- Evolent Health (Columbus, OH)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization ... **What You Will Be Doing:** + Serve as the Physician match reviewer in PM&R cases, that... rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …Community Based Outpatient Clinics are recruiting for a Advanced Practice Nurse or Physician Assistant. This position may be filled as either a Advanced Practice ... Nurse or a Physician Assistant. Responsibilities VA offers a comprehensive total rewards...understanding the approved settings for granted privileges. In requesting clinical privileges, providers acknowledge these setting restrictions and agree… more
- Fresenius Medical Center (Columbus, OH)
- …state or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . ** PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Cardinal Health (Columbus, OH)
- …**_Gastroenterology (GI) Customer Success_** **_contributes to Cardinal Health_** The Clinical Manager for our Gastroenterology (GI) Customer Success team is ... responsible for leading the Customer Success Clinical function of PPS Analytics. This individual will be...make sound recommendations + Ability to maintain strict patient, physician , staff and corporate confidentiality + Ability to demonstrate… more
- Highmark Health (Columbus, OH)
- …of Board Certified Physician experience Preferred + 5 years related, progressive clinical experience in the area of specialization + 5 years experience as an ... our community-based palliative care program. In addition, this role will provide clinical leadership and guidance to the regional interdisciplinary team. The medical… more
- ChenMed (Columbus, OH)
- …**ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Independently assesses acute and non-acute clinical problems. Performs and documents physical assessments and ... The Nurse Practitioner (NP) acts as part of the clinical operations team and is responsible for providing direct...but are not limited to: geriatric assessment, medical history, physical exam, diagnosis and treatment, development of the nursing… more
- Highmark Health (Columbus, OH)
- …URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary ... **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with… more
- CenterWell (Newark, OH)
- …and capabilities of patients. + Report patient status and progress to the physician , rehabilitation staff, Clinical Manager, patient and family members. + ... tests of function to patients in their homes or other settings to assist the physician in evaluating the patient's level of function. + Confer with the patient's … more
- Sedgwick (Columbus, OH)
- …claimant's physician and employer. + Refers cases to team lead and clinical case management for additional review when appropriate. + Maintains professional ... meaningful, each and every day. It's having support for your mental, physical , financial and professional needs. It means sharpening your skills and growing… more
- Sedgwick (New Albany, OH)
- …claimant's physician and employer. + Refers cases to team lead and clinical case management for additional review when appropriate. + Maintains professional ... meaningful, each and every day. It's having support for your mental, physical , financial and professional needs. It means sharpening your skills and growing… more
- J&J Family of Companies (Columbus, OH)
- …publication plan + Supports impactful publication development cross-functionally with Clinical Research, Biostatistics and physician authors + Provides ... in the endovascular treatment of hemorrhagic and ischemic stroke. The Clinical Science & External Research professional will support end-to-end evidence generation… more
- Fresenius Medical Center (Columbus, OH)
- …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy ... activities. + Enters all treatment data into the designated clinical application accurately and in a timely manner. +... application accurately and in a timely manner. + Review treatment sheets for completeness ensure nursing signatures are… more
- Cardinal Health (Dublin, OH)
- …CPOE order evaluation and verification + Physician and nursing consultations + Clinical medication dosing services + Review and monitoring of profiles and ... to practice hospital pharmacy outside of a hospital setting. Utilize your clinical skills - including monitoring, dosing and reviewing patient medication therapy -… more
- BioLife Plasma Services (Columbus, OH)
- …determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test ... as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with… more
- Cardinal Health (Columbus, OH)
- …to all practice due diligence, integration and onboarding needs including clinical , administrative, compliance and technology. This role may directly manage ... and Navista leadership on operational improvement including developing improved clinical & administrative processes, organizational structures, policies and procedures,… more
- Cardinal Health (Columbus, OH)
- …customized solutions for hospitals, health systems, pharmacies, ambulatory surgery centers, clinical laboratories and physician offices worldwide. The company ... and internal requirements/objectives + Conduct quality assurance and effective peer review for team member assessments, audit findings and reports + Demonstrate… more
- Trinity Health (Columbus, OH)
- …testing. Basic trouble shooting skills for minor problems. Works with Clinical Engineering to coordinate preventative maintenance on equipment. Evaluates and makes ... department staff through participation in educational programs, current literature review , and/or in-services. . . Performance Improvement: Assists in development… more
- Cardinal Health (Columbus, OH)
- **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support and expertise in the ... team * As needed conduct research associated with issues regarding the payer, physician 's office, and pharmacy to resolve issues swiftly **_What is expected of you… more
- Fresenius Medical Center (Columbus, OH)
- …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. ... activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. +... application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are… more
- Highmark Health (Columbus, OH)
- …not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services ... projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC...+ Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work… more