Find clinical, allied health, care team, and healthcare operations openings using one smart search field across cities, regions, and employers.
Blue Cross and Blue Shield of Kansas City
Overview
Conducts utilization management reviews to determine medical necessity and reimbursement based on clinical guidelines and member benefits. Coordinates quality, cost-effective healthcare services and collaborates with medical directors and providers to optimize member outcomes.
Quick view →
Compensation
Salary not listed
Posted
2 days ago
Urgent Team Walk-in Urgent Care
Provide comprehensive medical care to patients of all ages, including diagnosis, treatment, and follow-up for acute and chronic conditions. Perform various clinical procedures and collaborate with healthcare teams to ensure high standards of patient satisfaction and safety.
9 days ago
Provide comprehensive medical care to patients of all ages, including diagnosis, treatment, and education for acute and chronic conditions. Perform various clinical procedures and manage occupational health services while ensuring compliance with medical policies.
MRIoA
The Physician Advisor will apply clinical expertise to evaluate medical service requests, interpret benefit language and medical policies, and make sound coverage determinations. Core duties include performing clinical coverage reviews, documenting outcomes according to standards, and participating in peer-to-peer discussions with treating providers.
16 days ago
The role involves applying clinical expertise to evaluate medical service requests, interpret benefit language and medical policies, and make sound coverage determinations based on established guidelines. Responsibilities also include documenting review outcomes and engaging in peer-to-peer discussions with treating providers when necessary.
Provide comprehensive medical care to patients of all ages, including diagnosis, treatment, and education for acute and chronic conditions. Perform various clinical procedures and manage patient follow-ups while ensuring compliance with medical policies and professional standards.
18 days ago
Provide comprehensive medical care to patients of all ages, including diagnosis and treatment of acute and chronic conditions. Perform various clinical procedures and collaborate with healthcare teams to ensure high standards of patient care and operational compliance.
1 month ago
Provide comprehensive medical care to patients of all ages, including diagnosis, treatment, and education for acute and chronic conditions. Perform various clinical procedures and oversee on-site laboratory and x-ray services while ensuring compliance with medical policies.
Blue Cross Blue Shield of Arizona
Perform medical technology research to support the development and revision of medical coverage guidelines and criteria. Collaborate with the Medical Director staff and Medical Policy Panel to ensure policies align with accepted medical practice standards.
Blue Cross Blue Shield of Kansas City
The LPN provides professional nursing care to patients following established standards, building trusted partnerships through knowledge sharing and education while collaborating with the care team. Responsibilities include administering medications, performing point-of-care testing, assisting providers with procedures, and managing care coordination tasks like pre-visit planning and transition of care.