Description We're looking for a Physician Reviewer M.D. or D.O. , working in Healthcare Systems and Services industry in 300 E. Randolph Street, Chicago, Illinois, 60601, United States . Responsibilities: 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. Provides 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. #J-18808-Ljbffr PSG Global Solutions
Boutique CPA Firm | San Francisco | Hybrid | Strong Pay | Excellent Benefits | Flexible in-office PolicyThis Jobot Job is hosted by: Chris ChomicAre you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume.Salary: $110,000 - $145,000 per...
...Job Description Job Description Eurest We are hiring immediately for a full time DRIVER HELPER position. Location : Hormel - 1101 Main Street North, Austin, MN 55912. Note: online applications accepted only. Schedule : Full time schedule. Monday through...
...fastest growing CROs. We are currently looking for a (Senior) Clinical Research Associate to join us. This position is permanent, home-... ...specific solutions in clinical settings. Able to mentor entry level CRAs. Understand electronic data capture including basic...
...develop efficiency in Sysco computer programs Proficient in electrical meter testing Knowledge of controls and electric (DC (distribution center) low voltage Electric motor knowledge (DC) Complete electrical repairs and welding projects as needed....
MuleSoft Developer, Remote with one of my clients in the United States(minimum 10 years of experience).Must Haves:1. MuleSoft Development2. Dataweave 2.03. MuleSoft CloudHub implementation.Candidate should be able to:1. Leverage MuleSoft Cloudhub skill to implement...