- Daiichi Sankyo, Inc. (Bernards, NJ)
- …clinical trial feasibility and contributes to the site feasibility assessment from a physician 's perspective- May provide clinical input into the eCRF ( Case ... design, participate in the UAT (User Acceptance Testing) and CCG (CRF Completion Guidelines) review - Conducts clinical data review per Integrated Data Review … more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …other functions) to implement clinical development plan: study ideation, protocol development, review case report from creation, study initiation, study conduct ... documents (writing of ICF, DM charter, response assessment charter, etc), clinical data review excellence with a focus on patient safety and data integrity, site… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …from a physician 's perspectiveMay provide clinical input into the eCRF ( Case Report Form) design, participate in the UAT (User Acceptance Testing) and CCG ... (CRF Completion Guidelines) reviewConducts clinical data review per Integrated Data Review PlanAccountable for the assessment of protocol deviationsDiscusses… more
- Trinity Health (Athens, GA)
- …Improvement activities. To compile data and assist with maintaining Physician profiles. **II. Position Requirements** : **A: Licensure/Certification/Registration** : ... Current Georgia Registered Nursing License. **B. Education:** Graduate of an accredited school of nursing. Bachelor's degree preferred. **C: Experience:** Three to five years recent clinical experience in an acute care hospital. **D. Special Qualifications:**… more
- AdventHealth (Calhoun, GA)
- …which may also result in the need for FPPE. Maintains databases of physician peer review credentialing/re-credentialing, and quality improvement activities ... review of cases meeting established indicators, preparation of case summaries for physician review ...Distributes request for FPPE review to applicable Physician Peer Review Representatives. +… more
- Trinity Health (Boise, ID)
- …data used in consideration for appointment/reappointment. Maintain and coordinate the entire Physician Peer Review process regarding information control and ... of care. **We are seeking to hire a temporary Peer Review Coordinator!** As a Peer...direct one-on-one communication. Analyze data regarding current and past case reviews and subsequent requested reports, and integration of… more
- WellSpan Health (Lebanon, PA)
- Certified Peer Specialist Senior - Community Peer Support - Days Location: WellSpan Philhaven, Lebanon, PA Schedule: Part Time Part-time, Days - 20 hours 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 (Lebanon, PA)
- Certified Peer Specialist - Lebanon Crisis Intervention Location: WellSpan Philhaven, Lebanon, PA Schedule: Full Time Full-time, Days 8am-4pm 40 hrs/week General ... Summary Contributes in a peer support capacity to facilitate recovery and enhance wellness...and preference regarding medications, under the direction of the physician and nursing staff. + Promotes participation in Wellness… more
- WellSpan Health (York, PA)
- …of level of care and verify need for peer to peer review -discuss with the CM nurse and/or attending physician as needed and then document activities. ... Physician Advisor Location: WellSpan Medical Group, York, PA...medicine. Required + Less than 1 year Experience with peer review and/or case management.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity… more
- Baptist Memorial (Memphis, TN)
- …admission review against standard criteria per payer guidelines + Prioritizes observation case review + Assists with level of care in collaboration with ... education + Employee referral program Job Summary: Position: 19738 - RN-Utilization Review Facility: BMHCC Corporate Office Department: HS Case Mgmt… more
- WMCHealth (Valhalla, NY)
- …with a third party leveling and/or appeals agency preferred. Previous utilization management, case management or peer review documentation experience in ... + Provides clinical rational for standard and expedited appeals. + Participate in peer -to- peer review with payors and/or complete appeals as required… more
- Nuvance Health (Danbury, CT)
- … case managers, and other staff regarding appropriate utilization review processes, correct status assignment, and necessary clinical documentation to prevent ... *Description* *Summary:* The Physician Advisor will develop and maintain expertise in...and maintain expertise in assessing inpatient medical necessity, utilization review and assignment of appropriate admission status assignment, care… 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...reimbursement models in decision making and reviews. + Provide peer -to- peer payor review in collaboration… more
- Houston Methodist (Houston, TX)
- …towards improvement of department scores for employee engagement, ie, peer -to- peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for ... At Houston Methodist, the Case Manager (CM) Certified position is a registered...patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team… more
- Covenant Health (Nashua, NH)
- …level review / Physician Advisor services. + Identifies opportunities for physician peer to peer reviews when adverse determinations are received. + ... are attended /documented. + Annual goals are achieved. + Attends pertinent case management/utilization review programs to maintain current knowledge of UR… more
- CommonSpirit Health (Sacramento, CA)
- …**Responsibilities** **This is a remote position.** **Summary** The Utilization Management Physician Advisor II conducts clinical case reviews referred by ... be a part of the specialized Denials Management team. This individual meets with case management and health care team members to discuss selected cases and make… more
- Penn Medicine (Philadelphia, PA)
- …hospital through teaching, consulting, and advising the care management and utilization review departments and the hospital leadership. The Physician Advisor ... Are you living your life's work? **Summary:** + The Physician Advisor is a key member of the healthcare...level of care including initial level of care, secondary review , and as requested by case management.… more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... improvements, patient satisfaction). **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional health care team to… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Case Mgmt Social Svcs position is responsible for strategy, function and operations of the Case Management & Social Work ... the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to enhance consistent… more
