Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Physician Reviewer & Clinical Policy Leader

w3r Consulting

w3r Consulting is seeking a medical professional based in Houston, Texas, to evaluate clinical service requests from members and providers. This role involves using clinical judgment to adjudicate requests, providing clinical leadership, and managing members' clinical situations creatively. Qualified candidates must be board certified in a medical specialty with an active medical license. A strong understanding of managed care is essential, as this position does not provide direct patient care. The company offers a collaborative environment focused on quality improvement and care management. #J-18808-Ljbffr w3r Consulting

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Physician Reviewer & Clinical Policy Leader in Houston, TX vacancy
  •  ...Description Evaluates clinical service requests made by an organization...  ...members whose cases come for review, in partnership with case managers. Participates in the Physician Review Units' appeal process...  ...of Physician Review Units' policies and procedures. Actively... 
    Policy

    w3r Consulting

    Houston, TX
    7 hours ago
  •  ...Higher Education, Inc. is seeking a part-time adjunct faculty physician for the Tilman J. Fertitta Family College of Medicine at the University...  ...Houston. This position involves leadership in building core clinical experiences for medical students and the identification of... 
    Suggested
    Part time

    The Chronicle Of Higher Education, Inc.

    Houston, TX
    5 days ago
  •  ...Health Center in Houston, Texas, is seeking an OB-GYN Physician to provide direct patient care, including exams,...  ...environment. This role includes participating in peer reviews and developing patient care policies while ensuring quality medical care delivery in compliance... 
    Policy

    Spring Branch Community Health Center

    Houston, TX
    2 days ago
  • $321.2k - $375.65k

     ...Caring Community The Physician Lead combines direct patient care with clinical leadership...  ...partnership with operational leaders. Together, the Physician...  ...Conduct performance reviews and real-time feedback...  ...Employer It is the policy of Humana not to discriminate... 
    Policy
    Temporary work
    Local area

    Humana

    Houston, TX
    7 hours ago
  • $307.5k

     ...Anatomic And Clinical Pathologist Kelsey-Seybold Clinic is seeking...  ...to include peripheral smear review and knowledge of CLIA...  ...techniques Consults with referring physicians about ordering and...  ...company and departmental rules, policies, and procedural manuals Adherence... 
    Policy
    Minimum wage
    Work experience placement
    Work at office
    Local area

    Genoa Telepsychiatry

    Houston, TX
    5 days ago
  • $307.5k

    Anatomic and Clinical Pathologist - Kelsey‑Seybold Clinic, Optum We...  ..., including peripheral smear review and CLIA regulatory compliance...  .... Consult with referring physicians on test ordering, interpretation...  ...as company and departmental policies and procedural manuals. Adhere... 
    Policy
    Work at office
    Local area

    Optum

    Houston, TX
    3 days ago
  •  ...located in Houston, Texas, is seeking a Program Physician responsible for overseeing medical operations and clinical segments of the clinic. Candidates must be licensed...  .... The role includes creating and implementing policies for patient evaluation, dosing practices, and... 
    Policy
    Monday to Friday

    Symetria Recovery

    Houston, TX
    2 days ago
  • $321.2k - $375.65k

    CenterWell Senior Primary Care in Houston seeks a Physician Lead to combine direct patient care with clinical leadership responsibilities, enhancing patient-centered care quality across multiple centers. The Physician Lead will oversee clinical teams, participate in hiring... 

