- Chenega Corporation (Mechanicsburg, PA)
- …LLC** Harrisburg, PA THIS POSITION IS A 1099/INDEPENDENT CONTRACTOR POSITION The ** Physician ** shall perform medical histories, physical examinations, as well as ... review of required medical tests and documents pertaining to...Act and HIPPA + Participate in MEPS local, medical peer reviews. + Use Philosophy Known as "Red Carpet… more
- Ansible Government Solutions (Pittsburgh, PA)
- …cytology specimens. + Preform autopsies with pathology trainees. + Participate in prospective peer review and retrospective review of 10% cases when ... needed. + Perform review and interpretation of serum and urine protein electrophoresis. + Additional responsibilities may include oversight of a section of the laboratory, providing clinical consultation services and oversight of the QA/QI of the… more
- Highmark Health (Harrisburg, PA)
- …URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary ... :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed...service. Depending on the nature of the case, telephonic peer to peer discussions may be required.… more
- UPMC (Pittsburgh, PA)
- …necessity, and other necessary billing information. Participates constructively in the peer - review -driven quality improvement program + Operations Adheres to ... demographic and medical necessity information. Participates constructively in the peer - review -driven quality improvement program. + Attends and participates… more
- Evolent (Harrisburg, PA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. Aids and acts...completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting… more
- UPMC (Harrisburg, PA)
- …feedback to all members of the health care team and participates in the nursing peer review process. + Promotes change that enhances the quality of patient care ... role model of professional nursing practice for students and peer nursing staff by serving as a recognized unit...care and in educational/teaching instances + Participates in self review by critically analyzing strengths, areas for improvement in… more
- Evolent (Harrisburg, PA)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. What You Will Be Doing: + Serve ... as the Physician match reviewer in Hip/Knee/Shoulder Surgery cases, that do...completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting… more
- Evolent (Harrisburg, PA)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve ... as the Physician match reviewer in Advanced Imaging cases, that do...completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting… more
- UPMC (Media, PA)
- …of care. + Ability to implement programs of quality care analysis, peer review , and professional education. **Licensure, Certifications, and Clearances:** Doctor ... would join a highly educated and motivated team of physician advisors at CCBHO who advocate well for the...+ Advises the Regional Director on the development and review of programs, positions, and budgets having an impact… more
- UPMC (West Mifflin, PA)
- …appropriate feedback to all members of the healthcare team and participates in the peer review process. Promotes change that enhances the quality of patient care ... appropriate feedback to all members of the healthcare team and participates in the peer review process. Promotes change that enhances the quality of patient care… more