- Veterans Affairs, Veterans Health Administration (Salem, VA)
- Summary A Physician Assistant assigned to the Referral Coordination Team (RCT) aligned under the Referral Coordination Initiative Operations Manager under the Access ... of the United States. Responsibilities FUNCTIONS OF ASSIGNED DUTIES: The Physician Assistant is a licensed independent practitioner with advanced education and… more
- Corewell Health (Grand Rapids, MI)
- …in clinical setting + 3 years of relevant experience Managed care experience + LIC- Physician (MD) - STATE_MI State of Michigan or LIC-Osteopathic Physician (DO) ... Michigan Preferred + Proven experience and evidence of success in effective physician communication and education skills + Evaluation of evidence-based standards of… more
- Kelly Services (St. Louis, MO)
- …Government Solutions is seeking Healthcare Providers **(Physicians - MD, DO, Physician Assistants PA, or Nurse Practitioners NP)** to conduct one-time disability ... exams for Veterans. Veterans are in need of assistance for their service-connected disability exams and we are searching for healthcare providers looking to supplement your income while gaining valuable insight into military culture. You will be conducting… more
- Elevance Health (Los Angeles, CA)
- …determining whether clinical information presented meets medical necessity criteria or requires physician review or override. + Clearly and concisely documenting ... **JR147375 Genetic Counselor Reviewer ** The genetic counselor reviewer (GCR) is...clinical review and other case interactions in online database in adherence… more
- SSM Health (MO)
- …specialized mortality reviews. **Required Qualifications:** + Prior experience as a Second Level Reviewer + Two years in an acute care setting with two years ... to clinical staff regarding these requirements during the concurrent record review process. + Maintains knowledge of mortality models, observed rate/expected rate… more
- University of Miami (Hialeah, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Concurrent Quality Reviewer of our hospital reviews documentation in the electronic...Documentation Specialists for concurrent queries to the providers, ensuring physician responses to queries are reflected in the code… more
- Elevance Health (Chicago, IL)
- **Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in person training sessions, ... and ensures essential face-to-face onboarding and skill development. The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network… more
- Elevance Health (Grand Prairie, TX)
- **Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... and ensures essential face-to-face onboarding and skill development. The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network… more
- Elevance Health (San Juan, PR)
- …information technology and business operations services for health plans._ **Nurse Reviewer I** **Location:** This role requires associates to be in-office 1 ... Friday but must be flexible according to business needs. The **Nurse Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness… more
- Magellan Health Services (Honolulu, HI)
- …and company policies and procedures, and criteria. + Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding ... quality of care. General Job Information Title HMSA Care Manager - BH, UM Reviewer - Remote Hawaii Grade 24 Work Experience - Required Clinical Work Experience -… more
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