The Psychiatrist Physician Reviewer at Acentra Health is responsible for providing principal leadership and clinical expertise to operations relating to the peer review process, utilization review activities, and other activities requiring clinical leadership and consultation. This role involves conducting phone consultations with various Illinois hospitals to establish medical necessity and continued stay criteria for IL Medicaid Fee-For-Service beneficiaries. This is a PRN, remote position within Illinois requiring an active Illinois MD/DO Psychiatrist License.

Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)

Psychiatrist Physician Reviewer

The Hospital MD - Psychiatrist Field Representative is responsible for surveying health care organizations throughout the United States to determine their compliance with applicable standards and functionality of care delivery systems. This role involves applying systems analysis and inductive reasoning skills, engaging health care organization staff in dialogues on standards-based issues, and preparing management reports that link standards deficiencies with potential systems vulnerabilities. The position requires excellent critical thinking, problem-solving, interpersonal, and communication skills, and participation in other Joint Commission activities as assigned.

Surveyor - Hospital MD (Psych)

Hospital MD - Psychiatrist Field Representative

The American Medical Association (AMA) is seeking a Physician Insurance Specialist for a remote position. This role involves representing AMA Insurance to physicians, generating sales through both inbound and outbound calls, and understanding their insurance coverage needs. The specialist will build relationships with insurance clients, identify cross-sell opportunities, and facilitate processes leading to accepted applications and customer payments. This position requires a bachelor's degree, knowledge of medical liability insurance products, and a minimum of 3 years in telesales or sales roles with an insurance focus.

Physician Insurance Specialist (Remote)

Physician Insurance Specialist

As a Physician Advisor at R1 RCM, you will help client facilities navigate the path to compliant revenue by reviewing payor peer-to-peer cases. This role involves evaluating if the proper documentation was available for the admission status, procedure, and care setting requested, advising on the appropriateness of the request based on available documentation, and discussing cases with medical directors from the payor side. The position requires strong clinical knowledge across multiple clinical areas, the ability to work independently with a high level of performance in a rapidly changing, fast-paced environment, and proficiency in basic computer skills.

Physician Advisor

The Surveyor Hospital MD at The Joint Commission is responsible for surveying health care organizations throughout the United States to determine their compliance with applicable standards and functionality of care delivery systems. This role involves applying systems analysis and inductive reasoning skills, engaging health care organization staff in dialogues on standards-based issues, and preparing management reports on compliance deficiencies and potential systems vulnerabilities. The position requires nationwide travel and offers full-time and part-time opportunities with full benefits eligibility.

Surveyor - Hospital MD

The Medical Specialist at Guardian Life will be knowledgeable in a variety of medical and behavioral health conditions, performing outreaches to claimants or treating providers to obtain certification dates, treatment plans, and other pertinent medical information. This role involves leveraging medical knowledge to determine necessary information, coordinating vendor utilization, and assisting in claim decisions. The position offers flexibility and requires a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) with a valid license, clinical experience, and strong communication skills.

Medical Specialist

Intermountain Health is seeking a board certified/board eligible Wound & Hyperbaric Physician to provide 'as needed' coverage at McKay Dee, Layton, and potentially other Intermountain Health locations in Weber county. This role involves providing care in a collaborative group setting, with a preference for candidates with research experience or critical care experience.

Physician Wound & hyperbaric

Wound & Hyperbaric Physician

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