Physician Specialist-NDC Expert
1 week ago
Staff Today Inc is seeking a highly skilled Physician Specialist-NDC Expert to join our team. As a key member of our team, you will be responsible for conducting prospective, concurrent, and retrospective reviews of medical cases for the Department of Public Welfare.
Key Responsibilities:- Conduct thorough reviews of medical cases to determine medical necessity, place of service, appropriateness, compensability, and quality of care.
- Make determinations regarding the medical necessity and quality of care of services prescribed for and provided to Medicaid recipients.
- Compile case findings, prepare summaries of case findings, and make recommendations for case disposition.
- Identify program violations and prepare appealed cases for hearings.
- Assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators.
- Board certification in the requested specialty.
- Active Pennsylvania medical license.
- Minimum 20 hours of active clinical practice in the area in which the Resource is board certified per month.
- Basic computer skills, including Microsoft Office Products.
Staff Today Inc offers a competitive pay rate of $265 per hour and the opportunity to work as an independent contractor. If you are a skilled Physician Specialist-NDC Expert looking for a challenging and rewarding role, please apply today.
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Physician Specialist NDC Expert
1 week ago
Harrisburg, Pennsylvania, United States Staff Today Inc Full timeJob DescriptionStaff Today Inc is seeking a highly skilled Physician Specialist NDC Expert to join our team.The ideal candidate will be a board-certified physician with expertise in utilization review and quality of care assessments. The successful candidate will serve as a medical reviewer for the Department of Public Welfare, providing thorough and...
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Physician Specialist NDC Expert
1 week ago
Harrisburg, Pennsylvania, United States Health Advocates Network Full timeJob Title: Physician Specialist NDC ExpertWe are seeking a highly skilled Physician Specialist NDC Expert to join our team at Health Advocates Network, Inc.Job Summary:The successful candidate will serve as a physician reviewer for the Department of Public Welfare, providing utilization and quality reviews of services for the...
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Expert Psychologist
1 month ago
Harrisburg, Pennsylvania, United States Health Advocates Network, Inc. Full timeJob Summary:We are seeking an experienced Expert Psychologist - NDC to join our team at Health Advocates Network, Inc. as a Behavioral Health Specialist. In this role, you will provide consultation in developing medically based criteria and treatment indicators to be used in reviewing requests for behavioral health services.Key Responsibilities:Consult with...
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Expert Psychologist
4 weeks ago
Harrisburg, Pennsylvania, United States Health Advocates Network, Inc. Full timeHealth Advocates Network, Inc. is seeking a highly skilled Psychologist to join our team. As a Psychologist-NDC-Expert, you will play a critical role in developing medically based criteria and treatment indicators for behavioral health services. Your expertise will be invaluable in identifying appropriate behavioral interventions and serving as a member of...
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Clinical Director
6 days ago
Harrisburg, Pennsylvania, United States Staff Today Inc Full timeClinical Director - NDC Expert Job DescriptionWe are seeking a highly skilled Clinical Director - NDC Expert to join our team at Staff Today Inc. This is a unique opportunity to lead and develop clinical services for individuals with intellectual disabilities and mental illness.Key Responsibilities:Clinical case management and coordination with other systems...
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Physician Specialist
1 week ago
Harrisburg, Pennsylvania, United States Staff Today Inc Full timeJob Title: Physician Specialist-NDC- ExpertJob Summary:We are seeking a highly skilled Physician Specialist to join our team at Staff Today Inc. As a Physician Specialist, you will play a critical role in reviewing medical cases and making determinations regarding medical necessity, place of service, and quality of care.Responsibilities:Conduct prospective,...
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Clinical Psychologist Expert
2 weeks ago
Harrisburg, Pennsylvania, United States Staff Today Inc Full timeJob DescriptionStaff Today Inc is seeking a highly skilled Pyschologist-NDC- Expert to join our team.Key Responsibilities:Provide consultation in developing medically based criteria and treatment indicators for behavioral health services.Assist in identifying behavioral interventions that are appropriate for consideration and payment.Serve as a member of...
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Clinical Psychologist Expert
2 weeks ago
Harrisburg, Pennsylvania, United States Staff Today Inc Full timeJob DescriptionStaff Today Inc is seeking a highly skilled Pyschologist-NDC- Expert to join our team.Key Responsibilities:Provide consultation in developing medically based criteria and treatment indicators for behavioral health services.Assist in identifying behavioral interventions that are appropriate for consideration and payment.Serve as a member of...
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Clinical Psychologist Expert
2 weeks ago
Harrisburg, Pennsylvania, United States Health Advocates Network, Inc. Full timeJob Title: Psychologist-NDC- ExpertJob Summary:We are seeking a highly skilled Psychologist-NDC- Expert to join our team at Health Advocates Network, Inc. The ideal candidate will have a strong background in psychology and experience in behavior disorders.Key Responsibilities:Provide consultation in developing medically based criteria and treatment...
