Overview: ExamWorks is seeking a Utilization Management Physician to join the team! This person must be board... Management Physician will be responsible for providing thorough and accurate reviews of utilization management cases to ensure...
Responsibilities Perform utilization management reviews in an efficient and timely manner, ensuring each review... the utilization management process; provide detailed explanation of review outcomes, address questions and concerns...
is adept in the use of virtual platforms and advanced healthcare technology. The NP functions in collaboration with a physician... with, participate in, and comply with, the quality assurance, risk management and peer review programs, grievance procedures...
appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies... AND RESPONSIBILITIES: Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
supervision of non-physician case management supervisory staff as outlined above. Identifies prospective candidates in... across our organization. Complex and Disease Case Management Manager Primary Location Atlanta, Georgia Worker Location Flexible...
under a written nurse protocol agreement with their delegating physician, conducts complete physicals, provides treatment.... Performance Aptitudes: Data Utilization: Requires the ability to synthesize, hypothesize, and/or theorize concerning data...
and reactions, reporting abnormal signs to physician Monitors equipment for proper functioning; repairs or arranges for repairs... a notification. Performance Aptitudes: Data Utilization: Requires the ability to synthesize, hypothesize, and/or theorize...
management role (physician office clinic setting preferred) Preferred Qualifications Bachelor’s degree in Business...’s. Job Description Performs administrative and clinic support duties within physician operations to ensure efficient daily office operations...
operations and provides a variety of administrative support to management of the physician practice or clinic. Proactively... always. Find your next career opportunity and make a difference doing what you love at Children’s. Job Description Coordinates physician practice...
or telephonically to coordinate member care -Educate providers on utilization and medical management processes -Provide clinical... to the appropriate Physician or Medical Director with recommendations for other determinations -Complete medical necessity...
to evaluation/assessment; medication therapies and medical management; psychotherapy and counseling; parent/consumer education... include prescription and management of medication, order and interpretation of labs, order of consultations or referrals...
is looking for a Registered Nurse (RN) Clinic Manager to work full time in a new outpatient clinic at a global wealth-management firm located in... a physician and NP in a corporate health center while managing clinic operations and workflow policies and procedures. The nurse...
compliance with policies and procedures. Serve as a member of the management team in order to address problems associated... policies and procedures and to give peer input to enhance and improve the management function. Supervise the maintenance...
selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS and formulary management... Drug Utilization management preferred. Experience with direct patient counseling, provider interaction, and/or education...
nurse protocol agreement with delegating physician, conducts complete physicals, provides treatment, and counsels clients... a notification. Performance Aptitudes: Data Utilization: Requires the ability to synthesize, hypothesize, and/or theorize...
and ambulatory care access points, an insurance offering, a physician network and various related services located all over the... and Utilization Review departments to maximize patient revenue. Improves the profitability of the hospital. Continually monitors...
with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes... that will effectively monitor, support, and lead Value Based clinical initiatives. This includes but is not limited to case management...
BH/Autism experienced BCBA, LBS/LBA preferred candidates. Authorizes and reviews utilization of autism services..., including Applied Behavioral Analysis (ABA). Collects and analyzes utilization data. Assists with shaping of ABA services...
Windows Skill Assessment at 80% or higher rating Knowledge and utilization of patient registration systems, insurance... for positive patient flow and responds to issues that may arise related to safety, security, and disaster management. May conduct...
satisfaction. Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic... support to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs...