10 jobs found

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Cardiology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Neurology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Surgery - Orthopedics, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must have...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology Radiation, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

PRN Opportunity | Tuesday-Thursday | 4:30am - 10:00am | Hands-on Positions with Established Healthcare Network - Excellent Growth Opportunities! This Jobot Job is hosted by: Anna Burk Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $18 - $20 per hour A bit about us: We are a proud leading healthcare provider committed to delivering compassionate, high-quality care to communities throughout Indiana. As a large hospital network, we offer a comprehensive range of services, we are thrilled to serve our patients with a widespread area of expertise. Our team of dedicated professionals is passionate about improving the lives of our patients and making a positive impact on our communities Why join us? Our hospital network is a leading healthcare provider dedicated to serving our communities with compassion, quality, and innovation. With a statewide presence, we offer a wide range of services and specialties to meet the diverse...

Up to 4 weeks time off + 4 weeks Remote Work This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $90,000 - $110,000 per year A bit about us: We are hiring a Nursing Educator Program Coordinator focused on transforming the lives of nursing students. Interested in hearing more? Apply now by clicking the "Easy Apply" button. Why join us? Your incentives, benefits, and perks. Medical, Dental, Vision Life and Disability Insurance 401(k) Savings with Company Match Generous time off 2 weeks paid vacations Tuition reimbursement/coverage for higher education Employee Assistance Program Job Details Employment: Direct Hire, Permanent Hours: Full-time, 40 hours per week Schedule: Hybrid, Full-Time, 8-5 pm, (4 day in-person, 1 day remote) Location: In-person, on campus, Carmel, IN. Your Requirements: Master’s Degree in Nursing Two years of full-time clinical...

Top Tier Electrical Contractor Seeks Experienced Estimator, Top-Line Compensation Package, Great Tenure Across Organization This Jobot Job is hosted by: Ross Theel Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $105,000 - $155,000 per year A bit about us: Our client is a trusted electrical contractor with decades of experience delivering high-quality electrical solutions to commercial, industrial, and institutional clients. With a reputation for technical expertise, integrity, and client-focused service, this company has successfully completed projects ranging from small tenant improvements to large-scale, complex electrical systems. Their team of professionals is dedicated to innovation, safety, and delivering projects on time and within budget. If you are an experienced Electrical Estimator, then please apply today to be considered within 24 hours! Why join us? This company values its people as the foundation of its...