- VitalCore Health Strategies (Smyrna, DE)
- …Strategies (VCHS), an industry leader in correctional healthcare, has an opening for a Physician at James T Vaughn Correctional Center in Smyrna, DE!! ( Can sponsor ... of the hard work and dedication of our staff. PHYSICIAN BENEFITS PACKAGE: * Holiday Pay: New Year's Day,...Care Flexible Spending Account * Life Insurance * Short-Term/Long-Term Disability * Identity Theft Protection * Pet Insurance *… more
- VitalCore Health Strategies (Jackson, MI)
- …, Michigan! View our opportunities at: https://vitalcorehs.com/careers (https://vitalcorehs.com/careers) PHYSICIAN /MEDICAL DIRECTOR (MD / DO) BENEFITS PACKAGE TO ... Savings Account * Life Insurance * Short Term/Long Term Disability * Identity Theft Protection * Pet Insurance *...Annual Incentive Bonus * Dependent Care Flexible Spending Account PHYSICIAN /MEDICAL DIRECTOR (MD / DO) POSITION SUMMARY The Staff… more
- VitalCore Health Strategies (Hopkinton, MA)
- …Day * Medical/Dental/Vision Insurance * Life Insurance * Short Term/Long Term Disability * Identity Theft Protection * Animal/Pet Insurance * Employee Assistance ... direction and assistance to the on-site quality improvement program, including review of grievances and development of corrective action plans involving patients… 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
- Kelly Services (Pensacola, FL)
- …medicine and service-related conditions. **Your Role** + Perform one-time veteran disability evaluations (DBQs/C&P exams) + Review health histories, assess ... Physicians, autonomous NPs and PAs to serve as Disability Evaluators for Veterans - Flexible, Impactful, Supplemental...Proudly Serving Those Who Served** Are you a licensed ** Physician ** (MD or DO), or **autonomous NP or PA**… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …Disciplinary Position - Nurse Practitioner Announcement #12831693 Responsibilities The Physician Assistant (PA) completes disability examinations for veterans ... seeking qualified applicants to join our team. We are seeking a full-time Physician Assistant with prescriptive authority to function as part of ACS - Compensation… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …adjudicate these requests. At the request of the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also provides clinical ... Bring your true colors to blue. The Role The Physician Reviewer is responsible for evaluating clinical..., in partnership with case managers + Participate in Physician Psychologist Review Units' appeal process of… more
- Sharp HealthCare (San Diego, CA)
- …direction of Authorization Review for Sharp Health Plan (SHP). The Physician Reviewer will perform all reasonably necessary functions to ensure quality ... + 5 years' experience as a practicing primary care physician with knowledge of managed care and the process...of managed care and the process for prior authorization review . + California Physicians and Surgeons License - Medical… more
- Evolent (Olympia, WA)
- …Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/ Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance for ... with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United States. Acts… more
- AmeriHealth Caritas (Lafayette, LA)
- …for approval or denial decisions. + Identify and escalate complex cases requiring physician review or additional intervention. + Ensure compliance with industry ... When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health guidelines… more
- AmeriHealth Caritas (Washington, DC)
- …for approval or denial decisions + Identify and escalate complex cases requiring physician review or additional intervention + Ensure compliance with Medicaid ... cases are escalated to the Medical Director for further review . The reviewer independently applies medical and...benefits package, consisting of medical, vision, dental, life insurance, disability insurance, 401(k), paid time off and more. The… more
- Carle Health (Peoria, IL)
- …Arts (LPHA) authorizing Integrated Assessment and Treatment Plans. Will complete thorough review of each document, provide clinical guidance to team members, and ... ensure compliance with IATP standards. LPHA reviewer provides behavioral health assessment, intervention, and consultation to individuals and/or groups identified as… more
- Zelis (FL)
- …interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay ... Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest...provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with… more
- Kelly Services (Fargo, ND)
- …related (not determining final outcome). **Your Role** + Perform one-time veteran disability evaluations (DBQs/C&P exams) + Review health histories, assess ... Physician , NP, or PA Evaluator for Veterans -...Join Kelly Government Solutions, helping Veterans by conducting one-time disability evaluations in your existing office. *NP and PA… more
- SSM Health (MO)
- …to clinical staff regarding these requirements during the concurrent record review process. + Maintains knowledge of mortality models, observed rate/expected rate ... (O/E ratios), industry trends, variable and diagnosis review group (DRG) frequency. + Serves as a liaison...of Clinical Documentation Improvement Specialists (ACDIS) + Or + Physician Assistant in Medicine, Licensed - Illinois Department of… more
- Centene Corporation (Helena, MT)
- …on workplace flexibility. **Position Purpose:** Perform clinical/coding medical claim review to ensure compliance with coding practices through a comprehensive ... review and analysis of medical claims, medical records, claims...in medical billing & coding, coding/data analysis, accounting/business or physician /hospital data management or RN/LPN and 2+ years of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address member ... and treatment of members' behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address member ... and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well… more
- Zelis (NJ)
- …evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any ... match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription… more
- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions of care,… more
