- Johns Hopkins University (Baltimore, MD)
- We are seeking a **_Sr. Medical Office Coordinator_** for scheduling of complex OR cases for multiple GYN/OB physicians at ORs and ASCs across Johns Hopkins ... Schedule complex OR cases for multiple GYN/OB physicians at Johns Hopkins Bayview Medical Center, Johns Hopkins Hospital, Howard County Medical Center, White… more
- Houston Methodist (Houston, TX)
- …the prescribed time frame. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high ... and/or any specific accreditation/regulatory required safety guidelines. Responsible for staff maintenance of credentials and competencies, per accrediting/ licensing… more
- Catholic Health Initiatives (London, KY)
- …efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). Participates in an integral role ... in anacute care setting + Must be able to perform case reviews for medical staff peer reviewand medical and/or surgical Registry Abstraction + One… more
- HCA Healthcare (Dublin, GA)
- …and reporting purposes. This individual will assist in training and support of medical coding staff through education forums, written coding resources, creation ... invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- BriteLife Recovery (Englewood, NJ)
- …EHR and UR logs. + Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up-to-date clinical information for reviews. ... of care. The UR Specialist works closely with clinical staff , admissions, medical providers, and third-party payers...staff on documentation best practices related to utilization review . + Special projects as assigned What we need… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …at several clinics with residents and/or medical students. (12) Participation in Peer Review process. VA offers a comprehensive total rewards package. VHA ... Team meetings and complies with Primary Care Service Line peer review procedures. (9) Works effectively with...verified practice in the United States), which the local Medical Staff Executive Committee deems to have… more
- Spectrum Billing Solutions (Skokie, IL)
- …authorization for treatment services. + Manage authorization denials including referral for peer review . + Document and record all necessary information. + ... Responsibilities: + Review patient admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …physicians. + Conduct clinical appeal case reviews and may require peer -to- peer discussions with providers regarding UM case review determinations. + ... and medical criteria. + Assists with training medical director colleagues and nursing staff ,...clinical appeal case reviews and may require peer -to- peer discussions with providers regarding UM case review… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …development and implementation of competencies, providing opportunities for continuing education, peer review , career development and professional enrichment for ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more EDRP Authorized:...verified practice in the United States), which the local Medical Staff Executive Committee deems to have… more
- Veterans Affairs, Veterans Health Administration (Waynesville, MO)
- …The incumbent regularly attends Psychology Service staff meetings, Medical Staff meetings, and complies with Psychology Service peer review ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers -...Functions independently as a member of the Truman VA Medical Staff , with full clinical privileges. The… more