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The Physician will serve as a Contract Medical Reviewer to write medical eligibility determination recommendations based on provided training and templates. They will collaborate with the team to ensure high-quality reports and continuous improvement in medical documentation.
The physician will evaluate medical documentation to determine the suitability of reasonable accommodation requests under the Rehabilitation Act. They will also participate in multi-disciplinary teams to provide medical expertise and recommend alternative accommodations for federal employees.
Provide clinical advisory guidance and oversight to leadership regarding policies, protocols, and quality assurance programs. Serve as a resource for clinical questions and ensure compliance with state and federal healthcare regulations.
Serve as a Contract Medical Reviewer writing medical eligibility determination recommendations via medical reports. Collaborate with the Chenega HRSA team, including physicians and nurse practitioners, to enhance report quality.
Deliver high-quality primary care using both asynchronous and synchronous modalities for adult patients. Collaborate with product and operations teams to refine clinical workflows and provide supervision for Advanced Practice Providers.
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Provide medical oversight and supervision to Nurse Practitioners utilizing AI-enabled predictive algorithms and contactless monitoring in Tennessee skilled nursing facilities. Responsibilities include conducting comprehensive chart reviews, ensuring regulatory compliance, and providing medical recommendations for patient care.
The Physician Reviewer manages utilization review cases for assigned territories and coordinates care for patients. They also advise other physician reviewers and participate in process and quality improvement initiatives.
The Physician Reviewer manages utilization management cases, advises other reviewers, and coordinates care for patients across assigned territories. They are responsible for attending health plan and local team calls while participating in process and quality improvement initiatives.
The Supervising Physician will oversee advanced practice practitioners by conducting chart reviews, providing clinical guidance, and ensuring adherence to evidence-based guidelines. They are responsible for fulfilling state and federal supervisory requirements, including quarterly meetings and maintaining documentation standards.
The Physician Advisor provides leadership in managing resource utilization to ensure cost-effective, high-quality patient care. They collaborate with medical staff to optimize hospital services, perform peer-to-peer reviews, and manage documentation and compliance protocols.
The coder reviews clinical documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes for physician services. They also collaborate with providers to clarify documentation and resolve coding edits or claim denials to ensure billing compliance.
The specialist is responsible for assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services while ensuring compliance with regulatory and payer standards. They also perform coding audits, resolve claim edits, and collaborate with physicians to improve documentation quality.
The Drug Safety Physician performs medical review of adverse event cases and provides medical guidance to pharmacovigilance teams. They also support safety surveillance, signal detection, and regulatory safety documentation to ensure compliance and patient safety.
Provide direct clinical care through virtual visits, including medical evaluation, diagnosis, and the management of individualized treatment pathways. Collaborate with a multidisciplinary team of dietitians and nurse practitioners to integrate nutrition, lifestyle, and medical therapies into comprehensive care plans.
The Coder Physician is responsible for abstracting, coding, and sequencing medical records using ICD-10-CM and CPT codes to ensure accurate reimbursement. They must maintain a 95% quality rating while adhering to HIPAA, regulatory, and accreditation standards.
Conduct comprehensive in-home health assessments for adult and geriatric members to identify chronic conditions and health risks. Collaborate with primary care physicians, caregivers, and medical personnel to ensure effective follow-up and care management.
Conduct comprehensive in-home health evaluations to bridge gaps in care and build trusted relationships with patients. Perform medication reviews, physical assessments, and diagnostic screenings while documenting findings through an intuitive clinical workflow.
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Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, for health plan members. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic screenings. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical evaluations. Provide patient education and facilitate connections to appropriate care based on individual health needs.
Conduct in-home and virtual health evaluations, including medication reviews, physical assessments, and diagnostic screenings. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
The physician will conduct structured telehealth intake consultations to establish medical necessity and identify high-risk conditions for older adults. They will also develop and approve individualized care plans while documenting findings in the company platform.
The physician will conduct structured telehealth intake consultations to establish medical necessity and identify high-risk conditions for care navigation programs. They will also document findings, manage diagnoses, and develop individualized care plans in collaboration with the clinical operations team.
Conduct structured telehealth intake consultations to establish medical necessity and identify high-risk conditions or social needs. Collaborate with care advocates to develop and validate individualized care plans for patients.
Conduct comprehensive in-home health evaluations for health plan members, including physical assessments and medication reviews. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
Conduct in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
We watch for new "physician" jobs and email you the matches. Free. Unsubscribe in one click.
Conduct in-home health evaluations for health plan members, including physical assessments and medication reviews. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic screenings. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
Conduct in-home and virtual health evaluations for health plan members, including medication reviews and physical assessments. Build trusted relationships with patients to bridge gaps in care and provide necessary health education.
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and facilitate connections to appropriate care to improve health outcomes.
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