• Peer Review RN Coordinator

    UCLA Health (Los Angeles, CA)
    …Ambulatory Care and Community Practices. In this pivotal role, you will lead the DOM Quality Physician Peer Review program, ensuring that our peer ... Description The Department of Medicine is seeking to hire a dynamic and experienced Peer Review RN Coordinator to drive excellence in quality improvement for our… more
    UCLA Health (11/11/24)
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  • Director Risk Management

    Providence (Burbank, CA)
    …organization performance. + Directs the work of the risk specialist(s), patient safety, physician peer review , to ensure department needs and expectations ... and other factors that contribute to unintended adverse patient outcomes. + Coordinates Physician Peer Review : + Oversees the performance of case finding per… more
    Providence (10/17/24)
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  • Physician - Chief of Radiology

    Veterans Affairs, Veterans Health Administration (Nashville, TN)
    …to communicate directly with provider in a timely manner on all critical findings. The physician will participate in peer review activity as well as attend ... Summary Position entails a combined physician appointment in the Medical Imaging section of...Responsibilities VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Pay: Competitive salary, annual performance bonus,… more
    Veterans Affairs, Veterans Health Administration (10/23/24)
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  • Quality Manager

    Nuvance Health (Danbury, CT)
    …skills to facilitate improvements that have positive impact on patient safety. 4. Oversees the physician peer review process. Collaborates with Peer ... Review partners during the Peer Review Process, ensuring appropriate case referral and thorough review of patient care. 5. Functions as an expert resource… more
    Nuvance Health (10/23/24)
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  • Vice President, Quality & Patient Safety

    Emory Healthcare/Emory University (Atlanta, GA)
    …Improvement/process improvement and clinical innovation Oversees data analysis for support of physician peer review and professional performance evaluations, ... team and information technology team. **Ongoing Professional Performance Evaluations and Peer Review Analysis:** Maintains physician credentialing,… more
    Emory Healthcare/Emory University (10/16/24)
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  • Associate Director Medical Staff Services

    Banner Health (Casa Grande, AZ)
    …that will provide oversight of medical staff process which include privileging, credentialing and physician peer review process. This role will also support ... and supports medical staff operations and provides leadership and oversight for peer review , credentialing, and other required medical staff functions for… more
    Banner Health (10/31/24)
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  • Maui Oncology Site Leader

    Akumin (Wailuku, HI)
    …improvement process by the physician and team members, including chart rounds, physician peer review , and the quality assurance and continuous ... growth, target and revenue commitments. This will include analyzing physician referral patterns to develop customer-level marketing plans, identifying opportunities… more
    Akumin (08/29/24)
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  • Chief of Nuclear Medicine and Molecular Imaging

    University of Virginia (Charlottesville, VA)
    …funding to support these activities. The individual will also participate in and oversee the physician peer review process for the Division, partner with the ... A proven record of garnering funding to support research, high-impact peer -reviewed publications, and demonstrated excellence in teaching and clinical excellence is… more
    University of Virginia (10/19/24)
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  • Psychologist

    Devereux Advanced Behavioral Health (Berwyn, PA)
    physician to provide diagnostic and intervention patient care + Participation in physician peer review and relevant meeting + Monitoring and ... reevaluations as needed + Medication management **Being a Psychologist at Devereux Advanced Behavioral Health has its Advantages!** As a Licensed Psychologist at Devereux's Advanced Behavioral Health Pennsylvania Adult Services, you will be able to utilize… more
    Devereux Advanced Behavioral Health (10/31/24)
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  • Risk Management Coordinator & Patient Liaison

    Community Health Systems (Tucson, AZ)
    …Purpose** Coordinates quality functions and reporting within the QRM Department including physician peer review process, development and coordination of ... emergency center, Northwest Transitions Inpatient Rehabilitation, Women's Center, and a large physician group, we offer you a variety of settings in which to… more
    Community Health Systems (09/29/24)
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  • Director of the University of Maryland St. Joseph…

