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
...amazing career destination. No matter where in the world or what level of the organization, we approach our work with kindness. So... ...for Bachelor's or Master's students to join our team! As a Machine Learning Engineer, you will work on a real project (or a few) and have an...
...Job Description Key Responsibilities Manage commercial contracts for the Certified Verification Agent (CVA) during design, fabrication... ...activities. Coordinate certification processes for offshore assets (cables, substations, foundations, wind turbine generators)....
Read MoreHackensackPart-Time | This is an unpaid positionThis internship is an opportunity to gain hands-on experience in marketing within a nonprofit. Interns will gain an understanding of the different ways to promote services to families and keep them informed of...
Are you looking for a No Weekends-No Holidays Managed Care Opportunity We have a Manage Care Group providing high quality... ...care in Beautiful San Antonio, Texas. They"re looking for a Primary Care Physician to see Medicare and Medicare Advantage patients. They offer...
Hi my name is Mary. I am a stay at home mom and have 3 children of my own. I amlooking to watch children in my home. My hours are Monday through Friday from7am-5pm. I have reasonable rates. I am also CPR and First Aid certified and I also have my CDA in child care. If...