- Duke Health (Durham, NC)
- …eye problems. JOB DUTIES AND RESPONSIBILITIES Perform preliminary screening examinations for physician review including, but not limited to, visual acuity, ... photography, outpatient studies and patient admissions and surgery as requested by physician Examine the cornea, lens, and anterior chamber of the eye using… more
- Kelly Services (Raleigh, NC)
- …your community and earn extra income? Join Kelly Government Solutions as a Physician Disability Reviewer , performing one-time Disability Evaluations ... **Become a Physician Disability Evaluator for Veterans - Raleigh, North Carolina and surrounding** ** Kelly Government Solutions: Make a Meaningful Impact for… more
- Evolent (Raleigh, NC)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are ... Medical Director's direction, using independent nursing judgement and decision-making, physician -developed medical policies, and clinical decision-making criteria sets. The… more
- Intermountain Health (Raleigh, NC)
- …compensation using established benchmarks, prepares information and participates in annual review process for physician compensation compliance and provides ... Physician and APP professional affairs. This position is responsible for Physician contract review for compensation compliance. Works with Market and Service… more
- Wolters Kluwer (Raleigh, NC)
- …on clinical practice with our expert contributors. **ESSENTIAL DUTIES & RESPONSIBILITIES:** Our physician editors review and edit the new contributions from our ... the literature for new developments and identifying topics that need updating. Physician Editors also systematically review existing topics for clarity,… more
- CenterWell (Raleigh, NC)
- …. Act as a collaborating physician for nurse practitioners or physician assistants, including completing regular chart review and coordinating monthly ... We are excited to offer the role of Virtual Physician Collaborator for CenterWell Medical Group, a new virtual.... Meet with clinic leaders about quality of care, review of outcome data, policy, procedure, and records issues.… more
- Cardinal Health (Raleigh, NC)
- **Position Summary:** The Vice President of Sales for Specialty Physician Office will lead the national sales strategy and execution for Cardinal Health's Specialty ... Physician Office business. This individual will be responsible for...+ Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave… more
- Parexel (Raleigh, NC)
- Join our dynamic Patient Safety team as a **Senior Physician ** where you'll leverage your medical expertise to ensure the safety of patients in clinical trials and ... impact patient wellbeing and regulatory compliance. **About the Role** As a **Senior Physician in Patient Safety** , you'll serve as the medical authority on safety… more
- ThermoFisher Scientific (Wilmington, NC)
- …Specific Information** Join Thermo Fisher Scientific as a Medical Director/Clinical Trial Physician (FSP) based in the United States and be part of a world-class ... yourself and contribute to breakthrough solutions , the Medical Director/Clinical Trial Physician could be a great fit. **Discover Impactful Work:** Provides clear… more
- CenterWell (Charlotte, NC)
- …with the care team through daily huddles. + Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in practice by ... leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....to write prescriptions under the authority of a collaborating physician /medical director. + This role is considered patient facing… more
- CenterWell (Gastonia, NC)
- …care team supporting patient's physical, emotional, and social wellness. The primary care physician (PCP) works as a lead in our team-based care environment. We are ... defined by clinical leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in potential… more
- UNC Health Care (Eden, NC)
- …+ Quality Assurance & Improvement: Participate in quality assurance programs, including review of callback rates, peer reviews, and diagnostic accuracy. + Continued ... sex, sexual orientation, gender identity, national origin, age, genetic information, disability , status as a protected veteran or political affiliation. UNC Health… more
- Evolent (Raleigh, NC)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer , Interventional Pain Management, you will be a key member ... **What You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management,...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- UNC Health Care (Kinston, NC)
- …first and second levels of an audit appeal. Works collaboratively with the Physician Advisors and subject matter experts for all audit and appeals work activities. ... Assists with documentation review to support the clinical documentation specialists and Patient...3. Reviews all denials and works collaboratively with the Physician Advisor and Case management Assistants. 4. Reviews and… more
- Evolent (Raleigh, NC)
- …Responsibilities** + **Clinical Review & Peer Collaboration** + Serve as the physician reviewer for oncology cases that do not initially meet medical ... focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization… more
- Evolent (Raleigh, NC)
- …`s input is needed or required. **What You Will Be Doing:** . Serve as the Physician match reviewer in Advanced Imaging cases, that do not initially meet the ... provides clinical rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Raleigh, NC)
- …`s input is needed or required. **What You Will Be Doing:** + Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Raleigh, NC)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not initially meet...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Raleigh, NC)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the specialty match reviewer in Vascular cases, that do not initially meet...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Intermountain Health (Raleigh, NC)
- …equivalent (GED) required + One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of ... required + Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)… more
