- Trinity Health (Des Moines, IA)
- … with Inpatient experience for a newly opened but established role as a Physician Advisor . The ideal candidate will have served on Hospital committees or ... working knowledge of CMS and commercial insurance regulations. The Physician Advisor must possess a team-building mindset...and a 403B match. **Essential Job Details** : . Lead physician -driven clinical resource utilization program, and… more
- Trinity Health (Waterloo, IA)
- …Northeast Iowa is seeking a board-certified or board-eligible Family Medicine physician to join as Assistant Program Director for its well-established Family ... and procedure clinics. Oversee resident performance during clinical rotations. Lead 1-2 program-wide quality improvement projects annually. Deliver 10-12 didactic… more
- Trinity Health (Waterloo, IA)
- …patient care in the outpatient clinic setting. **Quality Improvement** + Lead 1-2 program-wide quality improvement initiatives annually to enhance clinical outcomes ... the residency curriculum. **Resident Advising** + Serve as a faculty advisor to approximately five residents, supporting their professional development and academic… more
- Trinity Health (Des Moines, IA)
- … Physician Relationships. Hospital Management and operations. Utilization review/ physician advisor Graduate Medical Education Decision Making: Independent ... as well as service line development, in particular the strategies for physician relationships and service line development. These activities and initiatives shall be… more
- Sedgwick (Coralville, IA)
- …external support and arranges referrals to vendors for services such as physician advisor reviews, surveillance, independent medical evaluations, and functional ... on received documentation or recommends denial to the team lead in alignment with the disability plan.** **Carefully reviews...physician and employer.** **Escalates cases to the team lead or clinical case management for further review when… more
- Sedgwick (Cedar Rapids, IA)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan....physician and employer. + Refers cases to team lead and clinical case management for additional review when… more
- Access Dubuque (Dubuque, IA)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan....physician and employer. + Refers cases to team lead and clinical case management for additional review when… more
- Access Dubuque (Dubuque, IA)
- …external support and arranges referrals to vendors for services such as physician advisor reviews, surveillance, independent medical evaluations, and functional ... on received documentation or recommends denial to the team lead in alignment with the disability plan.** **Carefully reviews...physician and employer.** **Escalates cases to the team lead or clinical case management for further review when… more
- Sedgwick (Cedar Rapids, IA)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan....work with or without job accommodations via the claimant's physician and employer. + Refers cases as appropriate to… more
- Access Dubuque (Dubuque, IA)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan....work with or without job accommodations via the claimant's physician and employer. + Refers cases as appropriate to… more