Clinical Review Physician - Utilization & Quality
Kaiser Permanente - Washington Permanente Medical Group (WPMG)
Kaiser Permanente - Washington Permanente Medical Group (WPMG) is seeking a Physician in the Clinical Reviewer unit to adjudicate coverage requests using professional criteria. The role involves documenting decisions, interacting with care teams, and supporting regulatory timelines. The position emphasizes clinical judgment, knowledge of utilization review, and collaboration with hospital and care management teams within KPWA network. #J-18808-Ljbffr Kaiser Permanente - Washington Permanente Medical Group (WPMG)
- ...Clinical Reviewer Unit Physicians Clinical Reviewer Unit Physicians ensure that requests for coverage are adjudicated using... ...Familiarity with hospital management, case management, utilization review, clinical pathways, and quality management. Must employ an understanding of...QualityContract workImmediate startWeekend work
- ...Description Senior Hospitalist Clinical Reviewer Job Type: Contractor... ...focused on inpatient clinical quality, documentation accuracy,... ...is ideal for experienced physicians with a strong background in... ...Experience with medical coding, utilization review, or physician audit...QualityRemote jobFor contractors
$245k - $366k
...is seeking a Family Practice Physician to join our team in Las Vegas... ...At Optum, you'll have the clinical resources, data and support of... ...compassion, innovation, and quality care throughout southern Nevada... ...computer skills to effectively utilize Electronic Medical Records in...QualityMinimum wageFull timeWork experience placementLive inLocal areaWork from homeRelocationRelocation packageMonday to Friday- ** UTILIZATION REVIEW NURSE III - WASHINGTON STATE - PRE-SERVICE CLINICAL UR/UM ** ** PRIOR UTILIZATION REVIEW/UTILIZATION MANAGEMENT... ...opportunities for team. Provides high-quality consultation by: facilitating and communicating with physicians, managers, staff, members, and/...QualityTemporary workWork experience placementLive inLocal area
$148.8k - $201.3k
...Manager Clinical Pharmacy Quality and Affordability Programs Hybrid role (3 days/week in office)... ...team member. Demonstrated ability to review and analyze data from medication... ...and policies to encourage appropriate utilization. Ability to select, train and lead...QualityTemporary workWork at office3 days per week- ...Clinical Director Serves as a Clinical Director at a Bureau of... ...Director functions as the primary physician for a full scope and range of... ...the institution, including reviewing applications and credentials... ...CPE) training; maintaining the quality of health records;...QualityWork at office
$237.5k - $384k
...Optum NV is seeking a Physician to join our team in Las... ..., you'll have the clinical resources, data and support... ...manage complex, high-utilization patients through a... ...needs, while supporting quality initiatives including... ...plans and transitions. * Review and coordinate care...QualityMinimum wageWork experience placementLive inLocal areaWork from homeRelocationRelocation packageFlexible hours- ...(formerly The Everett Clinic) is seeking a BC/BE Family... ...or Internal Medicine Physician to join our team in... ...EPIC is the EMR system utilized; AI options to help... ...average ~ MA’s help with reviewing the in-basket; 1:1 MA... ...on giving you top-quality care, just as we always...QualityFull timeWork from home1 day per week
- ...Maternal Fetal Medicine Physician (MD/DO) | Full-Time Location:... ...supported by strong system-wide clinical resources and... ...conferences and care planning Utilize EPIC EMR for documentation and... ...coordinated care Support quality improvement initiatives within...QualityFull timeLocal area
$314.67k - $376.16k
...Care Internal Medicine Physician, you will join an... ...ensure seamless, high-quality patient care Offer... ...detailed medical records, utilizing EPIC appropriately... ...activities, including peer review programs, quality metric... ...practice Strong clinical diagnostic skills in an...QualityRelocation package10 hours per week$300k - $325k
...virtual and in-person clinical network, and our proprietary... ...Virtual Primary Care Physician, you will have the... ...to deliver high-quality, relationship-based primary... ...participating in quality review activities,... ...and guiding appropriate utilization across the care continuumParticipate...QualityWork at officeRemote workShift work- ...MaternalFetal Medicine Physician (MFM Specialist) Location: Renton... ...recognized for delivering high-quality women's health and perinatal... ...and maintains strong clinical integration with a well-regarded... ...perinatal quality initiatives, case reviews, and multidisciplinary team...QualityPermanent employmentFull time
- ...Primary Care Physician (MD/DO) | Full-Time A well-established, not-for... ...and other healthcare providers Utilize evidence-based medicine to deliver high-quality patient outcomes Collaborate... ...care, urgent care, and specialty clinics Access to advanced diagnostic...QualityFull time
- ...and geriatric patients. The physician will collaborate with specialists... ...teams to provide high-quality, patient-centered care. Experienced... ...Order, interpret, and review diagnostic tests and laboratory... ...predictable schedule Supportive clinical and administrative team...QualityPermanent employmentFull time
