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Written reports detailing the clinical review findings, including recommendations regarding the appropriateness of the psychiatric inpatient hospitalization or appeal request. The Peer Reviewer shall perform clinical reviews of psychiatric inpatient hospitalizations and appeal requests submitted to.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Rooming in office patients to include: clinical chart preparation, obtaining the chief complaint or reason for the visit, obtaining vital signs, performing an ECG, reviewing current medications and allergies, updating patient history and review of systems.
$38.5 an hourFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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The Prior Authorization (PA) Pharmacist would facilitate efforts in the review of clinical documentation and the Preferred Drug list (PDL) to determine proper medication therapy. Drug Review: Provides clinical input during the weekly drug file updates, making recommendations on applying utilization controls.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Identifies opportunities in resource management and utilization by oversight and review of clinical operations including but not limited to labor, pharmacy, medical supplies, equipment and mileage.
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Participating in clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee.
Full-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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As the First Level, Physician Reviewer for the Acentra ME ASO program, the psychiatrist will be responsible for review of clinical recommendations made by Master’s level clinicians reviewing prior authorizations and continued stay reviews for behavioral health services in the State of Maine.
Part-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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A cost containment background, such as utilization review or managed care is helpful. Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
$96,662 a yearFull-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Clinical Certification: NBCRNA (National Board for Certification and Recertification for Nurse Anesthetists) and AANA (Registered Nurse Anesthetist from the American Association of Nurse Anesthetists.
Full-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Education - BSN or AD; if RN has an AD, within 2 years from the date of hire, they must meet with their nurse leader and conduct the following: 1) Identify which accredited school they plan to attend; 2) Provide a written plan with the anticipated BSN completion date; 3) Submit a review of transcripts from the school indicating the required pre-requisites and timeline for taking the courses; and 4) Complete BSN within 5 years of start date.
Part-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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You will also be connected with a full support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. Benefits : A dedicated and responsive recruiter who has your back Priority access to jobs in all 50 states at every major healthcare system Day-1 medical benefits that last up to 30 days between assignments Day-1 401K with company matching after 6 months 24/7 support Clinical support throughout your assignment.
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A thorough clinical review of each case has been previously conducted by the clinician to formulate the clinical recommendations sent to the physician reviewer. Review daily case list and clinical recommendation summaries sent by Acentra ME Appeals team.
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