- State of Colorado (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
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …peer-to-peer outreach with treating providers, as appropriate. At the request of the Senior Medical Director of the Physician Review Unit (PRU), the reviewer ... Bring your true colors to blue. The Role The Physician Reviewer is responsible for evaluating pre & post-service...as determined by plan benefit design, plan riders, and medical necessity criteria. In making coverage decisions regarding level… 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …requests. At the request of the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also provides clinical leadership in other ... tasks as assigned by the Associate Medical Director of the Physician Psychologist Review Unit + Adhere to NCQA, URAC, Medicare and other regulatory standards… more
- Actalent (Middletown, NY)
- …and document patient concerns. + Record messages and care provided in the electronic medical record for physician review . + Accurately take messages, route ... Job Title: Medical Assistant Job Description We are seeking a... history and case notes, relay instructions from the physician to the patient or authorized person, and collect… more
- Travelers Insurance Company (Austin, TX)
- …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
- Mount Sinai Health System (New York, NY)
- …ICD 10 codes on a timely basis. + May perform specialty coding for services and medical office visits and review physician coding and provide updates to ... years of relevant experience + 2 years? experience in medical billing or health claims, with experience in Epic...practice management or physicians on a scheduled basis to review Accounts Receivable and current billing/coding concerns. + May… more
- Elevance Health (Indianapolis, IN)
- …clinical information presented meets medical necessity criteria or requires physician review or override. + Clearly and concisely documenting clinical ... **Genetic Counselor Review Associate** **Genetic Testing Utilization Review ** **Carelon Medical Benefits Management** **Virtual** : This role enables… 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
- Dignity Health (Henderson, NV)
- …concerns patient messages and care provided to the patient in the patient's medical record for the physician 's review . Administering medications specifically ... **Job Summary and Responsibilities** **Position Summary:** The Medical Assistant/ Medical Office Representative (MA/MOR) position is responsible for knowing… more