- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …providers, as appropriate. At the request of the Senior Medical Director of the Physician Review Unit (PRU), the reviewer also provides clinical leadership in ... us transform healthcare? Bring your true colors to blue. The Role The Physician Reviewer is responsible for evaluating pre & post-service clinical service requests… more
- Hackensack Meridian Health (Hackensack, NJ)
- …(APN) or Physician Assistant (PA) for the Transition Utilzation Review Team utilizes a patient-centered coordinated care model, demonstrating competencies in ... Knowledge, Skills and Abilities Required: 1. Successful completion of an approved physician 's assistant program, accredited by the AMA Council on Medical Education.… more
- Lilly (Indianapolis, IN)
- …life better for people around the world. Purpose: The Case Management Medical Review Physician is responsible for conducting comprehensive medical review ... and any related duties that might be required for the role/position. Medical review of ICSRs + Conduct comprehensive ICSR medical reviews across all therapeutic… more
- Merck (North Wales, PA)
- **Job Description** **Role Summary** + The Medical Consult and Review Physician (MCRP) position resides in the Value & Implementation (V&I) organization, which ... and is a member of several cross-functional teams, including the Promotional Review Team (PRT), Digital Engagement Team (DET), Lead/Last, and V&I medical Team.… more
- STG International (Rockville, MD)
- STGi is recruiting for an Occupational Medicine Physician - Reviewing Medical Officer (RMO) for the Law Enforcement and Surveillance Case Review Program for ... Medical Officer (RMO) in the Law Enforcement and Surveillance (LE-S) Case Review Program evaluates cases for federal agencies seeking medical clearance for… more
- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions of care,… more
- University of Colorado (Aurora, CO)
- …of the Nursing Credential Review Board (Nurse Practitioner) and the Medical Review Board ( Physician Assistant). + Masters of Science in the required field ... options + Dental: Multiple plan options + Additional Insurance: Disability , Life, Vision + Retirement 401(a) Plan: Employer contributes... Review Board (Nurse Practitioner) and the Medical Review Board ( Physician Assistant). + Masters of… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions of care,… more
- Nuvance Health (Danbury, CT)
- *Description* *Summary:* Provides physician leadership and expertise related to appropriate utilization/level of care (LOC) and appropriate clinical documentation. ... Provides oversight for other Physician Advisors for both the centralized denial prevention unit...hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource… more
- ERP International (Little Rock AFB, AR)
- …Graduate from an accredited college or university certified by the Accreditation Review Commission on Education of the Physician Assistant (ARC-PA) or ... **Overview** ERP International is seeking a ** Physician Assistant (Aviation Medicine/Primary Care)** for a full-time position supporting **Special Operational Duty**… more