Nephrology Physician

3 weeks ago

Bloomfield Hills, Michigan, United States The Cigna Group Full time

About the Role:

We are seeking a highly skilled Nephrology Physician to lead our clinical expertise team. As a Medical Director, you will be responsible for providing evidence-based medical reviews for patient care, collaborating with healthcare providers, and staying current on healthcare regulations and industry developments.

Key Responsibilities:

  • Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore's case management software.
  • Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
  • Leverage your clinical expertise to recommend alternative services or treatments as necessary.
  • Work collaboratively with over 500 eviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.

Requirements:

  • M.D. or D.O. with a current, active, U.S. state medical license and board certified in Nephrology, recognized by the American Board of Medical Specialties, or American Osteopathic Association.
  • Eligible to acquire additional state licensure as required.
  • 5 years of relevant clinical experience post residency/fellowship.
  • Knowledge of applicable state federal laws.
  • Ability to commit to a set, weekly work schedule (Monday through Friday).

About Evernorth Health Services:

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.

  • Locum Physician

    1 week ago

    Jefferson Hills, United States Weatherby Healthcare Full time

    If this opportunity sounds right for you, give us a call today to speak with an expert Weatherby consultant for details.Must have active state licenseBC requiredWeekendsACLS and BLS requiredInpatient & outpatient adult nephrology, hemodialysis, CRRT, peritoneal dialysisCredentialing neededDEA neededPaid malpractice insurance; pre-paid travel and housing...

  • Nurse Practitioner Physician Assistant Neurosurgery Days Contingent West Bloomfield

    3 weeks ago

    West Bloomfield, United States Henry Ford Health System Full time

    GENERAL SUMMARY: The Specialty/Invasive Nurse Practitioner (NP) will work in a collaborative, multidisciplinary environment. The Specialty/Invasive NP will be responsible for the assessment, diagnosis, treatment, education, consultation, and care coordination as a first line provider to patients and their families. Provides inpatient and/or outpatient...

  • Acute Registered Nurse

    6 months ago

    Shorewood Hills, United States Fresenius Medical Care Full time

    POSITION FEATURES:Prefer previous dialysis experience, but willing to train!Will perform one on one dialysis treatments at a couple Madison hospitalsFull time, 36-40 hours per weekTypical shifts are 10-12 hours, with rotating on call requiredCompetitive Pay!PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation...

  • Dialysis RN

    2 months ago

    Shorewood Hills, United States Fresenius Medical Care Full time

    POSITION FEATURES:Transitional Care Unit is a four-week in-center program that focuses on educating new dialysis patients on dialysis modalities and how to adjust to their new lifestyle on dialysis.Schedule: Monday-Friday, 8am-4:30pm, no weekends.PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the...

  • Registered Nurse

    6 months ago

    Shorewood Hills, United States Fresenius Medical Care Full time

    POSITION FEATURES:Home TherapyPaid one on one training and education provided ​Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment​Primarily works in the clinic setting and conducts initial home visits with another staff member present​ Monday-Friday 8am-4:30pmOccasional...

  • Ambulatory Care Pharmacist

    1 month ago

    Woodland Hills, United States Kaiser Permanente Full time

    Description: Job Summary:Provides ambulatory pharmaceutical care services using approved protocols in collaboration with other health professional, including managing patient drug therapy, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications. Promotes high quality, evidence-based, cost-effective...

  • Outpatient Registered Nurse

    1 month ago

    Wyomissing Hills, United States Fresenius Medical Care Full time

    POSITION FEATURES:Evening Shift (10pm)Paid TrainingPURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and...

  • Ambulatory Care Pharmacist

    3 weeks ago

    Woodland Hills, United States Kaiser Permanente Full time

    Description: Job Summary:Provides ambulatory pharmaceutical care services using approved protocols in collaboration with other health professional, including managing patient drug therapy, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications. Promotes high quality, evidence-based, cost-effective...