Utilization Review Physician Jobs

cCARE - California Cancer Associates for Research & Excellence - Fresno, CA, United States

. Attend any required clinic meetings. Promote cooperation and teamwork among other physicians and team members of the clinic. Comply with all credentialing, quality assurance and utilization review criteria

from: linkedin.com - 9 days ago

CHRISTUS Health - Tyler, United States

by a physician with the following qualifications: -Licensed physician in state of residence Board certified in a clinical specialty -Certified by the American Board of Quality Assurance and Utilization Review

from: us.lifeworq.com (+4 sources) - Yesterday

Jackson Physician Search - Chicago, United States (+1 location)

Officer. The combined role will be pivotal in several areas of the organization, including but not limited to: Utilization Review, Improving Quality Metrics, Integration of Value-Based Performance

from: us.lifeworq.com (+2 sources) - 5 days ago

Healthcare Leadership Solutions - , FL, United States

, statistical trending, and changes to denial prevention measures with managed care payor agreements. RESPONSIBILITIES: • Provide physician review of utilization, claims management, and quality assurance related

from: linkedin.com - 8 days ago

WASHINGTON VALLEY PHARMACY LLC - Quincy, WA, United States

* Responsibilities* ( but are not limited to ) • Medication check and prescription verification. • Ensure accuracy, safety, and efficacy of dispensed prescriptions through thorough drug utilization review

from: linkedin.com - 8 days ago

Cigna - Remote, California, USA (+2 locations)

necessity of services that do not meet utilization review criteria. Review appeals for denied services related to relevant medical experience and our evidence-based guidelines, in accordance with appeal

from: Ivyexec.com - 3 days ago

American Health Partners - , TN, United States

and in accordance with facility policy. This includes: Licensed staff Nursing assistants Physicians’ orders Physician visits Recertification's Medication reviews and administration audits Time schedules In-services

from: linkedin.com - 6 days ago

El Camino Health - Mountain View, CA, United States

of antineoplastic agents. Promote appropriate, standardized and guideline-based antineoplastic utilization across all El Camino Health (ECH) sites where appropriate. Review provider requests for exception orders

from: linkedin.com - 6 days ago

Saunders Staffing Agency - Orange, California

to influence and work collaboratively with physicians and all levels of staff Familiarity with Utilization Review criteria Ability to establish and maintain effective working relationships across the Health

from: resume-library.com (+1 source) - 5 days ago

CommuniCare Health Services - Charleston, WV, United States

and equipment utilization. Must demonstrate knowledge of state and federal accreditation. Responsibilities include, but are not limited to: Evaluate, Review, and Screen patient’s/resident’s medical charts

from: linkedin.com - 7 days ago