Find clinical, allied health, care team, and healthcare operations openings using one smart search field across cities, regions, and employers.
HealthFirst
Overview
The Medical Peer Reviewer consults on medical necessity within utilization management, ensuring adherence to internal and external regulations by assessing authorization requests and claims payments based on medical records. This role involves rendering determinations within regulatory timeframes, maintaining productivity standards, and collaborating across various medical and management departments.
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Compensation
$122,907 - $188,020 / YEAR
Posted
9 days ago
Federal Hearings And Appeals
Responsible for reviewing medical case files and making medical determinations. Reviews and analyzes Federal and State laws, regulations, and applicable policy guides.
Salary not listed
16 days ago
Lightfully Behavioral Health
The Primary Therapist provides evidence-based individual, group, and family therapy while managing treatment planning and clinical documentation. They also collaborate with the multidisciplinary team to ensure continuity of care and provide milieu support for clients.
$70,000 - $93,000 / YEAR
23 days ago
The Fedcap Group
Provide routines-based occupational therapy services to children birth to 36 months in their natural home or community environments. Collaborate with families and interdisciplinary teams to develop service plans, conduct assessments, and facilitate goal attainment.
24 days ago
The Physician Peer Reviewer is responsible for reviewing medical case files and making medical determinations regarding medical necessity and appropriateness. This includes analyzing Federal and State laws, regulations, and applicable policy guides.
25 days ago
Aware Inc.
The physician assistant will provide coordinated mental and behavioral health care as part of a treatment team, including creating care plans and prescribing psychiatric medications. They are also responsible for documenting patient care, interpreting diagnostic tests, and providing education to patients and families.
$120,000 - $140,000 / YEAR
1 month ago
Sunset Health
The Psychiatric Nurse Practitioner provides professional psychiatric services, including assessment, diagnosis, and treatment of behavioral health disorders. They also collaborate with the care team, manage support personnel, and participate in quality improvement programs.
ORTHOCINCY
The Physician Assistant will practice orthopaedic medicine by performing physical exams, interpreting diagnostic tests, and formulating treatment plans. They will also assist in surgeries, conduct hospital rounds, and provide continuity of care for patients.
UnityPoint Health
Provide 24/7 in-house obstetric and gynecologic coverage, including managing labor, deliveries, and surgical procedures. Collaborate with multidisciplinary teams to ensure high-quality patient care and participate in quality improvement and safety initiatives.
Texas Children's Hospital
The Staff Pharmacist manages the medication process, identifies and prevents drug-related problems, and resolves actual issues to ensure patient safety. They also participate in patient education, maintain investigational drug records, and conduct discharge medication reviews.
The Staff Pharmacist manages the medication process, identifies and prevents drug-related problems, and provides patient education. They also ensure pharmacy operations run smoothly and maintain accurate investigational drug records.
Chase Brexton Health Care
The Certified Nurse-Midwife provides comprehensive gynecologic and well-woman care, including prenatal care and health screenings in an outpatient setting. They are responsible for maintaining patient safety standards, participating in quality improvement activities, and supporting a diverse patient population.
$119,421 - $140,384 / YEAR
Chenega Corporation
The physician will perform medical histories and physical examinations to assess the medical fitness of applicants for military service. They are responsible for applying accession medical standards and maintaining accurate electronic medical documentation.
Neighborhood Health
The physician provides comprehensive outpatient primary care to patients of all ages, including diagnosis, treatment, and management of acute and chronic conditions. They collaborate with an integrated team of healthcare professionals to ensure high-quality, patient-centered care and health equity.
St. Elizabeth Healthcare
The physician will provide comprehensive patient care within their specialty and participate in medical staff committees. They are responsible for maintaining clinical standards, adhering to safety protocols, and engaging in the peer review process.
OCALA EYE PA
The CRNA provides monitored anesthesia care and administers general anesthesia under the supervision of a physician. They are also responsible for maintaining anesthesia equipment, participating in quality management programs, and ensuring patient safety throughout the perioperative process.
Washington Radiology
Interpret musculoskeletal imaging studies including MRI, CT, and X-ray for joints, spine, and soft tissues. Provide accurate, timely reports while collaborating with referring orthopedic surgeons and sports medicine physicians.
University Hospitals
Provides safe, age-specific nursing care to patients and families while maintaining accurate clinical documentation. Collaborates with the healthcare team to optimize patient outcomes and clinical operations in an acute care setting.
$2 / HOUR
Seven Hills Hospital
The Utilization Specialist acts as a liaison between managed care organizations and clinical staff to monitor service utilization and optimize reimbursement. They are responsible for conducting medical necessity reviews, managing the appeal process for denied stays, and ensuring accurate documentation.
Selah House
The Psychiatrist is responsible for conducting psychiatric evaluations, providing medication management, and ensuring clients are medically stable. They collaborate with the medical and clinical team to promote health and safety while maintaining accurate medical records.
