- Prime Healthcare (Dallas, TX)
- …laws and regulations, along with the Medicare/Medicaid Conditions of Participation, physician / physician group contracting, Medical Staff/peer review matters, ... will prepare a wide variety of corporate agreements such as physician agreements, joint ventures, leases, vendor contracts, supply chain contracts, non-disclosure… more
- Access Dubuque (Dubuque, IA)
- …Essential Functions & Responsibilities: 1. Conduct reviews inclusive of physician referrals, medication reviews, admissions, utilization review updates, ... Dental Insurance, etc. **What You Will Be Doing:** + Review requests from providers or members for approval of...of care and enhancing quality, cost‑effective clinical outcomes. + Review of hospital and skilled admissions to justify continued… more
- Penn Medicine (Philadelphia, PA)
- …defined regulatory timeframes + Assign a working MS-DRG upon initial admission review , and communicate with Physician or designee requesting appropriate ... and/or specification to reflect truth in diagnostic reflection. Responsibilities: + Direct review of patient charts to audit clarity and full reflection of severity… more
- Munson Healthcare (Traverse City, MI)
- …Duties - Clinical (75%), Administrative (25%) + Medical Supervision . The Physician shall provide overall medical supervision for the Program in conformance with ... regulations. Periodic medical reviews shall be conducted by the Physician to ensure compliance with the foregoing and with...the recommendations from the Health System's committees; and + Review written reports of surveys and inspections and make… more
- Houston Methodist (Cypress, TX)
- …safety. The CQO position collaborates with the System CQO and other system physician leadership in quality and patient safety to support the development of the ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Baylor Scott & White Health (Mckinney, TX)
- …Ensures accurate transfer of patient images to the BSWH PACS for clinical review and dictation by physician partners. **Key Success Factors** + Observe ... supervision. These procedures are for ambulatory and hospital patients. A physician or licensed provider requests them for diagnosing disease and injury.… more
- AdventHealth (Daytona Beach, FL)
- …status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by ... 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis. + Performs… more
- Baylor Scott & White Health (Marble Falls, TX)
- …Ensures accurate transfer of patient images to the BSWH PACS for clinical review and dictation by physician partners. **Key Success Factors** + Observe ... supervision. These procedures are for ambulatory and hospital patients. A physician or licensed provider requests them for diagnosing disease and injury.… more
- PruittHealth (Atlanta, GA)
- …plan for each patient based on a thorough history and clinical record review , including the attending physician 's plan, the recommendations of national ... include other members such as social workers, dieticians, pharmacologist, and physician consultants, and other providers as appropriate. * Organize, secure,… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …the Patient Safety Officer, Chairs the Patient Safety Committee, responsible for the review , revision and approval of the patient safety plan annually, and to ... + Assumes role of President of the EMH medical staff. Provides physician representation to EMH committees and oversees performance of all clinical contractual… more