- Cognizant (Richmond, VA)
- …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member… more
- Chenega Corporation (Fort Lee, VA)
- …VA **THIS IS A 1099 INDEPENDENT CONTRACTOR POSITION** The **Physician** shall perform medical histories, physical examinations, as well as review of required ... consultations and medical histories. **Responsibilities** + Conduct medical histories and physical examinations. + Review ...Conduct medical histories and physical examinations. + Review of required medical tests and documents… more
- Chenega Corporation (Fort Lee, VA)
- …to consultations and medical histories on applicants for the Armed Forces + Review of required medical tests and documents pertaining to consultations and ... LLC** Fort Lee, VA The **Nurse Practitioner** shall perform medical histories, physical examinations, and reviews of required ...the schedule and hours allotted herein. + Perform records review /consult reviews and results reviews. + Abide by DoD,… more
- University of Virginia (Charlottesville, VA)
- …contributes directly to patient care by maintaining complete, accurate, and timely medical records. Key Responsibilities: Document Review , Indexing, and Quality ... position that supports the integrity, accuracy, and organization of the legal medical record within UVA Health's electronic medical record (EMR) environment.… more
- Highmark Health (Richmond, VA)
- …and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Bon Secours Mercy Health (Newport News, VA)
- …patient safety, and performance improvement committees and projects as needed. + Supports Medical Staff Quality and Peer Review . + Promotes practices that ... reporting obligations using data analytics and analysis + Facilitates provider performance review activities through the peer review , ongoing and focused… more
- Elevance Health (Ashburn, VA)
- …in North Carolina but not required. Alternate locations may be considered. The ** Medical Director** will be responsible for utilization review case management ... **Utilization Management Medical Director- NC Medicaid** Location: This role enables...reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and… more
- Parexel (Richmond, VA)
- …* Follows directions, templates, and structured processes for delivering documents for review and finalization * Participates in Medical Writing department ... **Parexel is looking for a Senior Medical Writer located anywhere in the United States...representatives from cross-functional groups * Coordinates activities for document review , consensus meeting, quality control, and document finalization under… more
- Veterans Affairs, Veterans Health Administration (Chesapeake, VA)
- …at the Western Branch Chesapeake CBOC Clinic and reports to the Supervisory Medical Support Assistant. The Medical Support Assistant (MSA) range from grade ... individual patient cannot be scheduled within mandated clinic timeframes. Daily review of active/pending consults, Recall list and Audiocare communications for… more
- Elevance Health (VA)
- ** Medical Director** _Please note that per our policy this role enables associates to work virtually full-time, with the exception of required in-person training ... employment, unless an accommodation is granted as required by law._ The ** Medical Director** is responsible for the administration of physical and/or behavioral… more