- 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
- UHS (Bethlehem, PA)
- …multi-disciplinary team while working in a state-of-the-art facility, including EPIC. The Utilization Review Director is responsible for overseeing the ... utilization review process, ensuring efficient and effective use of healthcare...environment Competitive Compensation & Generous Paid Time Off Excellent Medical , Dental, Vision and Prescription Drug Plans 401(K) with… more
- Trinity Health (Silver Spring, MD)
- …of hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource ... and Accreditation: Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR) LOC and clinical documentation. 5. Revenue… more
- HEALTH FIRST CAREERS (Melbourne, FL)
- Job Requirements POSITION SUMMARY The Utilization Review (UR) nurse performs medical necessity reviews on all payer admissions to determine appropriate ... a fast-paced, rapidly changing regulatory environment and regularly collaborates with the Medical Staff, Physician Advisors, Case Managers, Revenue Cycle and… more
- HCA Healthcare (Sarasota, FL)
- …as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training Have strategic and ... Director Physician Services I This position is incentive eligible....our colleagues. The available plans and programs include: comprehensive medical coverage that covers many common services at no… 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
- Tenet Health (Houston, TX)
- …staffing Assists the physician as follows, but not limited to Utilization Review , Quality Assurance, Program Evaluation, Infection Control, Safety Committee ... spine surgeries, including pre-operative and post-operative care Perform patient assessments, review medical histories, and order diagnostic tests Provide… more
- Gracelight Community Health (Los Angeles, CA)
- …and administrative functions. Oversees and participates in the referral management process and utilization review . Maintains a clinical practice one day per week ... ACGME-accredited residency program-we are seeking a dynamic, visionary Chief Medical Officer (CMO) to lead our clinical strategy and...patient care. This is a unique opportunity for a physician leader who is passionate about equity, education, and… more
- UT Southwestern Medical Center (Dallas, TX)
- Details Client Name UT Southwestern Medical Center Job Type Permanent Offering Physician Profession Radiology Specialty Diagnostic Job ID 15420506 Job Title ... 0 Job Description The Radiology Department at the University of Texas Southwestern Medical Center is seeking an innovative physician leader who will provide… more
- PACS (Santa Monica, CA)
- …patient progress, problem and plans. Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate ... twenty four (24) hours, or 1 business day of physician referral. If unable to complete evaluation in 24...unable to complete evaluation in 24 hours, documentation in medical record clearly defines cause for delay. Develop effective… more
- Dexter House Healthcare (Malden, MA)
- …of interventions to achieve patient goals and minimize re-hospitalization. Participates in review and revision of plan of care Provision of Direct Patient Care: ... Administers medications and performs treatments per physician orders Communicates pertinent data to RN...necessary At the direction of the RN, participates in utilization management or interdisciplinary care management meeting to facilitate… more
- AdventHealth (Hinsdale, IL)
- …education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning ... limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
- Encompass Health (Boise, ID)
- …accuracy of discharge and payor-related information in the patient record Participate in utilization review process: data collection, trend review , and ... you can thrive. From day one , you will have access to: Affordable medical , dental, and vision plans for both full-time and part-time employees and their families.… more
- Phoenix Children's Hospital (Phoenix, AZ)
- …Assists with any scheduling and flow of patients as well as physician template and session maintenance. Coordinates patient placement, flow and/or triage between ... and annual evaluations. Participates in and ensures evidence based literature review to improve clinical care, policies and procedures, guidelines, programs and… more
- SUNSHINE ENTERPRISE USA LLC (Orlando, FL)
- …is to provide medical care and services to students according to physician prescribed medical care and treatment orders. Employees in this classification are ... light. Provides medical care and services to students according to physician prescribed medical care and treatment orders. Prepares medications for… more
- Regal Medical Group, Inc. (San Bernardino, CA)
- …that improve program outcomes. Identifies and assists in the development of Concurrent Review policies and procedures and assists the Medical Director to oversee ... and will assist in implementing care plans. They will review discharge plans for thoroughness and completion, working with...market factors. As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical … more
- Compu-Vision Consulting, Inc. (Lawrenceville, GA)
- …on the treatment of radiation-included side effects. Prepares patient for consult with physician and completes the nursing review of systems. Prepares patient ... and review of diagnostic studies with ppropriate follow-through and physician consultation. Performs post procedure monitoring of patient. Performs sheath pulls… more
- Kaiser Permanente (Clackamas, OR)
- …medical illnesses), stress-related physical symptoms, ineffective patterns of health care utilization , and adjustment to new and chronic medical conditions. ... to successfully pivot from a patient facing to a physician facing role throughout the day. The BHC thrives...ability to appropriately and professionally present a case for review by the medical home/specialty treatment team,… more
- VITAS Healthcare (Washington, DC)
- …care is being delivered. Participates in the Outcomes Management and annual program review . Performs utilization review of continuous care and inpatient ... eligibility and appropriateness criteria are met. Collaborates with both the team physician and the attending physician regarding palliative care measures for… more
- Fairview Health Services (Minneapolis, MN)
- …may include prior authorizations, vacation supplies, dose changes, price check and drug utilization review . Process new and refill prescriptions in the computer ... enter new and refill prescriptions in the computer system, work with physician offices to obtain refill requests, handle cash register transactions, receive patient… more
