• Assistant Professor of Clinical - Medicine,…

    University of Miami (Miami, FL)
    …medical plan and assessment + Actively participate in quality assurance programs and peer review activities + Determine required referrals based on level of ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . General Description (Purpose… more
    University of Miami (09/13/25)
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  • Nurse Practitioner - Hematology Oncology - Mount…

    Mount Sinai Health System (New York, NY)
    …resource person to nurses and other health team members. 6. Participates in peer review . 7. Incorporates research findings in clinical practice. 8. Participates ... responses to the plan of care. 12. Performs a patient record review with the collaborating physician in a timely fashion but not less than every three months… more
    Mount Sinai Health System (09/02/25)
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  • Chief Medical Officer

    LifePoint Health (Henderson, NC)
    …and Patient Safety. Medical Staff Services and Credentialing. Oversight of appropriate peer review and continuous performance monitoring and improvement. Partner ... clinical guidelines that support positive outcomes for patients, including physician education and development/revision of standard order sets. Work closely… more
    LifePoint Health (08/09/25)
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  • Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …addition to security of electronic (computer) information; complies with department, hospital, Peer Review Organization (PRO) and New York State regulations and ... to patient status and level of care to MCC in response to physician order, or review of updated clinical information Acts as a resource for MCC/CM regarding… more
    Catholic Health Services (07/24/25)
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  • SON Nursing Instructor/Professional Nurse (RN)…

    UPMC (Harrisburg, PA)
    …feedback to all members of the health care team and participates in the nursing peer review process. + Promotes change that enhances the quality of patient care ... role model of professional nursing practice for students and peer nursing staff by serving as a recognized unit...care and in educational/teaching instances + Participates in self review by critically analyzing strengths, areas for improvement in… more
    UPMC (08/08/25)
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  • Director Managed Care Contracting

    Houston Methodist (Houston, TX)
    …expert for management and operations staff of specific HM facility and Physician Organization contracts for reimbursement of services billed through managed care. ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
    Houston Methodist (09/12/25)
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  • Field Medical Director, Radiology (Pulmonology…

    Evolent (St. Paul, MN)
    …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in Imaging cases, that do not...completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting… more
    Evolent (09/04/25)
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  • Field Medical Director, Oncology

    Evolent (Helena, MT)
    …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve ... as the Physician match reviewer in Advanced Imaging cases, that do...completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting… more
    Evolent (08/29/25)
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  • Manager Patient Access Service

    Houston Methodist (Katy, TX)
    …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... + Builds relationships with external customers to include physicians and physician office staff. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures a safe and… more
    Houston Methodist (08/26/25)
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  • Director Governmental Reporting

    Houston Methodist (Houston, TX)
    …accounts receivable valuation and is also responsible for governmental policy review and research. The Director position responsibilities include overseeing the ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
    Houston Methodist (09/01/25)
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