- Kelly Services (Dayton, OH)
- …medicine and service-related conditions. **Your Role** + Perform one-time veteran disability evaluations (DBQs/C&P exams) + Review health histories, assess ... ** Physician Evaluator for Veterans - Flexible, Impactful, Supplemental...clinical expertise, not paperwork. **Meaningful Community Impact:** + Conduct Disability Compensation & Pension (C&P) exams-one-time evaluations, no ongoing… more
- Evolent (Columbus, OH)
- …approach with call center staff. Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination ... outcomes. **Collaboration Opportunities: ** + Functions in a clinical review capacity to evaluate all cases, which do not...cases that an approval cannot be rendered to the Physician Clinical Reviewer . In States where allowed,… more
- OhioHealth (Columbus, OH)
- …metrics as assigned Develop and execute plans to improve outcomes Provide and review monthly physician and practice performance data with all providers Work ... metrics as assigned Develop and execute plans to improve outcomes Provide and review monthly physician and practice performance data with all providers Work… more
- City of Cincinnati (Cincinnati, OH)
- PUBLIC HEALTH PHYSICIAN (Primary Care) Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/4742711) Apply PUBLIC HEALTH PHYSICIAN (Primary ... will be forwarded to the hiring department for consideration. Please review the "Required Education and Experience" section for additional information. Minimum… more
- Bon Secours Mercy Health (Toledo, OH)
- …want to work and help communities thrive. **_Assistant Program Director Physician Assistant Program- Mercy College_** **Job Summary:** The Assistant Program Director ... Director in the leadership and operational execution of the Master of Physician Assistant Studies (MPAS) program, with specific emphasis on implementation and… more
- OhioHealth (Grove City, OH)
- …metrics as assigned Develop and execute plans to improve outcomes Provide and review monthly physician and practice performance data with all providers Work ... in accordance to budget Prepare preliminary capital and human resources budgets for review and approval Assure timely capture and input of all billing information… more
- OhioHealth (Columbus, OH)
- …or Manager, to include but not limited to: faxing dictation to referring physician offices, completion of disability forms, FMLA forms, Attorney request letters ... verification. When necessary, obtains pre-authorization from insurance companies. Interacts with physician offices and other third parties to obtain all necessary… more
- Evolent (Columbus, OH)
- …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
- Trinity Health (Columbus, OH)
- …on defined indicator criteria. Writes case summaries for cases that meet the peer review indicator list and sends them to physician reviewers for further ... call your own in Columbus. Learn more at www.experiencecolumbus.com ! The Peer Review Specialist provides leadership and coordination for the provider peer review… more
- OhioHealth (Columbus, OH)
- …with respect to professional liability claims and incidents and the review and oversight of practitioner claim trends from the organization's claims/incidence ... expertise to the Quality and Patient Safety and Peer Review staff and leadership to help manage risk and...errors. The MDRM will be the primary medical expert reviewer of incidents and potentially compensable events (PCEs) as… more
- Evolent (Columbus, OH)
- …`s input is needed or required. **What You Will Be Doing:** + Serve as the Physician match reviewer in PM&R 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 (Columbus, OH)
- …`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 (Columbus, OH)
- …`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
- Medical Mutual of Ohio (OH)
- …of 5 years of established (clinical) care practice experience required. + Physician reviewer experience in the insurance industry preferred. **Professional ... mind to more than 1.2 million members through our high-quality health, life, disability , dental, vision and indemnity plans. We offer fully insured and self-funded… more
- Evolent (Columbus, OH)
- …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
- Evolent (Columbus, OH)
- …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
- Sedgwick (Dublin, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Senior **PRIMARY PURPOSE** : Provides disability case ... complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely… more
- Sedgwick (New Albany, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Senior Disability Representative - Make a Meaningful ... we're looking for experienced, compassionate professionals to join us as** **Senior Disability Representatives** **. If you're someone who thrives in a collaborative… more
- OhioHealth (Columbus, OH)
- …will have operational and strategic responsibilities for a portfolio of physician practices, ambulatory care settings and/or programmatic leadership within a service ... the enterprise and with all business units. This role will partner with physician and administrative leadership teams to drive successful efforts to support service… more
- Fresenius Medical Center (Brook Park, OH)
- …annual Nursing History and Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. **OTHER:** + As a condition ... adjustments and modifications to the treatment plan as indicated by the prescribing physician . Communicates problems or concerns to the Team Leader or physician .… more