- 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 (Sacramento, CA)
- …+ 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)
- …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
- 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
- University of Miami (Miami, FL)
- …in the CTU and in all settings, outpatient and i npatient. + Assures appropriate medical documentation according to Medical Staff policies/bylaws . + Respond ... to outpatients , Survivorship visits, and walk-in patients with medical issues. + Collaborate with physicians, staff ,..., applicable to APRN + Participates in 360 ◦ peer review process + Submits annual protocols… more
- Evolent (Jackson, MS)
- …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
- Houston Methodist (Houston, TX)
- …certifications + Ability to establish and maintain effective working relationships with patients, medical staff , co-workers and the public + Ability to work with ... oversight for documentation of vital signs, chief complaint(s), preforms medication(s) review , and discusses/reviews medical and social history (as appropriate).… more
- Bassett Healthcare (Cobleskill, NY)
- …accredited by The Joint Commission. CRH provides inpatient care for general medical conditions, an inpatient short-term rehabilitation unit, and more than 20 ... region What you'll do The Registered Professional Nurse (RN), Acute Care in the Medical Inpatient Unit is accountable for the delivery of safe patient care utilizing… more
- University of Miami (Miami, FL)
- …+ AOCNP certification within one year of employment + Participates in 360 ◦ peer review process + Submits annual protocols to practice site + Maintains ... To learn how to apply for a faculty or staff position using the Career worklet, please review...Same/Next Day appointments, Survivorship visits, and walk-in patients with medical issues. + Collaborate with physicians, staff ,… more