-
Highmark Health
-
Dover, Delaware
...
access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment ... .
Communicate effectively while interacting with Case Management Specialists, Management Team, Physician
...
-
Highmark Health
-
Dover, Delaware
...
applicable regulatory/accrediting body requirements and make adjustments to the compliance plan to follow CMS ... communicate with medical administrators, including Medical Directors and Physician Advisors related to problem
...
-
Highmark Health
-
Dover, Delaware
...
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
...
-
Highmark Health
-
Dover, Delaware
...
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
...
-
Highmark Health
-
Dover, Delaware
...
Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job captu
...
-
Highmark Health
-
Dover, Delaware
...
Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job captu
...
-
Highmark Health
-
Dover, Delaware
...
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
...
-
Highmark Health
-
Dover, Delaware
...
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
...
-
Highmark Health
-
Dover, Delaware
...
with review of patient status and plan of care.
Directing and organizing ancillary care as ... to meet patient’s needs and in accordance with physician orders.
Physician orders are accurately
...
-
Highmark Health
-
Dover, Delaware
...
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
...
-
Highmark Health
-
Dover, Delaware
...
expert in practice transformation to achieve the specific targets set in the individual gain/risk share ... based on practice-level data, trends and identified opportunities. Inclusive of, but not limited to
...
