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Develop, implement and evaluate case management programs, including utilization review, and ... PTO package, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b) ...

Participate in performance reviews when necessary. * Medical Quality - Ensure the delivery of high-quality medical care by remaining familiar with and maintaining medical protocols, conducting audits ...

Participates in medical reviews for individuals. * Carries agency cell phone and is on-call, responds to questions regarding physician treatment plans. * Performs other related duties as requested

Reviews all lab data and documents. * Participates in the development of protocols. * Performs and obtains a completed medical history and physical data on patients with appropriate documentation and ...

Conducts reviews and provides expertise on highly complex operative reports and medical records for the Pre-Payment review process. * Performs ongoing and in depth CPC training to Special ...

A minimum of two years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities, required; OR * Three years of ...

Review and update medication list to ensure accurate and complete list in electronic medical record (EMR) available for provider review and submission. Complete referrals and tracks patients ...

Review and update medication list to ensure accurate and complete list in electronic medical record (EMR) available for provider review and submission. Complete referrals and tracks patients ...

Responsibilities * Reviews qualified life event documentation and approves enrollment as ... Recommends pro-active programs to bring employees with medical work limitations back to work ...

Clinical Nurse- General - Med Surg - Mount Sinai Hospital - FT/Nights The Clinical Nurse is a ... Engages in formal and informal peer and institutional review processes. * Collaborates with ...

Performs specialized coding services for complex or more specialized inpatient and outpatient medical office visits. Reviews physician coding and provides updates. * May provide financial counseling ...

The Medical Director will provide ongoing development and review of protocols to ensure optimized care for patients is in compliance with licensing agencies. Participates in agency-wide QA Committee ...

About Us One Medical is a primary care solution challenging the industry status quo by making ... Ensure operational readiness of the practice through regular team check ins, review of staffing ...

Reviews and interprets results to develop patient care plan. Prescribes medications and therapeutic ... Enters the above in patients' medical records in accordance with documentation best practice ...

... to review higher risk cases and make recommendations. Receiving Supervision/Training: * Attend weekly 1 hour group supervision meetings * Consult with the Medical Director regarding cases. Liaise ...

Manage controlled substances, review practice orders of drugs and supplies, and ensure that the DEA ... One Medical membership, Commuter benefits, Carrot Fertility benefits, Monthly Health & Wellness ...

FlexCare Medical Staffing is seeking an experienced Cardiovascular Operating Room Registered Nurse ... Additionally, the review may consider the potential impact on the nurse's ability to meet licensing ...

Review of required medical tests and documents pertaining to consultations and medical histories * Secure a thorough health history from the applicant and record findings * Arrange (but not ...

The Medical Director will work in a community health setting serving a population with chronic ... Review and approve treatment plans, recommending evidence-based psychopharmacology and ...

Training is provided by our fantastic Regional Leads and Medical Director . Your expertise will be ... for you to review of each patient! · Advancement - Clinicians can take on additional ...

... reviewing the patient's health record, and determining the kind of health and physical care ... medical staff, patients and families. Number of Positions: 1 VID-753855 PK-VR-2645

Physician - Medical Director in New York, NY. DocCafe is the premier physician and advanced ... Provides clinical and administrative supervision to Behavioral Health Staff Reviews documentation ...

... Review, Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patient's values ... Medical Surgical Unit - *** West Duties Continued... OPERATIONS 1. Performs charge nurse duties as ...

Minimum Qualifications NYC Children's Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of psychiatric and medical services ...