Medical Necessity Specialist
2 weeks ago
We are seeking a highly skilled Physician Advisor to join our team at Highmark Health. As a key member of our Clinical Resource Management Committee, you will play a critical role in evaluating the medical necessity and appropriateness of healthcare services.
Key Responsibilities- Evaluate medical necessity and appropriateness of admission to the hospital, utilization of observation status, and ancillary services.
- Work with admitting physicians, Case Management, and other hospital personnel to ensure optimal patient care.
- Provide medical expertise, advice, and support to the Case Management Department.
- Develop and implement strategies to reduce length of stay and improve quality of care.
- Collaborate with coding and clinical documentation specialists to ensure accurate and compliant documentation.
- Participate in payer contract reviews to determine criteria for avoiding unnecessary denials.
- Doctorate in Medicine (MD) or Doctor of Osteopathic Medicine (DO)
- 5 years of clinical practice experience in a hospital setting
- Board Eligible or Board Certified in a relevant specialty
- PA License
- Preferred: Physician Advisor experience in a clinical setting, cross-functional teams, large health systems, and integrated payer/provider networks
As a Physician Advisor at Highmark Health, you will have the opportunity to work with a talented team of healthcare professionals, contribute to the development of clinical policies and procedures, and make a meaningful impact on patient care.
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Diagnostic Imaging Specialist
2 weeks ago
Vestavia Hills, Alabama, United States OneStaff Medical Full timeDiagnostic Imaging Specialist OpportunityWe are seeking a skilled Diagnostic Imaging Specialist to join our team for a travel assignment in Jefferson Hills, Pennsylvania.Job Summary:As a Diagnostic Imaging Specialist, you will be responsible for operating computed tomography (CT) scanners to produce high-quality images of the body's internal structures. You...
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Diagnostic Imaging Specialist
3 weeks ago
Vestavia Hills, Alabama, United States OneStaff Medical Full timeJob DescriptionOneStaff Medical is seeking a skilled Diagnostic Imaging Specialist to join our team for a travel assignment in Pennsylvania.Job SummaryWe are looking for a highly motivated and experienced Diagnostic Imaging Specialist to work in our diagnostic imaging department. The ideal candidate will have a strong background in medical imaging and be...
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Diagnostic Imaging Specialist
2 weeks ago
Vestavia Hills, Alabama, United States Summit Medical Staffing Allied Full timeDiagnostic Imaging Specialist OpportunitySummit Medical Staffing Allied is seeking a skilled Diagnostic Imaging Specialist to join their team in Jefferson Hills, Pennsylvania.Job SummaryWe are looking for a highly motivated and detail-oriented Diagnostic Imaging Specialist to work with our team. As a Diagnostic Imaging Specialist, you will be responsible for...
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Diagnostic Imaging Specialist
3 weeks ago
Vestavia Hills, Alabama, United States Summit Medical Staffing Allied Full timeDiagnostic Imaging Specialist OpportunitySummit Medical Staffing Allied is seeking a skilled Diagnostic Imaging Specialist to join their team in Jefferson Hills, Pennsylvania.Job SummaryWe are looking for a highly motivated and detail-oriented Diagnostic Imaging Specialist to work with our team. As a Diagnostic Imaging Specialist, you will be responsible for...
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Traveling Medical Imaging Specialist
3 weeks ago
Vestavia Hills, Alabama, United States Host Healthcare Full timeJob SummaryHost Healthcare is seeking a skilled Traveling Medical Imaging Specialist to join our team for a travel assignment in Pennsylvania.Job DescriptionJob Responsibilities:Operate and maintain medical imaging equipment to produce high-quality diagnostic imagesPrepare patients for imaging procedures, ensuring their comfort and safetyCollaborate with...
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Diagnostic Imaging Specialist
2 weeks ago
Vestavia Hills, Alabama, United States OneStaff Medical Full timeJob OpportunityWe are seeking a skilled Diagnostic Imaging Specialist to join our team at OneStaff Medical.About the Job:Specialty: Diagnostic ImagingDiscipline: Allied Health ProfessionalShift: 8 hours, eveningsEmployment Type: TravelResponsibilities:Perform diagnostic imaging procedures using computed tomography (CT) scannersEnsure accurate and...
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Diagnostic Imaging Specialist
3 weeks ago
Vestavia Hills, Alabama, United States Summit Medical Staffing Allied Full timeJob Summary:Summit Medical Staffing Allied is seeking a skilled Diagnostic Imaging Specialist to join our team. As a Radiology Technologist, you will play a crucial role in providing high-quality medical imaging services to our patients.About the Job:Employment Type: TravelShift: 8 hours, evenings40 hours per weekDuration: 13 weeksBenefits:Guaranteed...
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Diagnostic Imaging Specialist
4 weeks ago
Vestavia Hills, Alabama, United States Summit Medical Staffing Allied Full timeJob Summary:Summit Medical Staffing Allied is seeking a skilled Diagnostic Imaging Specialist to join our team. As a Radiology Technologist, you will play a crucial role in providing high-quality medical imaging services to patients.Key Responsibilities:Operate and maintain medical imaging equipment, including CT scanners, to produce high-quality diagnostic...
