necessity and utilization review/management expertise Expanded credentials as an expert in Independent Medical Exams...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews...
for providers throughout the state of Oregon. Requirements As Physician Reviewer/Advisor, you will utilize clinical expertise... and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation...
for providers throughout the state of Alaska. Requirements As Physician Reviewer/Advisor, you will utilize clinical expertise... and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation...
practice with medical necessity and utilization review/management expertise Expanded credentials as an expert in Independent... for providers throughout the state of California. Requirements As Physician Reviewer/Advisor, you will utilize clinical...
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...
The UPMC Health Plan is seeking a licensed MD or DO for a fully remote Medical Director, Utilization Management role.... The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery...
operations of a department including staff training, development, and performance review, utilization of equipment and facilities... Certification: Certification or licensure in field of expertise. Terracon Authorized Project Reviewer status preferred...
operations of a department including staff training, development, and performance review, utilization of equipment and facilities... in field of expertise. Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 32007BR...
annual budget, oversees all accounting services, financial management, and reporting functions, including clinical and grant... Care departments to identify cost-management opportunities. The role also leads projects related to new reimbursement...
reviewer or lead for proposals, protocols, analysis plans, and deliverables, ensuring methodological rigor, consistency... project profitability, utilization and sustained growth. Monitor and interpret project KPIs, proactively identifying risks...
the daily operations of a department including staff training, development, and performance review, utilization... in field of expertise. Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 34532BR...
practice with medical necessity and utilization review/management expertise Expanded credentials as an expert in Independent.... We are searching for providers throughout the state of Washington. Requirements: As Physician Reviewer/Advisor, you will utilize...
the daily operations of a department including staff training, development, and performance review, utilization... in field of expertise. Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 34530BR...
for the medical staff regarding federal and state utilization and quality regulations. Acts as second-level reviewer through..., Administration as needed. Chairs or serves on the Utilization Management Committee. Participates in the peer review process; makes...
Responsibilities: MAJOR DUTIES AND RESPONSIBILITIES: Reviews medical files and provides recommendations for utilization review..., DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality...
operations of a department including staff training, development, and performance review, utilization of equipment and facilities.... Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 34508BR Employment...
of care. Presentations to Medical Staff, Board, Administration as needed. Chairs or serves on the Utilization Management... evaluation of the hospital utilization management program. Maintains current knowledge of federal, state, and payer regulatory...
, Administration as needed. Chairs or serves on the Utilization Management Committee. Participates in the peer review process; makes... suggestions on ways to improve this process. Assists with the evaluation of the hospital utilization management program...
complex cases 4. Responsible for utilization management. a. Performs Interqual review of acute and outpatient admissions... Utilization Management Plan. (If no resolution to non acute admission/stay.) h. Completes data collection and clinical reviews...
. Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management... is required. Requirements As Physician Reviewer/Advisor supporting Dane Street Legal Services IMEs, the physician reviews medical records...