- Molina Healthcare (Santa Fe, NM)
- …Administration, Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider ... Summary** Responsible for serving as the primary liaison between administration and medical staff . Assures the ongoing development and implementation of policies… more
- Molina Healthcare (Ann Arbor, MI)
- …**R** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + Peer Review , medical policy/procedure development, provider contracting experience. + ... Summary** Responsible for serving as the primary liaison between administration and medical staff . Assures the ongoing development and implementation of policies… more
- UPMC (Media, PA)
- …Ability to maintain effective professional liaison with all levels of executive and medical staff , including professional and institutional providers of care. + ... a qualified individual to fulfill the role of Regional Medical Director in Delaware County, PA. The Regional ...Ability to implement programs of quality care analysis, peer review , and professional education. **Licensure, Certifications,… more
- Medical Mutual of Ohio (OH)
- …assigns, and monitors projects and prioritizes work based on competing deadlines.Provides peer review , training, and oversight.Tracks work and provides regular ... Founded in 1934, Medical Mutual is the oldest and one of...coordination and facilitation. Works with IT and Clinical Nurse staff to aid in the loading of HEDIS data… more
- UHS (Vestal, NY)
- Position OverviewUnited Health Services (UHS) is seeking a Medical Receptionist to manage front desk operations and ensure a smooth, professional experience for ... handle patient check-ins and check-outs, and provide administrative support to clinical staff . Success in this role comes from strong communication, attention to… more
- Lincoln County (Newport, OR)
- …treatment and care of the patient population: + Lead and participate in peer review . + Direct the Quality Assurance/Improvement Program; develop clinic policies ... Medical Director/Physician Print (https://www.governmentjobs.com/careers/lincoln/jobs/newprint/4142276) Apply Medical...interdependently with other health care providers and health care staff in a team environment. + Perform minor outpatient… more
- Fresenius Medical Center (Aitkin, MN)
- …+ Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. + Responsible for strong ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations.… more
- Ozarks Medical Center (West Plains, MO)
- …principles; manages claims and insured/uninsured losses; and facilitates physician peer review (including OPPE/FPPE) in collaboration with Medical Staff ... malpractice/claims management, enterprise risk management, patient safety, and physician review / peer review . This role proactively identifies, assesses,… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …contacts, and changes supporting a denials prevention program * Collaborate with UM staff to review for medical necessity and authorization-related denials ... role in reviewing, appealing, and preventing clinical denials related to medical necessity, level-of-care, and authorization issues. This position bridges clinical… more
- Nuvance Health (Danbury, CT)
- …providing strategic leadership and operational oversight for a team of utilization review staff , denials and appeals specialists, non-clinical support staff ... leader to ensure processes and goals are aligned; including peer -to- peer results, observation rates, observation conversion rates, medical necessity… more