- WellSpan Health (Lewisburg, PA)
- …of the Forensic Examiner Team, including clinical coverage, interdisciplinary alliance meetings, peer review of forensic team documentation, team and community ... + Mentors clinical staff on performing forensic medical examinations and provides peer review of forensic documentation. + Promotes resource sharing in… more
- WellSpan Health (Chambersburg, PA)
- …of the Forensic Examiner Team, including clinical coverage, interdisciplinary alliance meetings, peer review of forensic team documentation, team and community ... + Mentors clinical staff on performing forensic medical examinations and provides peer review of forensic documentation. + Promotes resource sharing in… more
- Tufts Medicine (Stoneham, MA)
- …productivity and quality of workflow directly, reaching days out, productivity, and quality review goals. 13. Acts as a resource to other departments of ... to the ordering department and Patient Access leadership for immediate review and resolution. 8. Collaborates with Financial Coordination and Pre-Registration… more
- Mount Sinai Health System (New York, NY)
- …evidence-based ensure and procedures. 4. Engages in formal and informal peer and institutional review processes. 5. Collaborates with interdisciplinary ... a resource for nursing staff in the delivery of quality care based upon nursing theory, research and approved...Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2.… more
- Intermountain Health (Denver, CO)
- …+ Works in areas that address Provider Quality , which may include FPPE, OPPE, Peer review and other quality tracking + Support other activities in the ... + Support Regional and System initiatives and projects as requested + Review applicant qualifications for eligibility for specific delineation of privileges, … more
- Trinity Health (Pontiac, MI)
- …(preferred)** + Medical staff services, hospital credentialing and privileging, and peer review experience. + Certified Professional Medical Staff Management ... provider and stakeholder satisfaction across multiple hospitals, ensuring consistency and quality in service delivery. + Ensures coordination and alignment of… more
- Highmark Health (Buffalo, NY)
- …**JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses the request, conducts ... (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review . Ensures all accurate information is entered at the onset of the… more
- CareFirst (Baltimore, MD)
- …request and as needed. Assists n the activities of contract professionals in review and preparation of contract documents, the facilitation of training and mentoring ... any changes to standard contract templates. Work with Legal to develop and review any proposed language changes discussed with a provider. Ensure compliance with… more
- BXP (Boston, MA)
- …inquiries and provide excellent customer service. Essential Functions: + Provide high- quality customer service to external clients and BXP employees. + Ensure ... Refunds. + Meet with the Accounts Receivable Manager to review assigned properties on a monthly basis. + Contact...A/R Inbox. + Verify all processing completed by assigned peer . Non-Essential Functions: + Perform special projects as assigned.… more
- Saint Francis Health System (Tulsa, OK)
- …education and injury prevention to outlying communities. Actively involved in the peer review process, while working collaboratively with the trauma registrars, ... inquisitive Job Summary: With minimal supervision, is able to concurrently review patient's medical records and the trauma registry database, works collaboratively… more