Physician Peer Review Jobs

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Medical Director for CTICU , NEW Cardiac Service Line Starting in August miles from Manhattan  

White Plains Hospital - White Plains, New York

by qualified physicians. Responsible for all provider schedules. - Participates actively in system-wide Critical Care Peer Review. - Develops, implement, and improve performance and service metrics as it relates Physician Peer Review Work careers...

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from: (+1 source) - Yesterday

Field Medical Director, Urologic Oncology Medical Affairs  

Exact Sciences - Madison, Wisconsin

team. - Convey complex medical messages clearly to all levels within the organization. - Provide timely customer support to physicians, customers, and sales as needed for medical peer-to-peer inquiries Physician Peer Review careers...

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from: - Yesterday

Skilled Inpatient Care Coordinator  

naviHealth, Inc. - Oklahoma City, Oklahoma

criteria or the nH Outcome. When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review peer review...

from: - 3 days ago

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RN Care Coordinator - Utilization Mgemnt - InPatient Psych *1.0 FTE, Day*  

Providence Health & Services - Everett, Washington

of concurrent denials and facilitating peer to peer physician reviews: * Clear communication and documentation of notification of all denial information from payers. * Set up peer to peer MD review, by the end physician peer review companies...

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from: - Yesterday


Hoag Memorial Hospital Presbyterian - Newport Beach, California

, and other high volume high-risk situations. For event review, this individual is responsible for case evaluation and summary to evaluate for Never Events, Clinical Events, and nursing and physician peer physician peer review form...

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from: (+1 source) - 5 days ago

Medical Director - Federal Health Products and Services  

Anthem - Atlanta, Georgia

for clinical operational aspects of a program. Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients’ office visits with providers physician peer review policy...

from: - 8 days ago

Patient Access Scheduler Oncology  

Olathe Health System, Inc. - Olathe, Kansas

/physician. Responsible to schedule all Peer to Peer reviews for Physicians with Insurance companies as needed to obtain Authorizations when needed. Return all phone calls to patients for scheduling physician peer review process...

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from: - 3 days ago

RN Medical Case Manager Workers Compensation  

Travelers Insurance - Tampa, Florida

optimal resolution (Dial-a-doc, physician advisor, peer reviews, MCU). Partner with Claim Professional to provide medical information and disability status necessary to create an overall strategy to achieve physician peer review specialist...

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from: - 2 days ago

Physician, Regional Clinical Dyad Partner for Ascension Medical Group  

Ascension - Grosse Pointe Park, Michigan

and completion of medical staff decisions regarding peer review and physician behavioral issues. Leads the development of continuing medical education (CME), and other relevant education programs for medical staff physician peer reviewer...

from: - 8 days ago

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Physician (Psychiatrist)  

Defense Health Agency - Augusta, Georgia

through professional discussions with, and review of medical records, by Chiefs of various clinical services and peer review and audit procedures established for psychiatric care at the institution serviced physician clinical reviewer...

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from: (+1 source) - Yesterday

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