and....


Seeking a 2nd Shift (3-11:30 pm) supervisor for distribution and operations for a large global manufacturer of mechanical equipment. The person in this position will supervise staff who receive, validate and record shipments, prepare items for shipping, and load and unload truck for delivery. The benefits and growth opportunity with this company are outstanding because of their size and growth. The ideal candidate will have strong verbal communication skills and the ability to motivate and....


Develop new and grow existing relationships with key referral sources on Long Island NY including: hospital discharge planners, social workers, case managers, and physicians, as well as community Assisted Living, and Rehab facilities.Developing referrals for private pay home careRequired QualificationsDemonstrated success in home health care sales perefer experience in private payCompetent organizational skillsExcellent oral/written communication and interpersonal skillsMust demonstrate the....

- Chicago, IL

Terrific opportunity to launch the OBGYN Solution end to end. Our client is a leader in providing evidence based medicine data to determine medical appropriateness.Solutions Director is accountable for the launch of our client's OBGYN solution : set strategic direction, define the solution, plan enhancements, and bring the solution to market. The director ensures his/her solution is a market leader, generates strong ROI for clients, and consistently improves quality and safety on behalf of....


Terrific opportunity to launch the Cardiology Solution end to end. Our client is a leader in providing evidence based medicine data to determine medical appropriateness.Solutions Director is accountable for the launch of our client's Cardiology solution : set strategic direction, define the solution, plan enhancements, and bring the solution to market. The director ensures his/her solution is a market leader, generates strong ROI for clients, and consistently improves quality and safety on....


Terrific opportunity to manage the Surgical Solution - Ortho and general surgery end to end. Our client is a leader in providing evidence based medicine data to determine medical appropriateness.Solutions Manager is accountable for our client's Cardiology solution and leads efforts to: define the solution based on client's needs, plan enhancements, and assist with implementation. This is a unique opportunity to own the solutions.Primary duties include but are not limited to:Drive planning and....


Terrific opportunity to manage the Surgical Solution - Ortho and general surgery end to end. Our client is a leader in providing evidence based medicine data to determine medical appropriateness.Solutions Manager is accountable for our client's Surgical solution and leads efforts to: define the solution based on client's needs, plan enhancements, and assist with implementation. This is a unique opportunity to own the solutions.Primary duties include but are not limited to:Drive planning and....


Terrific opportunity to launch the Surgical Solutions end to end. Our client is a leader in providing evidence based medicine data to determine medical appropriateness.Solutions Director is accountable for the launch of our client's Surgical Management solution : set strategic direction, define the solution, plan enhancements, and bring the solution to market. The director ensures his/her solution is a market leader, generates strong ROI for clients, and consistently improves quality and....

- Chicago, IL

Terrific opportunity to launch the Sleep Solution end to end. Our client is a leader in providing evidence based medicine data to determine medical appropriateness.Solutions Director is accountable for the launch of our client's Sleep Management solution : set strategic direction, define the solution, plan enhancements, and bring the solution to market. The director ensures his/her solution is a market leader, generates strong ROI for clients, and consistently improves quality and safety on....

- Chicago, IL

Terrific opportunity to manage the Sleep Solution end to end. Our client is a leader in providing evidence based medicine data to determine medical appropriateness.Solutions Manager/Director is accountable for our client's Sleep Management solution and leads efforts to: define the solution based on client's needs, plan enhancements, and assist with implementation. This is a unique opportunity to own the solutions.Primary duties include but are not limited to:Drive planning and execution of....


We are in search of a RN or Healthcare Administrator to manage the Medicare STARs across our client company’s Medicare Plans. Here is what our qualified candidate looks like:Experience in STARS and leading STARS Program.7+ years of managed care experience – MedicareKnowledge of Center for Medicare/Medicaid Services, requirements for Special Needs Plans (SNP), Medicare Medicaid Plans (MMP) and NCQA oversight requirements preferred. Previous management experience.Bachelor's degree in....


In search of an outstanding Varion Linear Service EngineerII/III to provide preventive and emergency maintenance services on one or more of the following manufactuerers: Varian, multi-leaf collimators, and analog and digital electronic equipment. Under the supervision of the Chief Engineer, will perform preventive and emergency maintenance services and repairs on all radiation therapy treatment and simulation equipment, therapeutic, diagnostic and electronic equipment five days a week, eight....


Are you a BC MD or DO BC by an Approved ABMS Board certification by the American Board of Psychiatry and Neurology. Current state medical license without restrictions. This is and outstanding opportunity for someone who is interested in working a Utilization Review role in the Columbia, SC region. It is a plus if you have Medical Director experience or even experience working with a health plan company. This opportunity comes with a 20% (or higher) performance bonus structure and there is the....

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