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CenterWell
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Annapolis, Maryland
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physician's Plan of Care for the patient.
Observes, records, and reports changes in patients’ condition ... Worker functions to evaluate and develop a plan of care personalized to fit the patient’s emotional and
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RELX INC
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Annapolis, Maryland
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Medical Schools, Physician Assistant Programs, Nurse Practitioner Programs, and school of health ... .
Creating, updating and utilizing a territory business plan to identify key new business prospects
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Cardinal Health
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Annapolis, Maryland
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responsible for driving complex, consultative sales of Navista memberships to new physician practice customers ... deliver patient-centered cancer care. Navista, a Cardinal Health company, is an oncology practice alliance
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Cardinal Health
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Annapolis, Maryland
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coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to
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Cardinal Health
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Annapolis, Maryland
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including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to ... vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
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Cardinal Health
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Annapolis, Maryland
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applicable)
Investigate and resolve patient/physician inquiries and concerns in a timely manner ... members regarding next steps
Communicate with external constituents including physician offices and
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Humana
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Annapolis, Maryland
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(URAC, NCQA or JCAHO) experience
Clinical nursing experience in a hospital or physician office practice
Knowledge of HEDIS/Stars/CMS/Quality
Additional Information
**PLEASE MAKE SURE
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Amergis
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Annapolis, Maryland
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provide input in the development of the plan of care for those patients requiring social work intervention ... accordance with physician’s orders.
Essential Duties and Responsibilities
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Humana
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Annapolis, Maryland
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Medicine, Family Practice, Geriatrics, or Hospitalist background
Advanced degree such as an MBA, MHA ... bonus incentive plan. This incentive opportunity is based upon company and/or individual performance
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Cardinal Health
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Annapolis, Maryland
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Update internal treatment plan statuses and external pharmacy treatment statuses
Maintain accurate ... exhausted
Track any payer/plan issues and report any changes, updates, or trends to management
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Cardinal Health
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Annapolis, Maryland
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Update internal treatment plan statuses and external pharmacy treatment statuses
Maintain accurate ... exhausted
Track any payer/plan issues and report any changes, updates, or trends to management
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Amergis
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Annapolis, Maryland
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andResponsibilities:
Will be operating in both a Case Manager Capacity and Hands-on Hospice care (Plan ... implements the initial care plan for patient/family unit with Medical Director approval.
Provides
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Humana
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Annapolis, Maryland
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contracted external physicians, physician groups, facilities, or community groups to support regional market ... insurance, other healthcare providers, clinical group practice management.
Utilization management
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CenterWell
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Annapolis, Maryland
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This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and ... medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off
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Humana
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Annapolis, Maryland
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their scope.
The Medical Director may speak with contracted external physicians, physician groups ... , other healthcare providers, clinical group practice management.
Utilization management experience
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Humana
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Annapolis, Maryland
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external physicians, physician groups, facilities, or community groups to support regional market ... / Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management
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Sunrise Senior Living
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Annapolis, Maryland
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resident are being met.
Contacts resident’s attending physician when necessary and/or upon family ... , and Disability Plans
Retirement Savings Plans
Employee Assistant Program / Discount Program
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Prime Therapeutics
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Annapolis, Maryland
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, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff ... Title**
Physician Clinical Reviewer- GI- REMOTE
Job Description Summary
Key
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Cardinal Health
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Annapolis, Maryland
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responsible for driving complex, consultative sales of Navista memberships to new physician practice customers ... deliver patient-centered cancer care. Navista, a Cardinal Health company, is an oncology practice alliance
...
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Prime Therapeutics
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Annapolis, Maryland
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department and/or appropriate vendor.
Daily authorization reviews, taking into account health plan
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Evolent Health
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Annapolis, Maryland
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Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a ... management staff, other Physicians, and staff whenever a physician`s input is needed or required.
**What
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Oracle
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Annapolis, Maryland
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problems in global health including physician burnout, patient access to data, and barriers to quality care ...
401(k) Savings and Investment Plan with company match
Paid time off: Flexible Vacation
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Oracle
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Annapolis, Maryland
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as our core system of intelligence for healthcare. Our team is focused on delivering physician ... Accounts
Pre-tax commuter and parking benefits
401(k) Savings and Investment Plan with
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Highmark Health
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Annapolis, Maryland
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part of a physician team, ensures that utilization management responsibilities are performed in ... all times. In addition to utilization review, the incumbent participates as the physician member of
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Evolent Health
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Annapolis, Maryland
...
Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a ... management staff, other Physicians, and staff whenever a physician`s input is needed or required.
**What
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Highmark Health
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Annapolis, Maryland
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medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT ... , physiology and medical terminology
1 year of Hospital and/or Physician Coding
1 year coding at mid
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Highmark Health
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Annapolis, Maryland
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needed to interact/ communicate with the primary care physician as necessary for appropriate medical care. The role will provide oversight of physician services by complementing the primary care physician
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Evolent Health
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Annapolis, Maryland
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Cardiology, Physician Clinical Reviewer you will be a key member of the utilization management team. We can ... leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or
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Cardinal Health
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Annapolis, Maryland
...
applicable)
Investigate and resolve patient/physician inquiries and concerns in a timely manner ... members regarding next steps
Communicate with external constituents including physician offices and
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Takeda Pharmaceuticals
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Annapolis, Maryland
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dynamics.
RBM will attend conferences and exhibits to raise disease state awareness; will plan and ... ) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition
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