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Travel Radiologic Technologist
3 weeks ago
Vestavia Hills, Alabama, United States Summit Medical Staffing Allied Full timeJob OpportunitySummit Medical Staffing Allied is seeking a skilled Diagnostic Imaging Specialist for a travel assignment in a dynamic healthcare setting.Job SummaryWe are looking for a highly motivated and experienced Diagnostic Imaging Specialist to join our team. The ideal candidate will have a strong background in radiologic technology and excellent...
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Cardiovascular Specialist
2 weeks ago
Vestavia Hills, Alabama, United States Highmark Health Full timeAbout the RoleWe are seeking a skilled Non-Invasive Cardiologist to join our team at the Allegheny Health Network's Cardiovascular Institute. As a key member of our multidisciplinary team, you will provide exceptional care to patients in the South Hills of Pittsburgh.ResponsibilitiesRead and interpret nuclear, echo, and TEE studies, as well as vascular...
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LPN/LVN Home Health Care Specialist
4 weeks ago
Vestavia Hills, Alabama, United States Interim Healthcare Full timeJob Summary:We are seeking a skilled and compassionate LPN/LVN to join our team as a Home Health Care Specialist. As a Home Health Care Specialist, you will provide high-quality patient care in a private setting, working closely with our clients and their families to ensure their needs are met.Responsibilities:Provide one-on-one care to patients in their...
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Diagnostic Imaging Specialist
3 weeks ago
Vestavia Hills, Alabama, United States OneStaff Medical Full timeJob OpportunityOneStaff Medical is seeking a skilled CT Technologist for a travel assignment in Pennsylvania.Job RequirementsSpecialty: CT TechnologistDiscipline: Allied Health ProfessionalShift: 8 hours, eveningsEmployment Type: TravelWe offer a competitive pay package based on 8 hour shifts and 40 hours per week, with a tax-free stipend amount to be...
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Dental Hygiene Specialist
4 weeks ago
Vestavia Hills, Alabama, United States South Mountain Dental Care Full timeAbout the RoleSouth Mountain Dental Care is seeking a highly skilled and dedicated Dental Hygiene Specialist to join our team. As a key member of our patient care team, you will be responsible for providing exceptional oral health care services to our patients.Key ResponsibilitiesConduct thorough dental hygiene procedures, including cleanings and screenings,...
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Medicare Lien Resolution Specialist
1 month ago
Vestavia Hills, Alabama, United States Carr Allison Full timeCarr Allison is seeking a detail-oriented and organized Medicare Lien Resolution Specialist to join our growing team. This remote position offers the opportunity to work in a positive and supportive environment with flexible daytime hours. In this role, you will be responsible for resolving Medicare liens related to legal settlements. Your responsibilities...
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MRI Imaging Specialist
3 weeks ago
Vestavia Hills, Alabama, United States Highmark Health Full timeJob SummaryWe are seeking a skilled MRI Imaging Specialist to join our team at Highmark Health. As a Diagnostic Imaging Technologist, you will be responsible for performing prescribed MRI imaging procedures at a technical level not requiring constant supervision.Key ResponsibilitiesPositions patients and performs imaging procedure(s) to ensure high-quality...
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Radiology Technologist
2 weeks ago
Vestavia Hills, Alabama, United States Fusion Medical Staffing-Radiology Full timeJob Title: Computed Tomography Radiation TechnologistFusion Medical Staffing-Radiology is seeking a skilled Computed Tomography Radiation Technologist to join their team for a 13-week travel assignment in Jefferson Hills, Pennsylvania.Job Summary:We are looking for a highly motivated and experienced Radiation Technologist to work in a dynamic and fast-paced...
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Radiology Technologist
3 weeks ago
Vestavia Hills, Alabama, United States Fusion Medical Staffing-Radiology Full timeJob Title: Computed Tomography Radiation TechnologistFusion Medical Staffing-Radiology is seeking a skilled Computed Tomography Radiation Technologist to join their team for a 13-week travel assignment in Jefferson Hills, Pennsylvania.Job Summary:We are looking for a highly motivated and experienced Radiation Technologist to work in our Computed Tomography...
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Nurse Practitioner
3 weeks ago
Vestavia Hills, Alabama, United States Drift Services Full timeAttractive Benefits PackagePay Rate: $40 / hourDrift Services is a leading healthcare recruitment agency that works with top healthcare companies across the United States to help recruit for frontline staff positions.By partnering with us, you'll work with one of our experienced Recruitment Specialists to help you land your next dream role. We recruit for...
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Nurse Care Specialist
2 weeks ago
Vestavia Hills, Alabama, United States Drift Full timeJob Overview At Drift, we're committed to helping healthcare companies across the United States find top talent. As a Licensed Practical Nurse, you'll play a vital role in delivering quality care to our patients. Your responsibilities will include taking vitals, administering medication, and reporting directly to the RN or Doctor on patient status. You'll...
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Nurse Care Specialist
3 weeks ago
Vestavia Hills, Alabama, United States Drift Full timeAt Drift, we're looking for a skilled Licensed Practical Nurse to join our team. As a key member of our nursing staff, you'll provide high-quality patient care and work closely with our Recruitment Pros to find your next dream role. Here's what you can expect: **Job Duties:** * Provide direct care to patients, including taking vitals, administering...