. Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management... expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services Fully prepped cases...
expertise strengthening your medical practice with medical necessity and utilization review/management expertise Expanded... credentials as an expert in Independent Medical Exams and physician advisor services Fully prepped cases, streamlined case flow...
. This position integrates national standards for case management scope of services including: Utilization Management supporting... activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c...
, Physician-led Value Analysis (VA) process. The Manager, Value Analysis will be tasked with assessing product function and cost..., determine and resolve barriers, and complete clinical product cross matches. Review clinical spend landscapes, Spend Advisor...
benefits. Ensure medical and vision integration for utilization management and care management. Serve as a vision thought... training 5 years' experience in managed care that can contribute to utilization management, case management, and/or quality...
Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical... your medical practice with medical necessity and utilization review/management expertise Expanded credentials as an expert...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews... necessity and utilization review/management expertise Expanded credentials as an expert in Independent Medical Exams...
and skill in the areas of discharge planning, transitions of care, utilization management (UM), medical necessity, and patient... performing utilization management (UM) provides the critical function of obtaining certification and approval of the patient...
and skill in the areas of discharge planning, transitions of care, utilization management (UM), medical necessity, and patient... performing utilization management (UM) provides the critical function of obtaining certification and approval of the patient...
. Understand the dynamic PET Amyloid space and be a trusted advisor to help customers navigate new amyloid PET imaging marketplace..., referring physicians, and pharmacy partners). Understand and leverage the value of providing referring physician education...
have been recorded in the patient’s record. Consults physician advisor when indicated by clinical review results or lack... requirements for clinical documentation aspects of utilization management, compliance, and reimbursement optimization. Implements...
as a trusted advisor to the client and leader to team members. In-depth knowledge of revenue cycle management, third party.... Collaborates to achieve the highest level of clinical and financial outcomes and patient, physician, and staff satisfaction...
regulatory (e.g. OIG, Medicare, JCAHO) and payor requirements for clinical documentation aspects of utilization management.... Facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate...
review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services...Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical...
review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services...Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical...
review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services...Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical...
for case management scope of services including: Utilization Management supporting medical necessity and denial prevention...: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning...
review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services...Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical...
/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services Fully...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews...
/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services Fully...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews...