- Novo Nordisk Inc. (Traverse City, MI)
- …Relationships Externally, the DCS maintain relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- Hueman Risk Adjustment Solutions (Rego Park, NY)
- Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid ... assistance Liability insurance options Position Summary Qualified Nurse Practitioners and Physician Assistants interested in this position will have the opportunity… more
- UnitedHealth Group (Brooklyn, NY)
- …Care, part of the Optum family of businesses, is seeking a Nurse Practitioner or Physician Assistant to join our team in Brooklyn, NY. Optum is a clinician-led care ... or following hospitalization. Meets with members and/or their legal representatives to review newly developed or modified care plans; involves the PCP in these… more
- Hackensack Meridian Health (Hackensack, NJ)
- Overview The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of ... Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions of care,… more
- Atlantic Health System (Pompton Plains, NJ)
- Job Description Atlantic Health System is Seeking a Per Diem Physician Assistant for Head and Neck Surgery at Morristown Medical Center Atlantic Health System, one ... non-profit healthcare networks, is seeking a skilled and compassionate Physician Assistant (PA) to join our Head and Neck...100 Accountable Care Organizations to Know - Becker's Hospital Review Best Employers for Workers over 50 - AARP… more
- ISNP (Portland, OR)
- …the efforts, care, and commitment of our Nurse Practitioners. Serving millions of Medicare and Medicaid patients, Optum is the nation's largest health and wellness ... place to advance your advanced practice nursing career. As an CCM Nurse Practitioner/ Physician Assistant per diem you will provide care to Optum members and be… more
- Curana Health, Inc. (Leesburg, VA)
- …innovative CMS programs (including owned-and-operated Accountable Care Organizations and Medicare Advantage plans). With rapid year-over-year growth since our ... illnesses, as medically appropriate Evaluate/treat residents for changes in condition. Review medications, orders, and diagnostic tests, and respond to clinical… more
- University of California, Irvine (Orange, CA)
- …a physician assistant training program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Licensure ... Orthopaedic Surgery Your Role on the Team The Orthopaedic Surgery Physician Assistant position will provide collaborative medical management to Orthopaedic Surgery… more
- FROEDTERT HEALTH (Milwaukee, WI)
- …to the physician advisor, PA moonlighter, for a second level review as needed. Facilitates communication with service based multidisciplinary team as it relates ... Bachelor's Degree in Nursing is preferred. SPECIAL SKILLS DESCRIPTION: Knowledge of Medicare inpatient only surgical list, Medicare guidelines for admission,… more
- UnitedHealth Group (Pasco, WA)
- …helping patients access and navigate care anytime and anywhere. Serving millions of Medicare and Medicaid patients, Optum is the nation's largest health and wellness ... manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations. Responsible for ensuring that all… more
- Planned Parenthood of Tennessee and North Mississippi (Chattanooga, TN)
- Clinician (Nurse Practitioner, Physician Assistant, Certified Nurse Midwife) REPORTS TO: Practice Manager | Lead Clinician STATUS: Non-Exempt - Hourly | PRN ... Master's Degree in Nursing (MSN) or equivalent education in Physician Assistant or Nurse Midwifery programs. Minimum of three...of the current job, management reserves the right to review and change this description as needed to maintain… more
- National Recruiters (Morgantown, WV)
- …physicians included What you'll do: Complete comprehensive in-home HRAs for Medicare Advantage patients Review each patient's medical history, current ... Flexible PRN Opportunity for Nurse Practitioners & Physician Assistants - Health Risk Assessments We're looking...PRN role conducting in-home Health Risk Assessments (HRAs) for Medicare Advantage members. This is a great way to… more
- PERSANTE HEALTH CARE INC (Mount Laurel, NJ)
- …from patients during scheduling process. *Inform, educate and answer physician /patients' questions regarding sleep study process. *Communicate information received ... from patients, physician offices, and/or hospitals to the appropriate Persante employee(s)...follow-up. *Assure customer call turn around times are exceeded. * Review and verify source materials to determine accuracy and… more
- University of Minnesota Physicians (Minneapolis, MN)
- …in the fellowship program education and at least annually thereafter; * Review new appointments and renewals of adjunct, affiliate, and community instructors ... upon the trainee's request within 30 days and *Obtain review and approval of the Sponsoring Institution's DIO before...limited to the Minnesota Board, Affiliated Sites, Centers for Medicare and Medicaid Services, Metro Minnesota Council on GME,… more
- Stony Brook Medicine (Stony Brook, NY)
- …Department may include the following but are not limited to: Completes Utilization review screen for inpatient and observation cases. Activity includes UR from the ... Follows cases for authorization for in patient stay. Staff review short stay, long stay and complex cases to...days. Documents over utilization of resources and services. All Medicare cases are reviewed for level of care on… more
- CentraState Healthcare System (Freehold, NJ)
- …are not limited to: Level of Care Determination: Completes initial medical necessity review on all ED patients with potential for admission, works with providers to ... other regulatory agency rules and regulations including The Joint Commission, CMS, Medicare , including but not limited to, knowledge of CMS rules regarding… more
- The Christ Hospital (Cincinnati, OH)
- …to maximize reimbursement. Maintain knowledge of current HMO/PPO/Medicaid/ Medicare /commercial insurance regulations and requirements. Requires working knowledge ... Necessity guidelines have been met. Prepares and completes documentation that establishes Medicare Compliance such as Medicare Secondary Payor Questionnaire and… more
- DHR Health (Edinburg, TX)
- …and review processes highly desirable. Knowledge and understanding of Medicare and Medicaid guidelines and regulations pertaining to utilization review ... manner to set up services required. Works with attending physician and care team members to move patient through...issue Hospital Issued Notice of Non-coverage and Hospital Requested Review for Medicare patients according to policy.… more
- AdaptHealth LLC (West Berlin, NJ)
- …to appropriate resource, and follow up on customer calls where necessary Review all required documentation to ensure accuracy Accurately process, verify, and/or ... Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required… more
- CVCH (Chelan, WA)
- …Quality, and Citizenship Goals) Job Summary The Nurse Practitioner or Physician Assistant Certified (Advanced Practice Provider-APP) primary job function is to ... plan which is in accordance with State of Washington Physician Assistant licensure requirements, in cooperation with supervising ...BLS. All Providers must be eligible for enrollment in Medicare and must not be currently opted out of… more
