- Evolent (Austin, TX)
- …reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... Provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Houston Methodist (Katy, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... of safe outcomes by monitoring and improving the department workflow, using peer -to- peer accountability, and identifying solutions via collaboration. Adopts lean… more
- Houston Methodist (Sugar Land, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... of safe outcomes by monitoring and improving the department workflow, using peer -to- peer accountability, reporting near misses and/or adverse events immediately… more
- Elevance Health (Grand Prairie, TX)
- …law. The **Medical Director Pain Management/Anesthesia Appeals** is responsible for the review of appeals for physical health medical services, to ensure the ... clinical operational aspects of a program. + May conduct peer -to- peer clinical reviews with attending physicians or...reviews with attending physicians or other providers to discuss review determinations + Serve as a resource and consultant… more
- Evolent (Austin, TX)
- …reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more
- Houston Methodist (Houston, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... and improving the department workflow and enhancing operations, using peer -to- peer accountability and identifying solutions via collaboration. Implements… more
- Houston Methodist (Houston, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... of safe outcomes by monitoring and improving the department workflow, using peer -to- peer accountability, reporting accidents, near misses, and/or adverse events… more
- Evolent (Austin, TX)
- …reviews to be completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... provides clinical rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Austin, TX)
- …+ Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more
- Walmart (Dallas, TX)
- …teams, including QA and third-party partners, to ensure timely project delivery. ** Review and Maintain:** Review software design and implementations, ensuring ... **Experience:** 6+ years in design, prototyping, software development, code review , and unit testing for embedded devices. **Technical Proficiency:** Expertise… more