- Lilly (Indianapolis, IN)
- …life better for people around the world. Purpose: The Case Management Medical Review Physician is responsible for conducting comprehensive medical review ... duties that might be required for the role/position. Medical review of ICSRs + Conduct comprehensive ICSR medical reviews...Ensuring medical validity of ICSRs; + Accountable for the review and accuracy of narratives, coding, and assessments of… 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
- Fedcap (New York, NY)
- Position Summary: The Review Physician works in close collaboration with Clinical Services Department staff and is responsible for review of all applicable ... of assessments to determine and/or confirm FCO + Create review reports based on findings + Perform a comprehensive... reports based on findings + Perform a comprehensive review of systems + Conduct assessment review … 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
- 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
- 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 ... Nursing Credential Review Board (Nurse Practitioner) and the Medical Review Board ( Physician Assistant). + Masters of Science in the required field (MSN or… more
- Johns Hopkins University (Baltimore, MD)
- …findings and laboratory values, and makes preliminary diagnosis of patients for review by physician . + Develop care/treatment plan for patient according ... medications, and care plans according to established procedure and protocol, for review by physician . + May attend medical rounds with physician or members… more
- University of Colorado (Aurora, CO)
- …the Nursing Credential Review Board (Nurse Practitioner) and the Medical Review Board ( Physician Assistant). **Preferred Qualifications:** + Two years of ... **Instructor Nurse Practitioner/ Physician Assistant, Colorectal Surgery** **Description** **University of Colorado Anschutz Medical Campus** **Department: Surgery,… more
- OhioHealth (Marion, OH)
- …metrics as assigned Develop and execute plans to improve outcomes Provide and review monthly physician and practice performance data with all providers Work ... in accordance to budget Prepare preliminary capital and human resources budgets for review and approval Assure timely capture and input of all billing information… more
- Queen's Health System (Honolulu, HI)
- RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES Performs review of physician and other health care provider services by QMC and QEC providers to ensure services ... QUALIFICATIONS: A. Education/Certification and Licensure: 1. Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist - Physician based… more
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