jobs - physician reviewer

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Clinical Quality Reviewer. Core Responsibilities Include: Facilitating the Physician IQC process Performing quality...

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UM Clinical Reviewer - MA (Accountable Care-OPS) Full Time Day Shift OVERALL PURPOSE OF POSITION: Responsible... of this position, which may require an overnight stay. Moderate stress due to work volumes and patient, physician, staff and member...

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HCA Added -

Quality Reviewer (CQR) performs internal quality assessment reviews on Health Information Management Service Center (HSC... practices and to improve the quality of physician documentation within the body of the medical record to support code...

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for review and the specialty of the physician reviewer necessary to complete the peer matched review. Provides supporting... reference documentation to the reviewer. Applies state laws during the Quality Assurance process. Interacts with physician reviewers...

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The Clinical Quality Reviewer is responsible for performing on-going assessments of the quality of work performed... or more often if problems are identified. Facilitate the Physician IQC process and communicates/coordinates frequently with the...

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HCA Healthcare Added -

Quality Reviewer (CQR) performs internal quality assessment reviews on Health Information Management Service Center (HSC... practices and to improve the quality of physician documentation within the body of the medical record to support code...

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The Clinical Quality Reviewer is responsible for performing on-going assessments of the quality of work performed... or more often if problems are identified. Facilitate the Physician IQC process and communicates/coordinates frequently with the...

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Physician Peer Reviewer(s),...

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Enterprise Medical Recruiting Added -

Officer;Assists in supervision of other members of the Medical team including Physician Peer Reviewer(s), Senior Psychologist...Psychiatric-Mental Health opening in , North Carolina. This and other physician jobs brought to you by DocCafe. NORTH...

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Julia Edmunds Associates, Inc Added -

We are currently recruiting a Anesthesiologist Pain Management Physician Case Reviewer. This is a full time opportunity... using clinical appropriateness guidelines and health plan medical policy. *Perform physician-level case review, following...

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Physician Peer Reviewer(s),...

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Caduceus Healthcare Added -

Psychiatric-Mental Health opening in St .Louis, Missouri. This and other physician jobs brought to you by DocCafe... as practicing experience. Internship time does not count. Time spent in an administrative capacity as a claims reviewer, medical...

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AIM is currently seeking a Board-Certified Orthopedic or Physical Medicine and Rehabilitation physician to participate.... Physician Reviewers determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health...

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Reviewer Location: Jacksonville, Florida Hours: 8am to 5pm, Monday to Friday Position Duties May Include: Review all self...

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Veterans Health Administration Added -

Anesthesiology opening in Dallas, Texas. This and other physician jobs brought to you by DocCafe. The VA North Texas... Health Care System (VANTHCS) in Dallas, Texas is seeking two dynamic physicians to serve as Physician Advisors . The...

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solutions for high-tech diagnostic imaging and sleep management. Physician Reviewers determine the medical necessity... will: Perform physician-level case review, following initial nurse review, of high-tech diagnostic imaging and sleep management...

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Utilization Review Physician. Individual must be able to fulfill the following responsibilities: Review medical files... is required for MD or DO reviewer Must be in active medical practice to perform appeals Post-graduate experience in direct patient care...

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solutions for high-tech diagnostic imaging and sleep management. Physician Reviewers determine the medical necessity... will: Perform physician-level case review, following initial nurse review, of high-tech diagnostic imaging and sleep management...

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solutions for high-tech diagnostic imaging and sleep management. Physician Reviewers determine the medical necessity... will: Perform physician-level case review, following initial nurse review, of high-tech diagnostic imaging and sleep management...

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A healthcare company is filling a position for a Remote Nursing Clinical Quality Reviewer in Irving. Core... Physician IQC process Position Requirements Include: May be required to travel at least 10% of time based on business needs...

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for review and the specialty of the physician reviewer necessary to complete the peer matched review. Provides supporting... reference documentation to the reviewer. Applies state laws during the Quality Assurance process. Interacts with physician reviewers...

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IASIS Healthcare Added -

JOB SUMMARY: The Clinical Nurse Reviewer resides in the Internal Audit Department and conducts review of the Medical... department Utilize clinical skills, chart review, physician communication, Interqual and other criteria. Review air, ambulance...

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Highmark Added -

Utilzation Reviewer, Resource Center, Casual Nursing Pittsburgh, Pennsylvania Position at Allegheny Health Network... of action for denial trends with the care coordination teams, performance improvement teams, physicians/physician advisor...

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$65 per hour

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, and then 400 mentored case file reviews as part of the orientation process if no previous disability review experience. Physician... must have an available 10 weekday block to complete the orientation. After the 400 files, the physician may be ?released? from orientation...

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MCMCLLC Added -

UBM Americas has an excellent opportunity to enter into the exciting world of fashion and events, as we seek an Account Executive to join our exhibition booth sales team for our Men's Division of our Fashion group. UBM plans, among others,...

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medical policy. Responsibilities include: **Perform physician-level case review of radiation therapy procedures and related... health plan medical policy **Conduct peer-to-peer consultations with ordering physicians, physician assistants, and advanced...

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American Medical Personnel Services, Inc. Added -

appropriateness guidelines and health plan medical policy. Responsibilities include: **Perform physician-level case review... physicians, physician assistants, and advanced practice nurses to provide education regarding established guidelines and accepted...

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medical policy. Responsibilities include: **Perform physician-level case review of radiation therapy procedures and related... health plan medical policy **Conduct peer-to-peer consultations with ordering physicians, physician assistants, and advanced...

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medical policy. Responsibilities include: **Perform physician-level case review of radiation therapy procedures and related... health plan medical policy **Conduct peer-to-peer consultations with ordering physicians, physician assistants, and advanced...

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Magellan Health Added -

Systems (database development/outcomes reporting). General Job Information Title Physician Clinical Reviewer Job Family.... Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan...

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