- Evolent Health (Lincoln, NE)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology , Physician Clinical Reviewer you will be a key member ... Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Catholic Health Initiatives (Lincoln, NE)
- …Quality Improvement: + Participate in quality assurance and improvement initiatives. + Review and analyze clinical outcomes for continuous improvement. + ... Specialty support: Neurosciences, Pulmonary/CC, Palliative Care, Infectious Disease, Surgery, Cardiology , Interventional Radiology, Nephrology, Orthopedic Surgery, Urology, Wound Care… more
- Catholic Health Initiatives (Lincoln, NE)
- …**NE** . This is a great opportunity for a new provider or experienced physician interested general cardiology to be part of an established and highly ... respected team. NHI is an integrated cardiology program with a network of offices throughout Nebraska....+ Participate in quality assurance and improvement initiatives. + Review and analyze clinical outcomes for continuous… more
- Humana (Lincoln, NE)
- …specificity and appropriateness of procedure codes based on services rendered + Review medical documentation for clinical indicators to ensure specific ... guidelines and provide reports as needed + Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release… more