    CenterWell Senior Primary Care

    Houston, TX
    2 days ago
  •  ...businesses, is seeking a Family Practice Physician to join our team in Henderson, NV. Optum...  ....     At Optum, you'll have the clinical resources, data and support of a global...  ...SonicJobs. See United Healthcare Privacy Policy at and SonicJobs Privacy Policy at us/privacy... 
    Policy
    Minimum wage
    Work experience placement
    Local area
    Work from home

    Optum

    Houston, TX
    9 days ago
  • $88.58k - $104k

    Lead, Research Administration - Clinical Trial Billing and Finance Division: Pediatrics Work Arrangement: Hybrid Location: Hybrid within...  ...to enhance efficiency, scalability, and compliance Supports policy development and process standardization Leadership, Mentorship... 
    Policy
    Contract work
    Monday to Friday

    Baylor College of Medicine

    Houston, TX
    4 days ago
  • $29 - $52 per hour

     ...Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses....  ...waves for diagnostic purposes according to policies, procedures, and protocols of the KSC...  ...perform those duties Functions as a team leader, with appropriate attention to process... 
    Policy
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    Optum

    Houston, TX
    3 days ago
  • Arnold Palmer Hospital for Children in Houston seeks a clinical nephrologist for an academic role to provide comprehensive patient care in nephrology. The ideal candidate will be involved in both inpatient and outpatient care, teaching, and research within a growing division... 

    Arnold Palmer Hospital for Children

    Houston, TX
    5 days ago
  •  ...overseeing staff performance. The ideal candidate should have a Master's or Doctoral Degree in Audiology and at least two years of clinical experience. Key responsibilities also include documenting patient records and working collaboratively with multidisciplinary teams... 

    Texasearcenter

    Houston, TX
    2 days ago
  •  ...psychiatry team in Houston, Texas. This position involves providing comprehensive psychiatric evaluations, treatment management, and clinical leadership to a team serving individuals in the Forensic Single Portal Authority Program. The ideal candidate will hold a... 

    Cooper Farms Inc.

    Houston, TX
    4 days ago
  •  ...and rehabilitating patients with communication and swallowing disorders. The role includes developing treatment plans and mentoring clinical interns. The ideal candidate will have a Master's degree in Speech/Language Pathology and relevant Texas licensure. Strong... 

    Memorial Hermann Health System

    Houston, TX
    2 days ago
  • The Collaborative Family Healthcare Association is seeking a Clinical Faculty member in Psychiatry to join the Tilman J. Fertitta Family College of Medicine in Houston, Texas. This position involves teaching medical students, direct patient care, and conducting research... 

    Collaborative Family Healthcare Association

    Houston, TX
    4 days ago
  •  ...Clinical Dietitian - PRN/Flexible + Houston, TX Who we are looking for: A Clinical Dietitian...  ...government laws/regulations, company policies/procedures and healthcare standards. Works...  ...dietary needs and advises the patient's physician/nursing personnel Confers with the... 
    Policy
    Hourly pay
    Relief
    Flexible hours
    Shift work

    Rehab Without Walls® Neuro Rehabilitation

    Houston, TX
    7 hours ago
  • $94.64k - $116.48k

     ...Speech Language Pathologist - Clinical Fellow We're seeking Speech-Language Pathologist - Clinical Fellows looking for an opportunity...  ...SonicJobs. See Care Options for Kids Terms & Conditions at notices-policies/ and Privacy Policy at privacy-policy/ and SonicJobs Privacy... 
    Policy
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Relocation package
    Flexible hours

    Care Options for Kids

    Houston, TX
    9 days ago
  •  ...team. Working at the Braeswood (JCC) clinic is a unique position within our division...  ...opportunity to cultivate relations with physicians, fitness professionals, and community partners...  ...; adheres to all Memorial Hermann policies, procedures, and standards within budgetary... 
    Policy
    Hourly pay

    Memorial Hermann

    Houston, TX
    1 day ago
  • $67k

     ...The Clinical Dietitian role within the Clinical Nutrition-Inpatient department supports...  ...consultation, and electronic medical record review. • Determine individualized nutrient...  ...accordance with departmental standards, policies, and regulatory requirements. • Deliver... 
    Policy
    Hourly pay
    Work experience placement
    Internship
    Local area

