Trabajos clinical reviewer en Dallas, TexasCrear alertas

Job Title : Physician Reviewer Duration : 24 Months Assignment (Temp to hire) Locations : Fully Remote- (WFH) Start Date : ASAP Required hours: 39/week and weekend coverage (sat/sun as needed) Note: Position does not provide direct patient care or medical diagnosis.) Medical Director must reside in Texas. Job Profile Summary • Evaluates clinical service requests made by an organization's members and providers., • Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests., • May also provide clinical leadership in other areas of the organization., • Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member. Participates in the process to evaluate clinical service requests., • Practices anticipatory case management for members whose cases come for review, in partnership with case managers., • Participates in the Physician Review Units' appeal process of service denials., • Participates in the development of Physician Review Units' policies and procedures., • Actively participates in all unit continuous quality improvement activities., • Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background., • Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. EEO: “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”

Job Description HIRING AN ELECTRICAL DESIGN DIRECTOR - HEALTHCARE IN DALLAS DBR is hiring a proven Electrical Design Director to lead technical and quality standards in the Dallas office. This key role demands a senior expert who can ensure the integrity, safety, and performance of electrical systems for complex healthcare projects while guiding and mentoring the next generation of engineers. KEY RESPONSIBILITIES • Serve as the senior technical reviewer and responsible Professional Engineer (PE) for all electrical engineering deliverables, including medium- and low-voltage power distribution, emergency power systems, lighting, grounding, and specialized systems., • Develop, implement, and continuously improve the Electrical Discipline's Quality Control processes and checkpoints, ensuring all designs are robust, coordinated, and meet the highest standards of the firm and the industry., • Maintain expert-level, up-to-date knowledge of and ensure strict adherence to all relevant codes, including the NEC, NFPA 99 (Healthcare Facilities), NFPA 110 (Emergency Power), FGI Guidelines for Design and Construction of Hospitals and Outpatient Facilities, and Texas state regulations such as TDSHS., • Collaborate closely with Project Managers (PMs) and the Healthcare Practice Leader to define the electrical design scope, manage the engineering budget and labor hours, and proactively mitigate technical risks to guarantee projects are delivered on time and within financial targets., • Act as a senior-level technical contact for key healthcare clients, establishing trust and providing strategic counsel on critical infrastructure planning, redundancy, and long-term facility life-cycle cost analysis with supporting Project Manager., • Provide strategic direction and daily operational oversight for the Dallas Electrical Engineering team, fostering a high-performance culture focused on technical excellence and client service., • Mentor and coach engineers at all levels, helping them advance toward PE licensure, develop specialized healthcare system expertise, and enhance their QA/QC skillset., • Work with firm leadership to forecast personnel needs, participate in recruitment of senior staff, and conduct performance reviews to develop the overall strength of the electrical practice area., • Bachelor’s in Electrical or Architectural Engineering, ABET accredited degree., • A minimum of 15+ years of progressive, hands-on experience in the design of electrical systems for the built environment., • A minimum of 6–8 years of dedicated, senior-level experience in healthcare MEP consulting, specifically designing and managing projects for acute care hospitals, medical centers, and specialized clinical facilities., • Professional Engineer (PE) license is required, with current registration in Texas (or the ability to obtain it via comity within 6 months). And eligible for multistate registrations. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by their supervisor. This job description may be revised upon development of other duties and changes in responsibilities.

Overview The cities near Dallas, TX that boast the highest number of travel lpn jobs are: Carrollton Waco Denton Killeen Grand Prairie McKinney Frisco Garland Irving Plano Top cities by job openings The 10 cities near Dallas, TX that have the most job openings are: Carrollton Waco Mesq

Overview The cities near Dallas, TX that boast the highest number of travel lpn jobs are: Carrollton Waco Denton Killeen Grand Prairie McKinney Frisco Garland Irving Plano Top cities by job openings The 10 cities near Dallas, TX that have the most job openings are: Carrollton Waco Mesq

Job Description Dane Street is expanding our physician panel! Dane Street is a national Independent Review Organization and we have a very robust legal clientele. As our business has expanded, we have need to add experts to our physician panel to support Texas Contra-Affidavit and exert witness requests. This is an excellent opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. A Texas medical license, active practice, and board certification in Diagnostic Radiology is required. Requirements As Physician Reviewer/Advisor supporting Dane Street Legal Services IMEs, the physician reviews medical records and may address clinical questions, medical necessity of treatment, and usual and customary charges for services. The expert will support the Counter-Affidavit process and be available for deposition and trial expert. Counter affidavit/testimony/deposition work experience preferred. Experience and expertise in analyzing the application of CPT codes in combination with usual and customary rates and state fee schedules in addition to clinical expertise is essential. MAJOR DUTIES AND RESPONSIBILITIES: • On a contract basis as individual schedule permits, accepts cases, reviews all medical records, and completes the counter-affidavit process addressing each question and all clinical concerns as well as any charges/fee concerns based upon the expertise as a clinician and standards and norms in terms of fees/charges in Texas practice., • Provides copies of any criteria utilized in a review with the report in a timely manner, • Returns cases on or before the due date and time specified, • Robust opportunity for supplemental income, • Schedule flexibility and predictable work hours - You set the volume, and conduct exams based on your schedule availability, • No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions., • Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise, • Expanded credentials as an expert in Independent Medical Exams and physician advisor services, • No-show fees and late cancellation fees are established to protect your time.

Job Description Overview Are you an accomplished Board Certified Surgeon? Preferred candidates will have a TX license. Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: • Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims., • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues., • Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job., • Returns cases in a timely manner with clear concise and complete rationales and documented criteria., • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers., • Attends orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits., • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews., • Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: -Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills -Demonstrated ability to perform review services. -Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed -Managed care orientation -Knowledge of current practice standards in specialty -Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews -Ability to complete cases accompanied by a typed report in specified time frames -Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment • Concentra is committed to protect patient data and to ensure privacy of personal and medical information., • Every Concentra colleague has the responsibility to adhere to data protection principles., • If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Electronic Medical Record (EMR): eClinicalWorks.

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