- Novo Nordisk Inc. (Seattle, WA)
- …and unique insights Leverages superior understanding of complexities within the targeted physician customer base in order to maximize performance Applies high level ... appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved… more
- Oxford Global Resources (Dallas, TX)
- …(5) years of experience in either clinical nursing, case management, Inpatient Coding, Utilization Review , Physician Assistant or other clinical disciplines ... for improving the overall completeness of clinical documentation Collaborate with physician to identify and clarify missing, conflicting or nonspecific documentation… 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
- 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...Care is recruiting for a Palliative Care Medical Director/Attending Physician for MedStar Southern Maryland Hospital Center. The MedStar… 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...Serve as a clinical escalation point for payers and physician advisors, guiding team members on documentation and communication… more
- Wellstar Health System (Marietta, GA)
- …not have any expanded quality improvement roles. Utilization Management: The PRN Physician Advisor (PA) will conduct clinical review cases sent for review ... with a focus on clinical documentation, medical necessity assessment, billing and utilization review committee or similar. Required Required Minimum Skills: The… more
- UnitedHealth Group (Latrobe, PA)
- …for questions regarding federal, state and payor and regulatory requirements Serve as a physician member of the Utilization Review Committee, which may ... is covered remotely. Preferred Qualifications: Board Certified / Eligible Physician Advisor and or Utilization Review...Certified / Eligible Physician Advisor and or Utilization Review experience At UnitedHealth Group, our… more
- Vivo HealthStaff (Burbank, CA)
- …tasks, performance reviews, and disciplinary actions. 2. Collaborate effectively with physician reviewers, medical directors, and other departments. 3. Ensure prompt ... regulatory and quality measures, implementing strategies for improvement. 11. Review performance reports, identify deficiencies, and implement corrective action… more
- OptiMindHealth (Medford, MA)
- Physician Liaison / Outreach Coordinator Position Requirement: Part-Time FLSA Status: Non-Exempt Location: Medford , MA Join a leading clinician-led behavioral ... balance between flexibility and efficiency. This position is an entry level Physician Liaison / Outreach Coordinator role. Preferred candidates will possess a B2B… more
- South Shore Health (Weymouth, MA)
- …that fail to meet criteria and refers these cases to appropriate manager or physician advisor for secondary review . c - Contacts attending physicians daily on ... cost while assuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides… more
- Washington VA Medical Center (Columbia, MD)
- …with the Medical Support Assistant Supervisor, Service Chiefs and Administrative Officers to review the clinic utilization by using various reports (eg, Clinic ... coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules… more
- Tenet Health (Memphis, TN)
- …staffing Assists the physician as follows, but not limited to Utilization Review , Quality Assurance, Program Evaluation, Infection Control, Safety Committee ... System are seeking an experienced Cardio Thoracic Surgical / Cardio Vascular Surgical Physician Assistant for our facility in Memphis, TN. Our provider's time would… more
- Connections Health Solutions (Chantilly, VA)
- …room psychiatrists Dr. Chris Carson and Dr. Robert Williamson, our model is physician -led and data-driven, drawing upon more than 15 years of crisis care expertise. ... Responsibilities What You'll Do: We are hiring a Nurse Practitioner or Physician Assistant who will direct, coordinate, and provide medical/clinical services to… more
- Mount Sinai Hospital (New York, NY)
- …and interprets the clients responses to the plan of care. Performs a patient record review with the collaborating physician in a timely fashion but not less than ... established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee. Ability… more
- Lexington Medical Center (West Columbia, SC)
- …and life span within protocols set forth and approved by both the Physician Assistant and Physicians.Provides a wide spectrum of direct health care services to ... patients of all ages under the supervision of a licensed physician . Minimum Qualifications Minimum Education: Master's Degree from an accredited college or… 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
- NYC Health Hospitals (New York, NY)
- …and monitors the management of patient-centered quality care, ensuring optimal utilization of resources, service delivery, and compliance with external review ... of stay, need for continued hospitalization and appropriateness of resources utilization , consultations, treatment plan and discharge plan. Completes Patient … 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 ... the data into VISTA if applicable. Promotes Veterans registration for and utilization of MyHealthyVet (MHV) and kiosks usage. Follows procedures regarding Community… 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...South Portland, Maine Chest Medicine Associates is seeking a Physician Assistant or Nurse Practitioner to be based in… more
- Hackensack Meridian Health (Brick, NJ)
- …quality with minimum retakes. Completes proper forms and documents findings for physician review . Enters all required information into the database. Prints ... industry standards, regulations and Meridian policy, under the direction of the Physician . The Radiologic Technologist, PSD / X-Ray Technician is responsible for… more
