utilization and quality regulations. Acts as second-level reviewer through the review of medical records of patients identified... of care. Presentations to Medical Staff, Board, Administration as needed. Chairs or serves on the Utilization Management...
/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services Fully...Job Description: Dane Street is expanding our physician panel! We are looking for Board Certified Thoracic Surgeons...
in any U.S. state and be Board Certified in Thoracic Surgery. Requirements As a Physician Reviewer/Advisor for Disability Peer... expertise strengthening your medical practice with medical necessity and utilization review/management expertise Expanded...
. Presentations to Medical Staff, Board, Administration as needed. Chairs or serves on the Utilization Management Committee... hospital utilization management program. Maintains current knowledge of federal, state, and payer regulatory and contract...
. Presentations to Medical Staff, Board, Administration as needed. Chairs or serves on the Utilization Management Committee... hospital utilization management program. Maintains current knowledge of federal, state, and payer regulatory and contract...
Overview: Are you an accomplished Board Certified Orthopedic Surgeon physician? Are you passionate about your work... with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations...
. Stay for the culture. What You’ll Be Doing: As a Physician Clinical Reviewer, Interventional Pain Management..., you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients’ lives...
Management is required. Requirements: As Physician Reviewer/Advisor supporting Dane Street Legal Services IMEs, the physician.... Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management...
and Pain Management **This position is for Disability Reviews** Requirements: As a Physician Reviewer/Advisor... for Disability reviews, you will utilize clinical expertise and reviews disability claims. The Physician Reviewer will provide...
Management **This position is for Disability Reviews** Requirements As a Physician Reviewer/Advisor for Disability reviews..., you will utilize clinical expertise and reviews disability claims. The Physician Reviewer will provide an interpretation of the medical...
. Stay for the culture. What You’ll Be Doing: As a Physician Clinical Reviewer, Interventional Pain Management..., you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients’ lives...
Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical... expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews... insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the...
utilization management and Sharp Health Plan criteria. For requests that do not meet criteria for coverage or are benefit... resource utilization as business needs require; Attends and participates in staff meetings or reviews staff meeting...
management team. Research status of vague or questionable procedures and present to the Chief Medical Officer/Physician Peer... communication between medical providers including external review agencies. Notify Chief Medical Officer/Physician Peer Reviewer...
management team. Research status of vague or questionable procedures and present to the Chief Medical Officer/Physician Peer... communication between medical providers including external review agencies. Notify Chief Medical Officer/Physician Peer Reviewer...
in records, and utilizes strong communication skills with physician, physician extender, utilization reviewer, nurse... individual physician and service line educational needs Assist management with external and internal CDI data requests. Work...
. Stay for the culture. What You’ll Be Doing: As a FMD, Radiology you will be a key member of the utilization management... Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines...
Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical... expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide...
center setting or physician’s office; knowledge of managed care and/or utilization management strategies advisable... criteria to a physician reviewer for consideration, ensuring the timely review of the referred case Reviews physician...