- Evolent (Harrisburg, PA)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Field Medical Director, Physical Medicine and Rehab you will be...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
- Humana (Harrisburg, PA)
- …management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present ... health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of moderately complex… more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …and has primary responsibility for the timely initiation and processing of a new medical order from the patient's physician . The representative will also be in ... contact with the physician office and sales staff for additional clinical information,...+ Compiles submitted documentation to accompany claim submission. + Review submitted medical orders for completeness and… more
- Humana (Harrisburg, PA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- Evolent (Harrisburg, PA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,… more
- Evolent (Harrisburg, PA)
- …+ Provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Field Medical Director, MSK Surgery you will be a specialty...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
- UPMC (Pittsburgh, PA)
- The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC ... Health Plan members. This fully remote role will be responsible for assuring physician commitment and delivery of comprehensive high quality health care to UPMC… more
- Fresenius Medical Center (Camp Hill, PA)
- …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. ... the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and… more
- UPMC (Pittsburgh, PA)
- …**Responsibilities:** + Meets expectation of facilitating a face-to-face contact between patients and a physician , and a review of every patient chart by a ... ENP certification ** Physician Assistant (PA):** + A graduate of a physician assistant program accredited by the Accreditation Review Commission on Education… more
- Fresenius Medical Center (Dallas, PA)
- …staff in problem solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + ... implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records....Responsible for strong Director and physician relationships and facilitating staff relationships with physicians. +… more