    MD Anderson Center

    Houston, TX
    7 hours ago
  •  ...Walls Neuro Rehabilitation Overview Clinical Dietitian- PRN/Flexible + Houston, TX...  ...applicable government laws/regulations, company policies/procedures and healthcare standards....  ...dietary needs and advises the patient's physician/nursing personnel Confers with the... 
    Policy
    Hourly pay
    Relief
    Flexible hours
    Shift work

    BrightSpring Health Services

    Houston, TX
    1 day ago
  •  ...Do you have the career opportunities as a Clinical Dietitian PRN you want with your current employer? We have an exciting opportunity...  ...assessments in accordance with the Corporate Screening and Assessment Policy Perform nutrition focused physical exams on patients who are at... 
    Policy
    Temporary work
    Relief
    Flexible hours

    HCA Houston Healthcare

    Houston, TX
    4 days ago
  •  ...Do you have PRN career opportunities as a Clinical Dietitian PRN with your current employer? We have an exciting opportunity to join HCA...  ...in accordance with the Corporate Screening and Assessment Policy. Perform nutrition focused physical exams on patients who are at... 
    Policy
    Temporary work
    Relief
    Flexible hours

    HCA Houston Healthcare West

    Houston, TX
    2 days ago
  •  ...Clinical Dietitian We are searching for a Clinical Dietitian— someone who works well in a fast-paced setting...  ...and visibility by actively participating in the review and revision of nutrition-related resources and policies and procedures About Us Since 1954, Texas... 
    Policy
    Full time
    Local area

    Texas Children's Hospital

    Houston, TX
    4 days ago
  •  ...performance. Essential Duties and Responsibilities Provide clinical treatment to patients including screenings, evaluations, direct...  ...for other caseloads as needed. Comply with all company policies, practices, and procedures. Other duties as assigned. Qualifications... 
    Policy
    Work experience placement
    Internship
    Work at office
    Immediate start

    KidsCare Therapy

    Bellaire, TX
    3 days ago
  •  ...Do you have the career opportunities as a Clinical Dietitian you want with your current...  ...with the Corporate Screening and Assessment Policy Perform nutrition focused physical exams...  ...Clinical Dietitian opening. We promptly review all applications. Highly qualified... 
    Policy
    Temporary work
    Flexible hours

    Mission Hospital

    Houston, TX
    3 days ago
  •  ...About the Position Job Title: Locum Physician - OB Hospitalist – Houston, TX Why Apply...  ...records Adhere to all hospital policies, safety protocols, and legal requirements...  ...obstetric emergencies and provide expert clinical guidance Support hospital staff and participate... 
    Policy
    Hourly pay
    Weekly pay
    Full time
    Temporary work
    Locum
    Immediate start
    Flexible hours
    Shift work

    VieMed Healthcare Staffing

    Houston, TX
    1 day ago
  •  ...Clinical Dietitian We are searching for a Clinical Dietitian someone who works well in a fast-paced setting...  ...and visibility by actively participating in the review and revision of nutrition-related resources and policies and procedures Texas Children's Hospital
    Policy

    Texas Children's Hospital

    Houston, TX
    2 days ago
  •  ...Department or any Hospital-Owned Clinic providing care to obstetric...  .../gynecology “OB/GYN” physicians. iv. Coverage of Hospital’s...  ...participation in morbidity and mortality reviews and assists Hospital with...  ...bylaws rules regulations policies procedures and protocols and... 
    Policy
    Weekly pay
    Full time
    Contract work
    Temporary work
    Locum
    Local area
    Immediate start
    Shift work

    Alumni Healthcare Staffing

    Houston, TX
    1 day ago
  • $50k

     ...: Professional Program. Salary: $50,000.00 Description : The Clinical Post Doctoral Fellow is a post‑doctoral trainee who possesses,...  ...timely clinical documentation in compliance with institutional policies, regulatory requirements, and accreditation standards. Participates... 
    Policy
    Traineeship
    Private practice

    The Chronicle Of Higher Education, Inc.

    Houston, TX
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Physician Reviewer & Clinical Policy Leader. Be the first to apply!