- Houston Methodist (Houston, TX)
- …The MA position participates in patient care which is under the direction of a physician and within the scope of a medical assistant. This position may also be ... Contributes towards improvement of department scores for employee engagement, ie peer -to- peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Provides care to… more
- Mount Sinai Health System (New York, NY)
- …a resource person to nurses and other health team members. + Participates in peer review . + Incorporates research findings in clinical practice. + Participates ... the plan of care. + Performs a patient record review with the collaborating physician in a...nurses and other health team members. + Participates in peer review . + Incorporates research findings in… more
- Highmark Health (Harrisburg, PA)
- …URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary ... :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed...service. Depending on the nature of the case, telephonic peer to peer discussions may be required.… more
- University of Miami (Miami, FL)
- …Work with Physician , Nurse Liaison and Administrative Assistant to appeal any denial or Peer to Peer review to ensure all procedures are authorized prior ... to date of service. + Set up peer to peer with healthplan + Notifying physician of denials + Notifying patients of denial or pending cases >3 days prior to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …physicians. + Conduct clinical appeal case reviews and may require peer -to- peer discussions with providers regarding UM case review determinations. + ... clinical appeal case reviews and may require peer -to- peer discussions with providers regarding UM case review...of Medicine or Doctor of Osteopathic Medicine. + The Physician is not the subject of any pending professional… more
- Houston Methodist (Cypress, TX)
- …The MA position participates in patient care which is under the direction of a physician and within the scope of a medical assistant. This position may also be ... Contributes towards improvement of department scores for employee engagement, ie peer -to- peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Provides care to… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …and illness through continuing medical education, both formal and informal. Participate as a peer reviewer in the peer review process when requested. ... the best probability of being a best-fit employee. Promotes activities with peer review , career development and professional enrichment for subordinate… more
- Immigration and Customs Enforcement (Eloy, AZ)
- …regional, and national meetings as required. O-4 level participates in the APP Peer Review process. Performs other duties and responsibilities as assigned. ... and national meetings as required. Participates in the APP Peer review process. Performs other duties and...physician assistant training program accredited by the Accreditation Review Commission on Education for the Physician … more
- MD Anderson Cancer Center (Houston, TX)
- … Physician Assistant: * *EDUCATION* Required: Master's degree from an accredited Physician Assistant (PA) program by the Accreditation Review Commission on ... and communicates pertinent clinical information based on physical examination and review of patient data. Evaluates patients and communicates pertinent clinical… more
- Ventura County (Ventura, CA)
- …practice profile indicators. Member of Credentialing, Quality Assurance (QA) and Peer Review Committees. Presents to Standing Committee identified provider ... providers. VCHCP also provided insurance coverage for employees of physician groups through the end of December 2022. Medical...+ Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review systems… more