- Novo Nordisk Inc. (Seattle, WA)
- …other field-based employees (eg, DBMs, DCSs, Market Access Team, Diabetes Educators, Medical Liaisons) covering the same geographic areas. The Specialty Field Sales ... and unique insights Leverages superior understanding of complexities within the targeted physician customer base in order to maximize performance Applies high level… more
- Medstar Health (Washington, DC)
- …with others as appropriate to ensure that palliative clinical protocols, utilization review , case management, quality assurance, and compliance programs ... Palliative Care Medical Director/Attending Physician - MedStar Southern Maryland Hospital Center MedStar Health offers a uniquely rewarding career in a major… more
- UPMC Senior Communities (Pittsburgh, PA)
- The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC ... Life Changing Medicine happen. Responsibilities: Actively participates in the daily utilization management and quality improvement review processes, including… more
- Baton Rouge General (Baton Rouge, LA)
- …team that shapes the future of patient care through resourceful and compassionate utilization review ? What We're Looking For: Strong leadership and advocacy ... team support and development Minimum 3 years of hospital utilization review experience preferred At least 1...You'll lead efforts to ensure timely and clinically sound medical necessity and level of care determinations while fostering… more
- Washington VA Medical Center (Columbia, MD)
- …the Medical Support Assistant Supervisor, Service Chiefs and Administrative Officers to review the clinic utilization by using various reports (eg, Clinic ... appointment. Follow up on all clinical requests for outside medical data and include new information requiring review...delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure… more
- Wellstar Health System (Marietta, GA)
- …a focus on clinical documentation, medical necessity assessment, billing and utilization review committee or similar. Required Required Minimum Skills: The ... of Physician Advisor, as well as Denials Medical Director to impact utilization management and...quality improvement roles. Utilization Management: The PRN Physician Advisor (PA) will conduct clinical review … more
- Vivo HealthStaff (Burbank, CA)
- …tasks, performance reviews, and disciplinary actions. 2. Collaborate effectively with physician reviewers, medical directors, and other departments. 3. Ensure ... to all regulatory, accreditation, and health plan standards for associated medical groups. Key Responsibilities: 1. Supervise licensed and non-licensed denial unit… more
- West Palm Beach VA Medical Center (West Palm Beach, FL)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability utilization to ensure that clinic schedules ... range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social… more
- OptiMindHealth (Medford, MA)
- …for both medical provider and patient populations (market share patterns; patient utilization data and medical provider referral trends) and both volume and ... Physician Liaison / Outreach Coordinator Position Requirement: Part-Time...a specified territory and/or strategy by soliciting referrals from medical providers and healthcare institutions as directed by the… more
- VA Northeast Ohio Healthcare System (Sandusky, OH)
- …Duties: Schedules patient appointments Coordinates with the patient care team to review the clinic utilization by using various reports; Maintains effective ... coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability utilization ) to ensure that clinic schedules… more
- South Shore Health (Weymouth, MA)
- …to reduce cost while assuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. ... physician certification, and payor specific criteria, assists the physician in determining the medical necessity for...criteria and refers these cases to appropriate manager or physician advisor for secondary review . c -… more
- Lexington Medical Center (West Columbia, SC)
- …for healthy patients within prescribed guidelines: Elicits appropriate present and past medical history and review of systems. Performs appropriate physical ... - Acute Care Full Time Rotating Rotating Consistently named best hospital, Lexington Medical Center anchors an expansive health care network that includes nearly 600… more
- Connections Health Solutions (Chantilly, VA)
- …or Physician Assistant who will direct, coordinate, and provide medical /clinical services to specified individuals within the facility, including, but not ... provider of immediate-access behavioral health crisis care. Our team combines medical and recovery-oriented treatment to stabilize individuals in crisis and connect… more
- Mount Sinai Hospital (New York, NY)
- …acute/chronic illnesses. Documents findings and plan of care in the patient's medical record. Consults with physician according to established standards, ... to the plan of care. Performs a patient record review with the collaborating physician in a...Documents findings and plan of care in the patient's medical record. Consults with physician according to… more
- Advocate Aurora Health (Rolling Meadows, IL)
- … and referral reviews as assigned and in partnership with APP Medical Operations, including Utilization Management (UM), Referrals, and Integrated Care ... Medical Director(s) for Population Health, as directed by Regional Medical Director Licensure: Physician Education/Experience Required: Level of Education:… more
- Beth Israel Lahey Health (Needham, MA)
- …and outpatient clinics at BID Needham. The CMO provides support and leadership for Utilization Review , working closely with HIM and Case Management, chairing UR ... Job Description: Primary Responsibilities: Serves as resource to the medical staff, resolving/mediating inter- physician and inter-service problems/controversies,… more
- NYC Health Hospitals (New York, NY)
- Lincoln Medical and Mental Health Center is one of New York City's premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned ... Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of highly trained and caring … more
- UnitedHealth Group (Latrobe, PA)
- …requirements Serve as a physician member of the Utilization Review Committee, which may require non-clinical medical staff privileges application Provide ... the facility M-F during standard facility business hours. The Physician Advisor will work closely with medical ...is covered remotely. Preferred Qualifications: Board Certified / Eligible Physician Advisor and or Utilization Review… more
- VA Maine Healthcare System (Augusta, ME)
- …range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social ... day but some shifts could be evenings, nights, and include weekends/holidays. Medical Support Assistants (Advanced) may work tours other than their regular scheduled… more
- KMA Human Resources Consulting (South Portland, ME)
- …direction for patients when their physicians are unavailable. Participates in utilization review and prior authorization requests. Supports programmatic ... Chest Medicine Associates Physician Assistantor Nurse Practitioner South Portland, Maine Chest...We have provided regional expertise in sleep medicine, pulmonology, medical and neurological critical care for nearly thirty-five years.… more
