- Calvary Hospital (Bronx, NY)
- …Primary responsibility to provide care to patients and participate in review , assessment, committee and educational functions as required. Location: Bronx Campus ... Salary : $210K - $230K/ Salary Qualifications: + New...required by specific job duties and functions. Education: + Medical degree from an approved educational institution. COVID-19 vaccination… more
- The County of Los Angeles (Los Angeles, CA)
- …NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 ... Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission or continued...needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Legal Nurse| Review Medical Malpractice Claims for NYS (6402) Occupational Category Legal Salary Grade ... week. Medical Analysts assigned to the Claims Bureau will analyze and review claims containing allegations of medical malpractice; assist attorneys in the… more
- The County of Los Angeles (Los Angeles, CA)
- …SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,457.04 ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical ...and the Joint Commission on Accreditation of Hospitals' utilization review standard. Under the direction of a physician… more
- UTMB Health (Webster, TX)
- …timeframe and implement measures to achieve target. + Presents LOS variances for review to Director and Inpatient Medical Director. Transfer Center (Hospital to ... monitoring patients with complicated treatment plans through multidisciplinary conferences and medical record review . + Facilitates clinical care progression of… more
- Virtua Health (Pennsauken, NJ)
- …a resource to assist in the determination process regarding level of service and medical necessity.* Consults with Physician Advisor to discuss medical ... If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than… more
- State of Minnesota (St. Paul, MN)
- … Medical Practice Board / Medical Practice Bd-AFSCME + **Division/Unit** : Medical Office Manager / Complaint Review + **Work Shift/Work Hours** : Day ... Monday - Friday + **Travel Required** : No + ** Salary Range:** $20.76 - $27.53 / hourly; $43,346 -...to further the work of the Minnesota Board of Medical Practice by assisting in the Complaint Review… more
- CDPHP (Latham, NY)
- …for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality ... to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical ...This includes approval determinations and appropriate exceptions, coordinating with Medical Directors on denials. In addition, the UR nurse… more
- HCA Healthcare (Las Vegas, NV)
- … medical staff affairs. + Serves as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization, and quality profiling. ... clinical program development, and overall hospital strategy. + Provides medical director services to facility-level physician credentialing, business… more
- Ascension Health (Jacksonville, FL)
- …issues of physician professional conduct. Ensures adherence and completion of medical staff decisions regarding peer review and physician behavioral ... and continuous improvement of services, policies, processes, and programs, including medical practice review , governance, credentialing, privileging, peer … more