- Excellus BlueCross BlueShield (Rochester, NY)
- …by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address ... Provider Relations, explaining processes for accessing Health Plan to perform medical review , obtains case or disease management support, or otherwise interacts… more
- Sutter Health (Oakland, CA)
- …Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's leadership ... care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity,… more
- Elevance Health (Los Angeles, CA)
- …medical decisions to members and providers. **How you will make an impact:** + Perform physician -level case review , following initial nurse review , of ... Medical Oncology regimens and supportive care. + Perform physician -level case review , following initial nurse review , of chemotherapy regimens. +… more
- Elevance Health (New York, NY)
- …state mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician -level case review of utilization requests for procedures ... policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or… more
- ChenMed (Richmond, VA)
- …patient's primary care physician to meet urgent patient needed with the aim of preventing unnecessary hospital arrivals + Performs other duties as assigned and ... other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary...episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge… more
- Elevance Health (FL)
- …policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or ... the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform… more
- Banner Health (Mesa, AZ)
- …and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 busiest ... Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable...SUMMARY This position, under the direction of a qualified physician , assists in performing diagnostic and interventional cardiovascular procedures… more
- Banner Health (Mesa, AZ)
- …participate in the interdisciplinary team including therapists, nurses, physicians, and case managers to provide direct patient care and recommend appropriate ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...50 busiest Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable… more
- University of Southern California (Los Angeles, CA)
- …and institutions; crisis intervention (including some after-hours coverage); case management; psychiatric evaluations and medication follow-up; consultation; ... involved in our training programs including individual supervision, group supervision, case consults, and/or seminars. The training also includes participating in… more
- Banner Health (Mesa, AZ)
- …and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 busiest ... Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable...upon admission. Orders outside records from other facilities and Physician 's offices. 3. Maintains a complete patient record with… more