- Tufts Medicine (Stoneham, MA)
- …to the ordering department and Patient Access leadership for immediate review and resolution. 8. Collaborates with Financial Coordination and Pre-Registration ... coordinators and clinical team members toward their appeal and peer to peer workflow. 12. Monitors productivity...of workflow directly, reaching days out, productivity, and quality review goals. 13. Acts as a resource to other… more
- WellSpan Health (Chambersburg, PA)
- …of the Forensic Examiner Team, including clinical coverage, interdisciplinary alliance meetings, peer review of forensic team documentation, team and community ... + Mentors clinical staff on performing forensic medical examinations and provides peer review of forensic documentation. + Promotes resource sharing in… more
- WellSpan Health (Lewisburg, PA)
- …of the Forensic Examiner Team, including clinical coverage, interdisciplinary alliance meetings, peer review of forensic team documentation, team and community ... + Mentors clinical staff on performing forensic medical examinations and provides peer review of forensic documentation. + Promotes resource sharing in… more
- Rochester Regional Health (Rochester, NY)
- …with the patient's insurance company providing any necessary documentation. Schedules peer to peer with provider if necessary. + Document ... function. + May need to attend the weekly/quarterly meetings with physicians to review procedures and case load. + Daily verification of add on cases performed… more
- Highmark Health (Lincoln, NE)
- …coordinate payment of vendor invoices and coordinate request for an independent review determination ; will participate in various internal committees as assigned; ... data from internal and external sources including providers, customers and accounts; Review claims and supporting documentation to verify the legitimacy of medical… more
- Intermountain Health (Salt Lake City, UT)
- …+ Works in areas that address Provider Quality, which may include FPPE, OPPE, Peer review and other quality tracking + Support other activities in the ... + Support Regional and System initiatives and projects as requested + Review applicant qualifications for eligibility for specific delineation of privileges, … more
- Highmark Health (Dover, DE)
- …the department. + Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing ... and report improper coordination of benefit billing practices through paid clams review . + Participate as pharmacy representative in onsite member appeals and… more
- Mount Sinai Health System (New York, NY)
- …evidence-based ensure and procedures. 4. Engages in formal and informal peer and institutional review processes. 5. Collaborates with interdisciplinary ... HELP, AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patient's… more
- Saint Francis Health System (Tulsa, OK)
- …education and injury prevention to outlying communities. Actively involved in the peer review process, while working collaboratively with the trauma registrars, ... inquisitive Job Summary: With minimal supervision, is able to concurrently review patient's medical records and the trauma registry database, works collaboratively… more
- UHS (Johnson City, NY)
- …like family and create space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just ... mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can… more