- Humana (Carson City, NV)
- …will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on ... for some of our most vulnerable members. The Director, Physician leadership will lead Medical Directors performing...**Key Responsibilities** **:** + Lead an operational team of Medical Directors to review authorizations and ensure… more
- University of Colorado (Aurora, CO)
- …requirements of the Nursing Credential Review Board (Nurse Practitioner) and the Medical Review Board ( Physician Assistant). + Current ATLS or successful ... Physician Assistant (PA)** **Description** **University of Colorado Anschutz Medical Campus** **Department: Surgery** **Job Title: Instructor - Pediatric General… more
- State of Colorado (Pueblo, CO)
- …primarily for medical reasons; + Position responsible for attending quarterly medical review board meetings, monthly physician round table meetings ... Family Medicine or Internal Medicine; + Experience managing chronic medical conditions as a Physician . Residency Waiver:...assessment, written performance assessment or it may include a review of your application material and your responses to… more
- University of Colorado (Aurora, CO)
- …requirements of the Nursing Credential Review Board (Nurse Practitioner) and the Medical Review Board ( Physician Assistant). + Completion of a ... Practice Provider, Instructor (NP/PA)** **Description** **University of Colorado Anschutz Medical Campus** **Department: Surgery- GI, Trauma and Endocrine Surgery**… more
- University of Colorado (Aurora, CO)
- …requirements of the Nursing Credential Review Board (Nurse Practitioner) and the Medical Review Board ( Physician Assistant). + Current ATLS or successful ... **APP-Instructor Department of Surgery** **Description** **University of Colorado Anschutz Medical Campus** **Department: Surgery, Division of Pediatric Surgery, Colorado… more
- Travelers Insurance Company (Carson City, NV)
- …other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay apprised of ... influences which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State… more
- Actalent (Middletown, NY)
- …and document patient concerns and data. + Message and care documentation in the electronic medical record for physician review . + Accurately take and route ... Medical Assistant Job Description The role of ... history and case notes, relaying instructions from the physician to the patient or authorized person, and collecting… more
- Sutter Health (Sacramento, CA)
- … physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care progression, denial ... Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely with the medical...a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some… more
- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... records for the patient population and Hackensack University Medical Center. These include but are not limited to utilization review , hospital reimbursement,… more
- Ozarks Medical Center (West Plains, MO)
- …for an integrated program spanning quality improvement, patient safety, enterprise risk/ medical malpractice, physician peer review , accreditation/regulatory ... infection prevention & control (IPC). The role partners closely with Medical Staff leadership, Nursing, Legal/Compliance, Operations, and Pharmacy to reduce harm,… more