• Elliot Health System (Candia, NH)
    …practice with the health care team. Promotes patient, family, staff and physician satisfaction through coordination and continuity of care. Provides a systematic ... an impact on quality of patient care and/or length of stay. Collaborates with case manager to assess for patient's clinical course to verify patient's continued need… more
    JobGet (03/18/25)
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  • Genetic Counselor Reviewer

    Elevance Health (Rancho Cordova, CA)
    …determining whether clinical information presented meets medical necessity criteria or requires physician review or override. + Clearly and concisely documenting ... **JR144792 Genetic Counselor Reviewer ** The genetic counselor reviewer (GCR)...information. + Contributing to team projects aimed to ensure case review accuracy and efficiency, such as… more
    Elevance Health (03/15/25)
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  • Genetic Counselor Clinical Reviewer

    The Cigna Group (Bloomfield, CT)
    …is responsible for the following: + Laboratory molecular and genetic testing clinical case review activities. + Evaluate telephone, fax, or web requests for ... a supervisor in Utilization Management. Handles moderately complex medical review , utilization review , credentialing/re-credentialing, quality assurance/improvement, and/or… more
    The Cigna Group (03/05/25)
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  • Registered Nurse Case Manager-Child…

    Hackensack Meridian Health (Maywood, NJ)
    …and concurrent patient management. + Knowledge of health care delivery system, utilization and review and case review procedures. + Good working knowledge of ... Coordination and handoff between acute & post-acute services. RN Case Manager is for Child and Adolescent Outpatient Behavioral...and develop an individualized plan in collaboration with the physician and other members of the health care team.… more
    Hackensack Meridian Health (01/03/25)
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  • Physician Quality Assurance Manager SSA

    Chenega Corporation (San Antonio, TX)
    case adjudications for quality assurance. + Review a percentage of Independent Case Reviewer (ICR) case adjudications for quality assurance. + Quality ... policy compliant review as per the Independent Case Reviewer certification requirements of C2 Alaska,...be used by others in the disability program. + Review all medical and non -medical evidence of… more
    Chenega Corporation (03/05/25)
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  • Physician Advisor - Utilization Management

    Ochsner Health (New Orleans, LA)
    …Board Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty Certification ... at Ochsner Health and discover your future today!** The Physician Advisor (PA-Utilization Management) serves as the physician...resources + Assist with the denial management process + Review medical records of patients identified by case more
    Ochsner Health (01/29/25)
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  • Physician Advisor

    Catholic Health Initiatives (Omaha, NE)
    …**Responsibilities** ** Physician Advisor** **Location: Lakeside and Midlands Hospital** + Review medical records of patients identified by case managers or ... hospital notice of non -coverage/Important Message from Medicare (HINN). Discuss the case with the attending physician and if additional clinical information… more
    Catholic Health Initiatives (02/20/25)
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  • Physician Advisor - Houston Methodist

    Houston Methodist (The Woodlands, TX)
    …per hospital/ case management and clinical documentation policies policy. + Review issues identified by case management department to ensure appropriate ... At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and...documentation to support such determinations. **FINANCE ESSENTIAL FUNCTIONS** + Review medical records identified by case managers,… more
    Houston Methodist (02/13/25)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the ... billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of...of admission and continued stay, severity, and morbidity/mortality. + Review patient status when admission criteria is non more
    Mohawk Valley Health System (12/18/24)
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  • Physician Assistant - Gastroenterology

    Veterans Affairs, Veterans Health Administration (San Antonio, TX)
    physician will abide by all VA facility By Laws regarding the supervision of physician assistants and review of medical charting. v. The provider will perform ... organizations. Verification of accreditation may be made obtained from Accreditation Review Commission on Education of Physician Assistant. Note: Only… more
    Veterans Affairs, Veterans Health Administration (02/13/25)
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  • Physician - Home Based Primary Care

    Veterans Affairs, Veterans Health Administration (Aspinwall, PA)
    …of care to ensure departmental goals are achieved. Provide education of staff. Review and approve certain aspects of non -VA community care. Provide backup ... determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The Home Based Primary Care … more
    Veterans Affairs, Veterans Health Administration (01/30/25)
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  • Nurse Practitioner (Acute Care), Physician

    Cleveland Clinic (Cleveland, OH)
    …health status and to develop a working diagnosis and treatment plan with direct review by a physician . + Works under direction of supervising physician ... with a mission to train post-graduate Acute Care Nurse Practitioners and Physician Assistants to provide comprehensive critical care services to the most acutely… more
    Cleveland Clinic (03/04/25)
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  • Chief Physician II

    The County of Los Angeles (Los Angeles, CA)
    CHIEF PHYSICIAN II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3338062) Apply  CHIEF PHYSICIAN II Salary $219,900.00 - $294,804.00 ... physicians by administering a Continuing Medical Education program, ensures DPH physician workforce quality and cohesion, engages the Los Angeles County medical… more
    The County of Los Angeles (03/06/25)
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  • Physician - Interventional Cardiologist

    Veterans Affairs, Veterans Health Administration (Shreveport, LA)
    …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Shreveport offers you the 'lagniappe', ... live music and family attractions.VA offers a comprehensive total rewards package. VHA Physician Total Rewards. VA offers a comprehensive total rewards package. VHA … more
    Veterans Affairs, Veterans Health Administration (01/30/25)
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  • Director of Physician Recruitment…

    Houston Methodist (Houston, TX)
    …to policies and procedures and performs associated actions upon non -compliance (ie, licensure/certification compliance, focal point review requirements, ... and various components that make up a physician contract. Partners with physician compensation team to proactively review market trends, review metrics… more
    Houston Methodist (03/12/25)
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  • RN Case Manager

    Covenant Health (Nashua, NH)
    …are attended /documented. + Annual goals are achieved. + Attends pertinent case management/utilization review programs to maintain current knowledge of UR ... Summary RN Case Managers provide a systematic collaborative approach to...for patients not meeting criteria by utilizing second level review / Physician Advisor services. + Identifies… more
    Covenant Health (03/08/25)
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  • Physician Psychiatrist

    Veterans Affairs, Veterans Health Administration (Providence, RI)
    …other Allied Health Professional Trainees. Participate in performance improvement activities, physician peer review , and committees as assigned. Recruitment ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This is an Open Continuous Announcement… more
    Veterans Affairs, Veterans Health Administration (01/30/25)
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  • Psychiatric Mental Health Nurse Practitioner…

    UPMC (Erie, PA)
    …and maintain positive, caring relationships with executives, managers, physicians, non - physician providers, ancillary and support staff, other departments, ... with a multidisciplinary team of prescribers, nurses, therapists, and case managers. + Travel between the main office and...Physician Assistant (PA):** + A graduate of a physician assistant program accredited by the Accreditation Review more
    UPMC (03/08/25)
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  • Physician Assistant/Nurse Practitioner…

    Stanford Health Care (Palo Alto, CA)
    …this educational requirement* Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. B. ... Position Overview: We are seeking a dedicated Pediatric Emergency Department Nurse Practitioner/ Physician Assistant to join our dynamic team at Stanford Health Care.… more
    Stanford Health Care (03/04/25)
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  • Senior Physician (Forensic Pathology)

    The County of Los Angeles (Los Angeles, CA)
    SENIOR PHYSICIAN (Forensic Pathology) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4766320) Apply  SENIOR PHYSICIAN (Forensic Pathology) ... will do: This position is held by a licensed physician that has immediate charge of a small medical...tracks cases to ensure timely completion. + Provides autopsy case consultations to Deputy Medical Examiners. + Reviews autopsy… more
    The County of Los Angeles (02/07/25)
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