Physician Reviewer
4 weeks ago
Job Summary:
We are seeking a highly skilled Physician Reviewer to join our team in Orthopedic Surgery. As a Physician Reviewer, you will be responsible for reviewing clinical information and applying evidence-based guidelines to determine the medical appropriateness of services. This is a critical role in a rapidly scaling company that is committed to illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience.
Key Responsibilities:
* Provide timely medical reviews that meet our stringent quality parameters
* Provide clinical determinations based on evidence-based criteria while utilizing clinical acumen
* Clearly and accurately document all communication and decision-making in workflow tools, ensuring a member and provider can easily reference and understand your decision
* Meet the appropriate turn-around times for clinical reviews
* Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research
Requirements:
* Completed US-based residency/fellowship program in Orthopedic Surgery
* Board certification as an MD or DO with a current unrestricted state license to practice medicine - reviewers must maintain necessary credentials to retain the position
* 5+ years of clinical practice beyond residency/fellowship in Orthopedic Surgery
Preferred Qualifications:
* 1+ years of managed care utilization review experience
* Membership in national and/or regional specialty societies
* Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX is highly desirable - you should be willing to obtain additional state licenses with company's support
About Us:
We are an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it's personal.
-
Miami, Florida, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full timeOpportunity Overview:We are seeking physicians with expertise in Orthopedic Surgery, Spine Surgery, Neurosurgery, Pain Management, or Primary Care Sports Medicine to join our team in delivering musculoskeletal and orthopedic programs. As a reviewer, you will determine the medical appropriateness of services by reviewing clinical information and applying...
-
Miami, Florida, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full timePhysician Opportunities in Orthopedic Surgery and Primary CareWe are seeking physicians with expertise in Orthopedic Surgery, Neurosurgery, Pain Management, or Primary Care Sports Medicine to join our team at DOCTORS CHOICE PLACEMENT SERVICES, INC.Job SummaryWe are looking for physicians who have expertise in Orthopedic Surgery, Neurosurgery, Pain...
-
Staff Physician
4 weeks ago
Miami, Florida, United States University of Miami Full timeJob Summary:The University of Miami seeks a highly skilled Staff Physician to provide medical care to patients based on proper documentation in the medical record. The incumbent in this position receives patient assignments based on their educational discipline, expertise, or experience.Key Responsibilities: Develops and carries out a comprehensive medical...
-
Primary Care Physician
4 weeks ago
Miami, Florida, United States Care Resource Full timeJob SummaryAs a Primary Care Physician at Care Resource, you will be responsible for providing high-quality patient care, including administrative and clinical duties. Your primary focus will be on providing direct patient care, including medical care and research. You will also be responsible for properly documenting all patient interactions in the...
-
Per Diem Staff Physician
4 weeks ago
Miami, Florida, United States University of Miami Full timeJob SummaryThe University of Miami is seeking a Per Diem Staff Physician to provide medical care to patients based on proper documentation in the medical record as outlined by the medical staff rules and regulations.Key ResponsibilitiesDevelops and carries out a comprehensive medical treatment plan addressing biological, psychological, and sociocultural...
-
UMMG Staff Physician
4 weeks ago
Miami, Florida, United States University of Miami Full timeJob SummaryThe UMMG Staff Physician provides medical care to patients based on proper documentation in the medical record as outlined by the medical staff rules and regulations. This position requires a comprehensive understanding of medical treatment plans, patient assessment, and prescription of medical treatment and clinical drugs.Key Responsibilities...
-
Staff Physician
4 weeks ago
Miami, Florida, United States University of Miami Full timeJob SummaryThe University of Miami seeks a highly skilled Staff Physician - Medical Oncology Specialist to join our team. As a key member of our medical staff, you will provide exceptional patient care, develop and implement comprehensive treatment plans, and collaborate with our multidisciplinary team to deliver innovative care.Key ResponsibilitiesDevelop...
-
UMMG Staff Physician
1 month ago
Miami, Florida, United States University of Miami Full timeJob SummaryThe UMMG Staff Physician is a key member of our medical team, providing high-quality patient care and contributing to the advancement of medical knowledge. As a Staff Physician, you will be responsible for delivering medical care to patients based on proper documentation in the medical record, adhering to medical staff rules and regulations.Key...
