. About the Role Threat Tec is seeking a Force Surgeon (Medical Policy Advisor) to support U.S. Marine Corps Forces Central... Program and Force Surgeon on allocation, utilization, and policy coordination for US/non-US blood products. Keep the Force...
, medical school affiliation(s), and residency programs. The CMO serves as physician advisor to the Case Management staff... and serves as physician liaison to promote appropriate utilization of resources by the medical staff. Performance improvement...
experience. Preferred Qualifications: Previous UM experience with a Health Plan / Payor/ Physician Advisor in a Healthcare... development, implementation, and evaluation of clinical / medical programs and expand Aetna's medical management programs...
for post- hospital levels of care. 5. Collaborate closely with the Physician Advisor, Hospitalist Director and Supervisor... development and implementation of a comprehensive transition of care model to ensure the appropriate utilization of resources...
: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length... following activities: · Accurate medical necessity screening and submission for Physician Advisor review, · Care...
for issues related to physician practices and best practices for the patient’s plan of care. Refers cases to physician advisor... and hospital staff regarding admission status and acute care criteria, utilization management issues, care coordination...
. This position integrates national standards for case management scope of services including: Utilization Management supporting...'s responsibilities include the following activities: Accurate medical necessity screening and submission for Physician Advisor review...
of care Refers potentially avoidable days to physician advisor when appropriate Facilitates efficient care processes... required. Experience in Quality Improvement, Utilization Management, Case Management preferred. Microsoft Office skills required, database...
assessing patients’ risk factors and the need for care coordination, clinical utilization management and the transition to the... to include, but not limited to: o Accurate medical necessity screening and submission for Physician Advisor review o Care...
review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services...Requirements: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise...
integrates national standards for case management scope of services including: • Utilization Management supporting medical... include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care...
, you'll work Full Time 8:00am-4:30pm with our Case Management team providing exceptional care to those who have entrusted... during the hospitalization by managing, coordinating and monitoring resource utilization to achieve optimal clinical outcomes...
/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services Fully...Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise...
review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services...Requirements: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise...
for Physician Advisor review o Care coordination that includes admitting diagnosis/ medical history, current treatments, age..., Medicare, Medicaid, and Campus related to admission and continued stay approval. Adheres to Utilization Management Plan...
. This position integrates national standards for case management scope of services including: Utilization Management supporting...'s responsibilities include the following activities: Accurate medical necessity screening and submission for Physician Advisor review...
/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services Fully...Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise...
review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services...Requirements: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise...
/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services Fully...Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise...
review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services...Requirements: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise...