Physician Peer Review Jobs

Memorial Hermann - Houston, Texas (+1 location)

review system in compliance with The Joint Commission and other regulatory standards in conjunction with the Manager of the Physician Peer Review System. Must be able to demonstrate knowledge and skills Physician Peer Review Work careers...

from: resume-library.com (+1 source) - 15 days ago

Ivy Exec - Cumberland County, ME, United States

medical policies to supplement external resources. Involved in the clinical aspects of member and provider appeal processing and decision-making Contracts and coordinate the services of peer-review Physician Peer Review careers...

from: noriskrecruitment.co.uk - 2 days ago

University of California - Berkeley, California, US

at Clinician Practice meetings upon invitation, participation at peer review meetings as needed and participation in selected educational workshops as needed. •Actively participates in quality improvement peer review... $114,100-$316,300

from: neuvoo.us - 2 days ago

Adventist Health System - DeLand, Florida, US

You Will Be Responsible For: • Provides physician review of denials, and writes and submits clinical denial appeals when required • Interfaces with, advocates for, educates and serves as a liaison • with Medical Staff physician peer review companies...

from: neuvoo.us - 3 days ago

Johns Hopkins Medicine - Baltimore 21276, MD, United States

contacts include multiple third party payers, prescription benefit management companies, governmental peer review organizations, and referring physicians. The relationships are inherent to the success physician peer review form...

from: noriskrecruitment.co.uk - 2 days ago

eviCore healthcare - Franklin, Tennessee

timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. - Documents all actions related to clinical review sessions and attests physician peer review policy...

from: resume-library.com - 12 days ago

eviCore healthcare - Franklin, Tennessee

but not limited to, initial written reviews for pre-service and post-service medical necessity determinations, telephonic peer consultations, and appeal decisions - Provide operational leadership to other physician physician peer review process...

from: resume-library.com - 12 days ago

naviHealth, Inc. - Traverse City, Michigan, US

criteria or the OPT. 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 physician peer review specialist...

from: neuvoo.us - 5 days ago

FSR (Federal Staffing Resources) - Eglin Air Force Base, Florida, US

. Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement. Shall perform peer review of a minimum of 10 routine cases per month Shall perform an average physician peer reviewer...

from: neuvoo.us - 5 days ago

DISABILITYCROSSING - El Paso County, TX, United States

. Communicate daily with Case Managers regarding new admissions into the Psychosocial Rehabilitation Program. Conducts and refers cases for peer review and establishes communication with physicians to discuss physician clinical reviewer...

from: noriskrecruitment.co.uk - 7 days ago