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Clinical Psychologist Expert
2 weeks ago
Harrisburg, Pennsylvania, United States Staff Today Inc Full timeJob Title: Psychologist-NDC- ExpertJob Summary:We are seeking a highly skilled Psychologist-NDC- Expert to join our team at Staff Today Inc. The ideal candidate will have a strong background in psychology and experience in behavior disorders.Key Responsibilities:Provide consultation in developing medically based criteria and treatment indicators for...
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Clinical Psychologist Expert
6 days ago
Harrisburg, Pennsylvania, United States Health Advocates Network, Inc. Full timeJob Title: Psychologist-NDC- ExpertJob Summary:We are seeking a highly skilled Psychologist-NDC- Expert to join our team at Health Advocates Network, Inc. As a key member of our team, you will provide consultation in developing medically based criteria and treatment indicators for reviewing requests for behavioral health services.Responsibilities:Develop and...
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Physician NDC Specialist
2 weeks ago
Harrisburg, Pennsylvania, United States Centurion Health Full timeJob DetailsPosition Type: ContractorEducation Level: Professional DegreeJob Shift: As NeededJob Category: Medical Physician & Advanced Practice ProviderDescriptionCenturion Health, a leading provider of healthcare staffing solutions, is seeking a per diem primary care physician to conduct reviews for the Pennsylvania Municipal Retirement System (PMRS).This...
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Physician NDC Specialist
2 weeks ago
Harrisburg, Pennsylvania, United States Centurion Health Full timeJob DetailsPosition Type: ContractorEducation Level: Professional DegreeJob Shift: As NeededJob Category: Medical Physician & Advanced Practice ProviderDescriptionMHM Solutions, a Centurion company, is proud to provide healthcare staffing solutions to state agencies within the Commonwealth of Pennsylvania.We are seeking a per diem primary care physician to...
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Clinical Expert in Behavioral Health
4 weeks ago
Harrisburg, Pennsylvania, United States Staff Today Inc Full timeJob DescriptionJob Title: Psychologist-NDC- ExpertPay Rate: $44 / hourMinimum Qualifications:Possession of a current license to practice psychology as issued by the Pennsylvania State Board of Psychology.Experience in behavior disorders.Basic computer skills to include, but not limited, to Microsoft Office Products.Role Description:The successful candidate...
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Medical Director
2 weeks ago
Harrisburg, Pennsylvania, United States Health Advocates Network, Inc. Full timePrimary Care Physician (PCP) NDC- ExpertJob Summary:We are seeking a highly skilled Primary Care Physician (PCP) to join our team as an NDC- Expert. As a key member of our healthcare team, you will be responsible for conducting utilization and quality reviews of services for our Department.Responsibilities:Conduct prospective, concurrent, and retrospective...
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Physician - Emergency Medicine Specialist
2 weeks ago
Harrisburg, Pennsylvania, United States Physician Empire Full timeJoin Our Team as an Emergency Medicine PhysicianWe are seeking a highly skilled Emergency Medicine Physician to join our team at a Level 2 certified trauma center with a 38-bed Emergency Department. Our hospital treats over 40,000 patients annually, providing a challenging and rewarding environment for our physicians.Key Highlights:Family Medicine Residency...
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Enterprise IT Expert
4 weeks ago
Harrisburg, Pennsylvania, United States ATC Full timeJob DescriptionPosition OverviewThe Technical Specialist will serve as the primary technical expert for an enterprise-wide system, providing technical guidance and support to ensure the availability and reliability of the system.Key ResponsibilitiesFunction as the Technical SME on an enterprise-wide system, providing technical expertise to executive...
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Harrisburg, Pennsylvania, United States Abbott Laboratories Full timeAbout the RoleWe are seeking a highly skilled and experienced Senior Clinical Specialist to join our team at Abbott Laboratories. As a Senior Clinical Specialist, you will play a critical role in supporting our Vascular division by providing clinical expertise and education to customers in the hospital setting.Key ResponsibilitiesTechnical Expertise: Serve...
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Nurse Expert
1 week ago
Harrisburg, Pennsylvania, United States UPMC Full timeJob SummaryWe are seeking a highly skilled and experienced Nurse Expert to join our team at UPMC. As a Professional Staff Nurse, you will be responsible for providing high-quality patient care and leading our team with expertise and compassion.About the RoleThe BSN Expert will be responsible for managing and providing patient care activities for a group of...
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Harrisburg, Pennsylvania, United States Abbott Laboratories company Full timeAbout the RoleWe are seeking a highly skilled Senior Clinical Specialist to join our Vascular division at Abbott Laboratories. As a key member of our team, you will be responsible for promoting our innovative vascular products through education, service, and training of customers in the hospital setting.Key Responsibilities Serve as the technical procedure...