setting. They provide medical expertise, review clinical policies and guidelines, and collaborate with outcomes while managing costs. Review and assess clinical policies, treatment guidelines, and utilization appropriateness, and cost-effectiveness. Provide clinical support and guidance to internal teams, including assess new and existing clinical policies and protocols from an evidence-based, clinical and financial impact input and clinical advisory services. Presentations will often be required. Provide clinical technical
setting. They provide medical expertise, review clinical policies and guidelines, and collaborate with outcomes while managing costs. Review and assess clinical policies, treatment guidelines, and utilization appropriateness, and cost-effectiveness. Provide clinical support and guidance to internal teams, including assess new and existing clinical policies and protocols from an evidence-based, clinical and financial impact input and clinical advisory services. Presentations will often be required. Provide clinical technical
utilisation management, education/training, and other clinically based activities as assigned, to coordinate care Communicates with the admitting facility to establish the clinical status of the patient. • Communicates updates stay and value to the hospital subject to the clinical guidelines and protocols of the company. • Communicates Updates the computer system with the member's clinical and demographic details. • Visits high cost members participates in discussions and presents cases at clinical meetings. • Prepares reports and case summaries
meetings. Collaboration: Support the team and the Clinical Operations Manager with other tasks as and when operations within a medical corporate environment Clinical experience with Radiology and Pathology advantageous
meetings. Collaboration: Support the team and the Clinical Operations Manager with other tasks as and when operations within a medical corporate environment Clinical experience with Radiology and Pathology advantageous