• RN Utilization Review Full Time Days

    Tenet Healthcare (Detroit, MI)
    …and level of care based on Medical Necessity and submits case for Secondary Physician review per Tenet policy Ensures timely communication and documentation of ... system Follows the payor dispute processes utilizing secondary medical review , peer to peer and...of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed.… more
    Tenet Healthcare (07/31/25)
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  • Coord,Performance Improvement

    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 (05/23/25)
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  • Precertification Nurse

    NJM Insurance (Parsippany, NJ)
    …Ensure that any guidelines and documentation used to make determination or to refer for peer physician review are referenced. + Understand, apply, and comply ... post-discharge coordination of care. + Refer requests that meet established criteria for peer review , fail to demonstrate medical necessity, or present high… more
    NJM Insurance (07/31/25)
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  • Pharmacy Precert Nurse

    NJM Insurance (Trenton, NJ)
    …Ensure that any guidelines and documentation used to make determination or to refer for peer physician review are referenced. + Understand, apply, and comply ... appropriate. + Refer requests that meet established criteria for peer review , fail to demonstrate medical necessity,...to demonstrate medical necessity, or present high complexity for physician review and determination. + Monitor … more
    NJM Insurance (07/19/25)
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  • Coord Quality & Care Mgmt

    Covenant Health Inc. (Sevierville, TN)
    …to monitor performance for sustained progress. + Actively participates in medical staff peer review activities Clinical Resource: + Assists in the design and ... Overview Coordinator -Quality and Care Management, Continuum of Care Full...educational materials designed to foster the patient's, families and Physician understands of the plan of care. + Seeks… more
    Covenant Health Inc. (07/30/25)
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  • Dermatologist - Chief of Service

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …medical education to maintain that certification. You will be expected to serve on Peer review , and potentially other committees as requested by the Medical ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
    Veterans Affairs, Veterans Health Administration (07/23/25)
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  • General Radiologist-Body Imaging- Prostate MRI

    Veterans Affairs, Veterans Health Administration (New York, NY)
    …medical center policy. Participates in quality management activities such as film quality review , peer review and other performance improvement activities. ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The VA New York Harbor Healthcare… more
    Veterans Affairs, Veterans Health Administration (07/05/25)
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  • Outpatient Psychiatrist

    Veterans Affairs, Veterans Health Administration (Greenville, NC)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Not Authorized. Education Debt… more
    Veterans Affairs, Veterans Health Administration (07/03/25)
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  • Academic Crisis Care Inpatient Psychiatrist, Rank…

    University of Utah (Salt Lake City, UT)
    …Psychiatry, the Spencer Fox Eccles School of Medicine, and the health system, including peer review and participation on committees, may be requested to attain ... in scholarly activities; The opportunity to participate in or initiate peer -reviewed research and develop durable materials (papers, courses, presentations, posters,… more
    University of Utah (05/08/25)
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  • Radiology Vice Chair of Quality and Safety

    University of Colorado (Aurora, CO)
    … conference and Quality Committee. Participate in the Quality and Professional Peer Review Committee6. Assist with coordinating, monitoring, and improving ... that are impactful from the patient perspective.9. Serve as physician mentor for Department of Radiology faculty and trainees,...Chair for Education for the Department of Radiology regarding peer review efforts for clinicians as well… more
    University of Colorado (06/07/25)
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