- University of Miami (Miami, FL)
- …discipline. The Medical Director shall be a member of the active Medical Staff and shall be administratively responsible for working collaboratively with ... + Improving patient satisfaction + Improving patient safety + Peer review , performance improvement, utilization review...discipline + Identify and help resolve conflict between the medical staff of the discipline and hospital… more
- Houston Methodist (Houston, TX)
- …resources, and to provide administrative infrastructure for providers, faculty, and staff . The Department Administrator position has oversight that covers each of ... position responsibilities include overseeing the activities of the department staff , ensuring quality, productivity, functional excellence and efficiency to… more
- Project Renewal, Inc. (New York, NY)
- …+ Evaluates the performance of primary care providers on a regular basis using peer review results, chart reviews and client survey results. Program Development ... Title: Medical Director, Primary Care Program: Healthcare Department Salary...+ Schedules regular team meetings of the Primary Care staff to review challenging cases and standards… more
- CVS Health (Tallahassee, FL)
- …patients with severe, complex, and/or treatment resistant illnesses through peer review and educational interventions. * Work with medical director teams ... focusing on inpatient care management, clinical coverage review , member appeals clinical review , ...audits in-person. * Support all Clinical Quality initiatives and peer review processes including Quality of Care… more
- Houston Methodist (Houston, TX)
- …include overseeing the daily work activities of the work unit/department staff , ensuring quality, productivity, functional excellence and efficiency. This position ... trains and supervises staff while maintaining adequate staffing levels and budget compliance....outcomes by monitoring and improving the department workflow, using peer -to- peer accountability, reporting near misses and/or adverse… more
- Evolent (Helena, MT)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting...(NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
- Evolent (Helena, MT)
- …and provides clinical rationale for standard and expedited appeals. . Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting...Clinical Reviewers. . Ensures documentation of all communications with medical office staff and/or MD provider is… more
- Evolent (Helena, MT)
- …+ Provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting...Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
- HCA Healthcare (San Antonio, TX)
- …senior-level leadership to the infection control, risk management, safety, and medical staff credentialing functions, ensuring the collaboration and coordination ... to improve the functionality and effectiveness of the hospital medical staff organization. + Partners with ...and quality profiling. Serves as a member of hospital's peer review committees as requested. Business Development… more
- Evolent (Carson City, NV)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting...expedited appeals. + Ensures documentation of all communications with medical office staff and/or MD provider is… more