- ...Description Position: Primary Care Physician (Family Medicine or Internal... ...benefit from modern clinical spaces, coordinated support staff... ...services as needed Utilize evidence-based guidelines and... ...Participate in team meetings, quality initiatives, and population health...QualityPermanent employmentFull time
- ...Perm - Maternal Fetal Medicine Physician - Seattle, WA Join a... ...maternal-fetal medicine in a high-quality, collaborative environment. Enjoy... ...high-risk pregnancies. Utilize advanced diagnostics, such as... ...residents and contribute to clinical research. Engage in postpartum...QualityWeekly payPermanent employmentFull timeTemporary workImmediate startFlexible hoursShift work
- ...Puget Sound is recruiting for a full-time Clinical Dietitian in Seattle, Washington. The... ...accrediting agency standards to ensure safe and quality patient care. They collaborate with the... ...guidelines, interpreting research and utilizing whole health principles to develop...QualityFull timeTemporary work
- ...Location: Washington, USA Industry: Utility-Scale Wind Energy Work Modality: On Site... ...Overview EOSOL Group is seeking a Civil Quality Inspector to support civil construction... ..., and road construction activities. Review civil quality documentation and testing reports...QualityWork visa
$125 - $155 per hour
...Primary Care Physician Salary Range: $125.00 - $15... ...providing expert, high-quality care to all who need it... ...care and ambulatory clinic setting. Compensation... ...in development and utilization of HealthPoint practice... ...further information, please review the Know Your Rights...QualityHourly payLocumLocal areaShift work$274.9k - $328.6k
...challenging the industry status quo by making quality care more affordable, accessible and... ...Continuous learning during weekly Clinical Rounds and through other modalities Ongoing... ...well as with virtual clinical teams Utilization of your specific clinical training and...QualityFull timeTemporary workWork at office$274.9k - $328.6k
...challenging the industry status quo by making quality care more affordable, accessible and... ...Continuous learning during weekly Clinical Rounds and through other modalities Ongoing... ...well as with virtual clinical teams Utilization of your specific clinical training and...QualityFull timeTemporary workWork at officeRelocation package$274.9k - $328.6k
...challenging the industry status quo by making quality care more affordable, accessible and... ...Continuous learning during weekly Clinical Rounds and through other modalities Ongoing... ...well as with virtual clinical teams Utilization of your specific clinical training and...QualityFull timeTemporary workWork at officeRelocation package$196.4k - $309.3k
...industry status quo by making quality care more affordable,... ...for dedicated primary care physicians to join us right out of residency... ...Continuous learning during weekly Clinical Rounds and through other... ...clinical teams ~ Utilization of your specific clinical training...QualityFull timeTemporary workWork at office$135k - $160k
...-growing and dynamic organization seeking a Clinical QA Manager/Sr Manager to join our Reg QA team. This position provides quality and compliance oversight and performs a wide... ...investigations, etc. in a timely manner, including review and/or approval of CAPA plans, as necessary....QualityWork at officeLocal area$229.5k - $378k
...of businesses, is seeking a Physician specializing in Family or Internal... ...At Optum, you'll have the clinical resources, data and support... ...care environment Focus on Quality instead of Quantity while delivering... ...diseases and disorders Reviews patient file/record,...QualityMinimum wageWork experience placementLocal areaWork from home$238.5k - $392.5k
...an exceptional Primary Care Physician (FM or IM) to join our team in... ...At Optum, you'll have the clinical resources, data and support of... ...a complete continuum of high-quality care within the care team... ...chronic diseases and disorders Reviews patient file/record, including...QualityMinimum wageWork experience placementLocal areaWork from homeRelocation packageFlexible hours$226k - $366k
...of businesses, is seeking a Physician specializing in Family Medicine... ...At Optum, you'll have the clinical resources, data and support of... ...care environment Focus on Quality instead of Quantity while delivering... ...diseases and disorders Reviews patient file/record,...QualityFull timeWork experience placementLocal areaWork from homeFlexible hours$229.5k - $378k
...an exceptional Primary Care Physician (FM or IM) to join our team in... ...At Optum, you'll have the clinical resources, data and support of... ...a complete continuum of high-quality care within the care team... ...chronic diseases and disorders Reviews patient file/record, including...QualityMinimum wageWork experience placementLocal areaWork from homeRelocation packageFlexible hours- ...Role We're seeking an experienced QA Reviewer & Project Coordinator . This is a hands... ...that combines expert evaluation and quality assurance with day-to-day project coordination... ...processes. Role play realistic clinical scenarios with AI systems to evaluate behavior...QualityWork at officeAfternoon shift
$237.5k - $384k
...of businesses, is seeking a primary care physician to join our team in Lafayette, IN. Optum... .... At Optum, you'll have the clinical resources, data and support of a global... ...workweeks Value-based care model focused on quality, not volume Innovation-driven...QualityMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeRelocation package
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