    University of Maryland, Baltimore (Baltimore, MD)
    …development and implementation in accord with institutional research processes * Conducts physician peer review activities as requested by medical ... innovative screening programs * Acts as admitting, attending and/or consulting physician for patients who require hospitalization for primary medical diagnoses,… more
    University of Maryland, Baltimore (09/28/24)
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  • Precertification Nurse

    NJM Insurance (Trenton, NJ)
    …Ensure that any guidelines and documentation used to make determination or to refer for peer physician review are referenced. + Understand, apply, and comply ... post-discharge coordination of care. + Refer requests that meet established criteria for peer review , fail to demonstrate medical necessity, or present high… more
    NJM Insurance (11/06/24)
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  • Director Medical Staff Services

    BayCare Health System (Clearwater, FL)
    …of medical staff credentialing. + Demonstrated experience in credentialing, privileging, physician performance/ peer review processes and working with ... hospital with a level II pediatric trauma center; has a robust physician group, BayCare Medical Group (BMG), and provides extensive outpatient services. BayCare's… more
    BayCare Health System (09/19/24)
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  • Director Quality Regulatory Risk Management

    AdventHealth (Daytona Beach, FL)
    …designated local campus. This responsibility includes Risk Management, Quality, Infection Prevention, Physician Peer Review , Just Culture, Patient Safety ... Organization, Data Analytics, Performance Improvement and Accreditation. The scope of work includes establishing policies, procedures, strategies and objectives specific to assigned departments for the region. Act as a liaison to the Medical Staff,… more
    AdventHealth (10/29/24)
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  • Mgr Quality Risk & Edu

    Covenant Health Inc. (Louisville, TN)
    …designed to minimize risk exposure such as System Improvement Reports, Risk Trending, and Physician Peer Review monitoring and reporting. + In conjunction ... with the Chairman of the Behavioral Medicine Department and the Medical Directors provides oversight for risk management activities of the medical staff. + Oversees the court commitment process for Peninsula Hospital. + Prepare materials for… more
    Covenant Health Inc. (10/24/24)
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  • Denials Management RN

    Virginia Mason Franciscan Health (Bremerton, WA)
    …policies. 4. Implements strategies, such as RN reconsideration and peer to peer physician review . 5. Escalates challenging cases and concerning payer ... using utilization management guidelines, medical necessity criteria, critical thinking skills, and physician advisor review . 2. Identifies denial root cause for… more
    Virginia Mason Franciscan Health (11/03/24)
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  • Initial Clinical Reviewer

    The Hartford (Alpharetta, GA)
    …necessity and appropriateness using nursing judgment, treatment criteria guidelines and Physician Advisor/ Peer Clinical Review referral process. Conduct ... in office position (Hartford, CT or Alpharetta, GA) that will perform Utilization Review for Work ers' Compensation Claims. An Initial Clinical Reviewer (ICR) is… more
    The Hartford (10/01/24)
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  • Certified Peer Specialist Senior - Lebanon…

    WellSpan Health (Lebanon, PA)
    Certified Peer Specialist Senior - Lebanon ACT - Days Location: WellSpan Philhaven, Lebanon, PA Schedule: Full Time Full-time, Days M-F-8:00-4:00 One on call per ... Essential Functions: + Draws on common experiences as a peer to provide guidance and encouragement to patients to...and preference regarding medications, under the direction of the physician and nursing staff. + Promotes participation in Wellness… more
    WellSpan Health (11/06/24)
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  • Chief Medical Officer-Via Christi

    Ascension Health (Wichita, KS)
    … professional conduct. Ensures adherence and completion of medical staff decisions regarding peer review and physician behavioral issues. + Leads the ... physicians and clinical staff. Identifies, cultivates and develops emerging physician leaders, provides coaching and mentoring by identifying deficits...not limited to; + Quality and Safety + Utilization Review + Peer Review and… more
    Ascension Health (09/05/24)
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  • Utilization Review Physician Full…

    Hackensack Meridian Health (Hackensack, NJ)
    **Overview** **The Utilization Review Physician collaborates with the healthcare team in the** **management and resolution of activities that assure the ... Hackensack UMC. These include but are not limited to utilization review ,** **hospital reimbursement, clinical compliance, case management, and transitions of care,… more
    Hackensack Meridian Health (11/02/24)
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