- CommonSpirit Health (Englewood, CO)
- …to discuss selected cases and make recommendations for care as well as interacting with medical staff members and medical directors of third-party payers to ... The PA further acts as a resource for the medical staff regarding federal and state utilization...the message to all constituents.** **Key Responsibilities** + Conducts medical record review in appropriate cases for… more
- Fair Haven Community Health Care (New Haven, CT)
- …Medicine, the Site Medical Director (SMD) is the direct supervisor of the medical staff of their assigned site(s). The SMD is responsible for cultivating ... onboarding new clinicians, providing clinical oversight, reinforcing quality-improvement activities, overseeing peer review , and is responsible for ensuring the… more
- CVS Health (Austin, TX)
- …Texas. The Medical Director is part of a centralized team that supports the Medical Management staff and may support other health plans as needed. The ... focus on inpatient or outpatient, acute and post-acute as well as peer to peer calls and first level appeals. The Medical Director participates in a rotating… more
- Mohawk Valley Health System (Utica, NY)
- …of care advisement. + Support education to minimize clinical variability throughout the medical staff . + Assist case managers with Medicare and Medicaid appeals ... reimbursement models in decision making and reviews. + Provide peer -to- peer payor review in collaboration...liaison between the CDI professional, HIM, and the hospital's medical staff to facilitate accurate and complete… more
- Navarro Inc. (Oak Ridge, TN)
- …requirements implementing documents, participation at facility Operational Safety Boards, etc. *must be Peer Review qualified. Staff Augmentation peer ... for a Nuclear Criticality Safety Engineer in Oak Ridge, TN who is peer review qualified. Navarro is a premier contractor providing high-quality technical… more
- CVS Health (Charleston, WV)
- …the Aetna West Virginia plan; but part of a centralized team that supports the Medical Management staff . The Medical Director will ensure timely and ... a Plus **Preferred Qualifications:** -Health plan/payor Utilization Management / Review experience. -Electronic medical systems/record experience. -Managed Care… more
- University of Miami (Miami, FL)
- …the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet ... scientists, with a track record of excellence in research, peer -reviewed publications, and the potential to develop and/or lead...To learn how to apply for a faculty or staff position using the Career worklet, please review… more
- MD Anderson Cancer Center (Houston, TX)
- …Department of Melanoma Medical Oncology for all faculty, fellows, residents, students, and staff . i. Provide peer review for assessing the clinical and ... The Department of Melanoma Medical Oncology (MMO) at The University of MD...assistant, associate, or full professor. MMO includes faculty and staff involved in patient care and clinical, translational, and… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …of five years of verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate ... Summary A full-time permanent position is available for Medical Director of the Primary Care - Mental...also provide shared administrative supervision for Social Workers, Psychologists, Peer Support, and Nursing staff . VA North… more
- Henry Ford Health System (Grand Blanc, MI)
- …customers, and develops a plan for continual improvement. (Does not include formal peer review .). + Complete yearly safety and unit specific education ... of plan of care. + Collaborate with patient/family, hospital staff , and community agencies to develop discharge plans that...tests ordered are expeditiously carried out and documented. + Review patient medical record/reports and confers with… more