-
Staff Physician
1 month ago
Miami, Florida, United States University of Miami Full timeJob SummaryThe University of Miami seeks a highly skilled Staff Physician to join our team in the Division of Medical Oncology. As a key member of our faculty, you will provide medical care to patients with malignant cancers, develop and implement comprehensive treatment plans, and participate in research protocols.Key Responsibilities:Develop and implement...
-
Staff Physician
4 weeks ago
Miami, Florida, United States University of Miami Full timeJob SummaryThe University of Miami is seeking a highly skilled Staff Physician to provide medical care to patients based on proper documentation in the medical record as outlined by medical staff rules and regulations. The incumbent in this position receives patient assignments based on their educational discipline, expertise, or experience.Key...
-
Staff Physician, Per Diem
1 month ago
Miami, Florida, United States University of Miami Full timeJob SummaryThe University of Miami is seeking a Staff Physician, Anesthesiology to provide medical care to patients based on proper documentation in the medical record as outlined by the medical staff rules and regulations. The incumbent in this position receives patient assignments based on their educational discipline, expertise or experience and provides...
-
Per Diem Staff Physician
4 weeks ago
Miami, Florida, United States University of Miami Full timeJob SummaryThe University of Miami seeks a highly skilled Per Diem Staff Physician to join our team in the Department of Obstetrics, Gynecology & Reproductive Sciences. As a Per Diem Staff Physician, you will have the opportunity to work in a dynamic and fast-paced environment, providing high-quality patient care and contributing to the advancement of...
-
Per Diem Staff Physician
4 weeks ago
Miami, Florida, United States University of Miami Full timeJob Summary:The University of Miami is seeking a highly skilled Per Diem Staff Physician to provide medical care to patients based on proper documentation in the medical record as outlined by the medical staff rules and regulations.The incumbent in this position receives patient assignments based on their educational discipline, expertise or experience.Key...
-
Primary Care Physician
4 weeks ago
Miami, Florida, United States CenterWell Full timeAbout the Role:As a Primary Care Physician at CenterWell, you will be a key member of our team-based care environment, working closely with other healthcare professionals to provide high-quality care to our patients.Responsibilities:Evaluate and treat patients in accordance with standards of care.Follow level of medical care and quality for patients and...
-
CT Technologist
4 weeks ago
Miami, Florida, United States Mount Sinai Medical Center of Florida Full timeJob Summary:Mount Sinai Medical Center of Florida is seeking a skilled CT Technologist to join our team. As a CT Technologist, you will be responsible for preparing patients for examination and executing specialty radiologic examinations. You will also assist radiologists/physicians in patient care during procedures and review patient medical records to...
-
Health Information Manager
4 weeks ago
Miami, Florida, United States North Shore Medical Center Full timeWe are North Shore Medical Center, a leading healthcare provider dedicated to delivering exceptional patient care. As a key member of our team, you will play a vital role in ensuring the smooth operation of our medical records department.Job SummaryAs a Health Information Manager, you will be responsible for coordinating the daily workflow of transcription...
-
Clinical Educator
1 month ago
Miami, Florida, United States University of Miami Full timeJob SummaryWe are seeking a highly skilled Clinical Instructor to join our team at the University of Miami. The successful candidate will be responsible for administering anesthesia for medical and surgical procedures, as well as teaching anesthesia procedures to physician residents and medical students.Key ResponsibilitiesAdminister anesthesia for medical...
-
Nurse Care Coordinator
4 weeks ago
Miami, Florida, United States Citadel Care Centers Full timeAs a Nurse Care Coordinator at Citadel Care Centers, you will play a vital role in ensuring the highest quality of care for our residents. Your responsibilities will include:Leading daily shift reports with nursing assistants to ensure seamless communication and care coordination.Reviewing and implementing daily assignments for each resident, ensuring timely...
-
Care Team Manager
4 hours ago
Miami, Florida, United States VITAS Healthcare Full timeJob SummaryThe Team Manager is a pivotal role within VITAS Healthcare, responsible for leading the Patient Care Team and ensuring seamless continuity of care from admission to discharge or transfer to bereavement.Patient Care ServicesDirects all patient care services, integrating volunteer and bereavement services as components of the interdisciplinary plan...
-
Office Manager
4 weeks ago
Miami, Florida, United States TEAM Concepts Corp Full timeJob DescriptionThe Office Manager plays a vital role in ensuring the smooth operation of our medical practice. This includes overseeing daily activities, managing staff, and maintaining a positive patient-focused environment.Key Responsibilities:Facilitate monthly financial reports to physicians, reviewing accounts receivable and practice reports.Establish...