• Client Success Manager

    Fresenius Medical Center (Mesa, AZ)
    …partners with key stakeholders to provide operational insight to physician practice leadership, facilitating inter-departmental organizational decision making, and ... point of contact and relationship manager for Revenue Cycle Management and Physician Practice partners, being responsible for managing all aspects of the business… more
    Fresenius Medical Center (09/02/25)
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  • Clinic Medical Director

    Ventura County (Ventura, CA)
    …physicians and mid-levels; performs quality assurance activities and oversee clinical peer reviews to address provider behavior issues and support the annual ... review process for clinic providers. + Supports local governance...meetings, along with attendance to relevant meetings, including Agency physician leadership and medical staff meetings, and other meetings… more
    Ventura County (07/03/25)
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  • Wound Care Specialist

    UPMC (Pittsburgh, PA)
    …appropriate feedback to all members of the healthcare team and participates in the peer review process. Promotes change that enhances the quality of patient care ... appropriate feedback to all members of the healthcare team and participates in the peer review process.Promotes change that enhances the quality of patient care… more
    UPMC (09/13/25)
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  • RN Care Manager - Case Coordination

    Hartford HealthCare (Torrington, CT)
    …appropriate level of care and identification of discharge needs. Collaborates with physician to ascertain medical treatment plan and with nursing, other health care ... effective manner. Responsible for ensuring customer satisfaction (patient, family, physician , others), maintaining patient confidentiality and being sensitive to the… more
    Hartford HealthCare (09/02/25)
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  • Home Health Wound Care Specialist (RN) - South…

    UPMC (West Mifflin, PA)
    …appropriate feedback to all members of the healthcare team and participates in the peer review process. Promotes change that enhances the quality of patient care ... appropriate feedback to all members of the healthcare team and participates in the peer review process. Promotes change that enhances the quality of patient care… more
    UPMC (08/26/25)
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  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional ... duties include participating in quality review and performance improvement projects throughout the department and/or facility. **PEOPLE ESSENTIAL FUNCTIONS** +… more
    Houston Methodist (07/12/25)
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  • Performance Improvement Trauma Coordinator-RN

    WMCHealth (Valhalla, NY)
    …records as required for entry into the Trauma Registry. Ensures Trauma Department peer review and PI/QA follow-up by Hospital Departments is completed. Prepares ... Department and Hospital Department committees. Maintenance of the Trauma Department's PI/QA data, peer review results and all follow-up in the Trauma Registry.… more
    WMCHealth (09/12/25)
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  • Manager of Medical Staff Services

    HCA Healthcare (Overland Park, KS)
    …of any upcoming or ongoing surveys relative to credentialing, privileging and PPE/ peer review activities and functions. + Coordinate accreditation, regulatory, ... and any internal surveys relative to credentialing, privileging and PPE/ peer review activities and functions. + Respond to any reviews of accreditation and… more
    HCA Healthcare (09/07/25)
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  • Medical Director-Medicaid (ABH TX)

    CVS Health (Austin, TX)
    …- Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred ... responses to members and providers related to precertification, concurrent review , and appeal request. This position is primarily responsible...inpatient or outpatient, acute and post-acute as well as peer to peer calls and first level… more
    CVS Health (09/04/25)
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  • Medical Director - West Virginia Medicaid

    CVS Health (Charleston, WV)
    …- Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred ... responses to members and providers related to precertification, concurrent review , and appeal request. This position is primarily responsible...inpatient or outpatient, acute and post-acute as well as peer to peer calls and first level… more
    CVS Health (09/04/25)
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