- Datavant (Nashville, TN)
- …appropriate letter language to author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted ... Specialist is to effectively defend utilization of available health services , review of admissions for medical necessity...+ Work directly with the provider(s) and health plan Medical Director as needed to facilitate timely… more
- Primary Health Care (Des Moines, IA)
- …correct the claim and to initiate changes in process. In coordination with the Medical Director , provides feedback to medical and ancillary staff regarding ... the communities we serve, PHC offers a spectrum of medical and dental services including family practice,...II you will be responsible for reviewing and analyzing medical records for outpatient and inpatient hospital… more
- Veterans Affairs, Veterans Health Administration (Martinez, CA)
- …reports to the NCHCS ARTS Program Director and the NCHCS ARTS Medical Director . Psychiatrists may also have the opportunity for teaching and supervision ... requiring seclusion and restraint, evaluating emergent psychiatric consults on the medical /surgical units, and rounding on the inpatient psychiatric unit… more
- Trinity Health (Maywood, IL)
- …+ Navigate emergency and inpatient requests + Enlist the guidance of the medical director when escalation is required + Track and report on activity and ... service to patients of Loyola Medicine. Partnering with the Concierge Medical Director , philanthropy team and other internal stakeholders, the Care… more
- Trinity Health (Dubuque, IA)
- …Develops multidisciplinary trauma educational programs + Works closely with the Trauma Program Medical Director to develop a quality trauma program + Develops a ... as the newly constructed MercyOne Dubuque Cancer Center. Other services include a trauma center, a CARF-accredited inpatient...and coordinates Trauma Committee meetings with the Trauma Program Medical Director + Assists in the ED… more
- WMCHealth (Goshen, NY)
- …follow-up and treatment; in addition to other activities as designated by the medical director . Position Description: . Provide hematology/oncology care in a ... Hematology Oncology Company: Bon Secours Charity Medical Group City/State: Goshen, NY Category: Physicians Department:...For more information about this opportunity, contact Corey Deixler, Director , Senior Vice President of Physician Services … more
- Albany Medical Center (Albany, NY)
- …actions to achieve continuous improvement in both areas.* Refers cases and issues to Medical Director and Triad Team in compliance with Department procedures and ... preferred.* Minimum of three years clinical experience in an assigned service .* Recent experience in case management, utilization management and/or discharge… more
- Atlantic Health System (Morristown, NJ)
- …other facilities to coordinate continued patient care with hospice home healthcare services after discharge. Assures quality customer service to patients, ... sources and co-workers. Serves as a consultant, educator, and customer service specialist to referral sources. Principal Accountabilities: 1. Develops initial plan… more
- University of Utah Health (Salt Lake City, UT)
- …Our five hospitals and eleven clinics provide excellence in our comprehensive services , medical advancement, and overall patient outcomes. **Responsibilities** + ... requires to authorize the visit. + Secures prior authorization for high dollar services such as scheduled day surgeries, planned inpatient admissions, urgent… more
- HCA Healthcare (Corpus Christi, TX)
- …for cardiac patients. _Northwest Regional/Northwest Behavior Health Center_ provides emergency medical services , laboratory, imaging services and outpatient ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for… more