Position: Physician Reviewer Location: Remote in Texas (must have Texas Medical Licensure) Schedule: M-F 7-8 hours per day for 39 hours per week. Flex Sat/Sun as needed. Pay: $110 per hour Job Description: The physicianreviewer evaluates clinical service requests based on company guidelines to make medical necessity determinations. 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 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. Required Education/Skills: Must be Board Certified, M.D. or D.O with an unrestricted physician license in Texas. Must demonstrate PC proficiency, as file review will be done via computer in most cases. 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background. (Note: Position does not provide direct patient care or medical diagnosis.) #J-18808-Ljbffr EPITEC
...administrative duties that might include, answering phones, scheduling appointments, and data entry in medical records under the direct supervision of a supervisor or provider. Clinical duties will include measuring and recording vital signs, collecting demographics or medical...
...Job Description Job Description Are you an Optometrist looking for a meaningful, flexible part-time opportunity? Join MRG Exams to conduct comprehensive eye exams for U.S. Veterans as part of the VAs SHA process. This is a rewarding non-treating, non-determination...
...Now hiring for Hair Stylist and Barber positions. Join our Sport Clips Salon in Vadnais Heights, Minnesotaand make $25- $30+ an hour! Our Salon offers industry leading mentorship, training and compensation: hourly + commission + tips + yearly bonus! We take pride in...
...About ConnectPrep: Our goal is to redefine tutoring to use data, insight, and our extensive teaching experience find solutions for... ...the future. The Opportunity: We are offering a Data Analyst Internship for qualified candidates. This is a cross-disciplinary...
...Description Description: Essential Functions Identifies and evaluates patient needs by way of telephone triage. Administers medication including injections; documents medication given or prescribed by ordering physician as required by specialty. Identifies...