- Elevance Health (Sacramento, CA)
- …determining whether clinical information presented meets medical necessity criteria or requires physician review or override. + Clearly and concisely documenting ... **JR132259 Genetic Counselor Reviewer ** The genetic counselor reviewer (GCR)...information. + Contributing to team projects aimed to ensure case review accuracy and efficiency, such as… more
- Guthrie (Binghamton, NY)
- …welcomes and encourages diversity in the workplace. The Guthrie Clinic is a non -profit, integrated, practicing physician -led organization in the Twin Tiers of ... Management (Days) Full Time Position Summary: The Utilization Management (UM) Reviewer , in collaboration with other internal and external offices, payors, and… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** + The MTQIP Clinical Reviewer (MCR) is responsible for collecting, analyzing, and reporting clinical data ... + The MCR is required to independently manage their case load and report data to MTQIP according to...an exhaustive statement of all supplemental duties, responsibilities, or non -essential requirements or reflect any accommodations made under the… more
- Chenega Corporation (San Antonio, TX)
- …+ Record findings in the agency electronic processing systems as specified by SSA case review policies and procedures. + Attend required meetings, briefings, and ... disability evidence and assessment of evidence during the reconsideration case process as well as non - case...Minimum one (1) year experience practicing + Current Independent Case Review status with the Social Security… more
- Houston Methodist (Houston, 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
- Munson Healthcare (Traverse City, MI)
- …of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP), or American Physician Leaders in Case Management ( APLCOM) preferred. + Physician ... Lead your peers to success as a Munson Physician Advisor GENERAL SUMMARY The Munson Physician...necessary follow-up. Expedite communications of next actions to utilization review specialists, case managers, social workers, physicians,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Days in Case Management IT system. + Issues Notices of Non -coverage per hospital policy. + Provides Part B coverage notification for Observation patients. ... Diabetes or Depression. + In the process of chart review screens orders and entries for appropriate signing, pended...on whiteboard in patient room. + Confirms with attending physician consultants have signed off case . +… more
- 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
- National Institutes of Health (Montgomery County, MD)
- …and Centers within the NIH that awards extramural grants! As an extramural Physician you will stimulate, plan, advise, direct, and evaluate program activities for a ... grants process, types of grant programs, and the peer review process, visit the website for the Office of...current, full, and unrestricted license or registration as a physician from a State, the District of Columbia, the… more
- National Institutes of Health (Montgomery County, MD)
- …Centers within the NIH that awards extramural grants. As an extramural Physician (Research) you will stimulate, plan, advise, direct, and evaluate program activities ... grants process, types of grant programs, and the peer review process, visit the website for the Office of...the Office of Extramural Research. Responsibilities As a GS-14 Physician (Research) you will: Serve as a Physician… more
- WMCHealth (Valhalla, NY)
- …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice and ... Network CDI Physician Champion Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/ Non -Clinical Department: Health Info… more
- Defense Health Agency (Honolulu, HI)
- …as case manager and return-to-work coordinator for workers with non -work-related impairments and disabilities. Works with EEO in coordinating the Handicap ... **Overview** The position Physician (Occupational Medicine) is located at Tripler Medical...(LTBI) Clinic patients, and traditional Preventive Medicine: 1. Medical Case Management Responsibilities - Assesses the health care needs… more
- Ellis Medicine (Schenectady, NY)
- …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social workers ... years of inpatient experience in a hospital environment preferred. + Previous case management, utilization review , and discharge planning experience highly… more
- 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
- 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
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... improvements, patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team to… more
- Sharp HealthCare (La Mesa, CA)
- …Time** **Shift End Time** Master's Degree; Bachelor's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Certified ... Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA...of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary… more
- Veterans Affairs, Veterans Health Administration (Huntsville, AL)
- …determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This Physician will be ... working in collaboration with the Birmingham VAMC rheumatology team for case discussions as needed, coordination of care, inbox coverage during leave of absence,… more
- 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 (Orlando, FL)
- …for credentialing and privileging including necessary license and certifications. Participate in peer review and case review in Primary Care, Geriatrics, ... Geriatrics Service is seeking an experienced and dynamic Hospice & Palliative Care Physician . Ideal applicants are those who want to contribute to the achievement of… more