Utilization Review Physician Jobs

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Clinical Team Managers Triage (Broward County)  

Vitas - Deerfield Beach, Florida

. Performs utilization review of continuous care and inpatient levels of care for all patients on team. Customer Service/Sales/Marketing Assures that problems/grievances/service failures experienced Utilization Review Physician Work careers...

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from: resume-library.com - 14 days ago

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Vice President, Medical Affairs Northern Virginia Medical...  

Sentara Healthcare - Woodbridge, Virginia

of Patient Safety/Quality, Medical Staff Affairs, Accreditation/Regulatory Standards, Infection Prevention and Control, Clinical Service Line Development, Utilization Review/Utilization Management, Clinical Utilization Review Physician careers...

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from: resume-library.com - 3 days ago

Clinical Document Specialist (Full Time / Health Information Management)  

Kingman Regional Medical Center - Kingman, AZ, United States

that supports the severity of the patient illness and risk of mortality. Collaborates with physicians, physician extender, nurse, case manager/utilization reviewer and medical Records coder to identify principal physician utilization review...

from: glassdoor.com - 23 days ago

Chief Medical Officer/VP Medical Affairs  

Brigham & Women's Faulkner Hospital(BWFH) - Boston, Massachusetts

, utilization review, professionalism, patient-family centered care and clinical program development. The CMO is a critical partner with the Chief Nursing Officer (CNO) and the Vice President of Clinical Programs utilization review physician advisor...

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from: resume-library.com - 3 days ago

Medicare Medical Director Palmetto GBA  

BlueCross BlueShield of South Carolina - Columbia, South Carolina

relationships with the medical community and serves as liaison between these entities and the contractors. - 10% Reviews physician and provider practice pattern analysis and other statistical data related utilization review chiropractor...

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

Durable Medical Equipment Benefit Coordinator II  

Kaiser Permanente - Portland, OR, United States

to regulatory standards for response times. Insure member eligibility for DME services: both benefit and current Medicare guidelines. Manage costs through effective utilization review of rental equipment physician advisor utilization review...

from: glassdoor.com - 27 days ago

Psychother II (MSW LICSW-Phd)  

Lowell General Hospital - Medford, Massachusetts

collaboratively with other therapists, prescribers and primary care physicians to address the behavioral health needs of their patients Participate in utilization review proves Identify high risk clients for review telecommute utilization review physician ortho...

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from: resume-library.com - 11 days ago

Utilization Management Coordinator - Registered Nurse (RN)  

HCSC - Albuquerque, New Mexico (+1 location)

and operational procedures to members, providers and facilities. This position will be engaged with Utilization Management Review. JOB REQUIREMENTS: *Registered Nurse (RN) with valid, current, unrestricted license utilization review physician orthopedic surgeon...

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from: resume-library.com (+1 source) - 6 days ago

Registered Nurse Quality Coordinator FT Days  

AdventHealth Heart of Florida - Davenport, FL, United States (+1 location)

Board of Quality Assurance and Utilization Review Physicians Certification in a quality improvement methodology/toolset such as Lean, Six Sigma, Change Management, etc. Job Summary: Under general utilization review physician los...

from: glassdoor.com (+2 sources) - 11 days ago

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RN-Population Health Coordinator / Quality Management / Full-Time / Days  

Ardent Health Services - Albuquerque, New Mexico

one year physician office experience (adult / family medicine). Quality Improvement, Case Management, Utilization Review, Risk Mgt. /Safety experience a plus. * Valid NM Nursing license or NM compact license utilization review physician telecommute prn...

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from: resume-library.com - Yesterday

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