Clinical Review Physician: Utilization & Coverage Lead
Kaiser Permanente - Washington Permanente Medical Group (WPMG)
Washington Permanente Medical Group, a KP health plan partner, seeks a Clinical Reviewer to adjudicate coverage requests using established criteria. You will document decisions with clear rationale for communications and collaborate with care managers to ensure appropriate levels of care across hospital and community settings. Minimum MD/DO with internal or family medicine residency; experience in utilization management and quality programs is preferred. #J-18808-Ljbffr Kaiser Permanente - Washington Permanente Medical Group (WPMG)
- ...- March 31 Shift Type: Day Shift Assignment Type: Outpatient; Clinic Call Required: No Board Certification Required: Negotiable Job... ...healthcare delivery to support consistent care across all assigned coverage periods. Clinical workflows are structured to address the...SuggestedContract workLocumMonday to FridayShift workDay shift
$162.67k
...outstanding opportunity for a Lead Pharmacist, UW... ...Medication Policy and Utilization (Pharmacist 4). Work Schedule... ...monographs and review documents for the UW Medicine... ...programs for both the clinical and core pharmacy... ...preparing tomorrow’s physicians, scientists and other...SuggestedFull timeTemporary workWork at officeShift workRotating shift- ...premiums/payroll deductions for employee coverage), Dental, Life, Long-term Disability... ...partnership with CSC Project Managers, the Lead Clinical Supervisor provides shift-level clinical... ...Clinical Oversight & Documentation Review clinical documentation to ensure records...SuggestedHourly payPermanent employmentTemporary workInterim roleFlexible hoursShift workNight shift
- ...recruiting for a full-time Clinical Dietitian in Seattle,... ...nutrition assessment utilizing the Nutrition Care... ...measurable outcomes and reviews the plan, as... ...record keeping, autonomous coverage of daily clinical activities... ...within NFS, lead activities in the implementation...SuggestedPermanent employmentFull timeTemporary workSeasonal workRemote workWork from homeTrial periodRelocation packageMonday to FridayFlexible hours
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$77.08k - $119.47k
...Supervisor provides day-to-day management of clinical operations within the department.... ...of professionalism and positively leads by example. Reviews processes and procedures to ensure... ...benefits including: Excellent health care coverage with no copay at Albany Medical...Work at officeMonday to FridayShift work- ...offering locum tenens opportunities in Washington for physicians to cover outpatient clinics and inpatient services. Typical days involve about 10 patients... ...travel and housing expenses along with malpractice coverage. A Weatherby consultant is available 24 hours a day to...Locum
$32.22 - $44.57 per hour
BASIC FUNCTION Utilizes a wide array of knowledge, technical... ...team and other groups. Leads Tier 1 huddles.... ...Knowledge: Solid foundation of clinical expertise and is able... ...and common annual review. Drives onboarding for... ...Provides implementation and coverage support if/when...Hourly payTemporary workWork at officeFlexible hours- ...Stock options plan Reports to: Reports to the VP, Clinical Operations SPI is seeking a highly experienced and organized TMF Lead to support the operational execution of our... ...-up through closeout. · Prepare, collect, review, and maintain essential regulatory and study documentation...Remote jobWork from homeFlexible hours
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$300k - $325k
...comprehensive health "care and coverage," powered by a... ...virtual and in-person clinical network, and our... ...Virtual Primary Care Physician, you will have the opportunity... ...in quality review activities, contributing... ...and guiding appropriate utilization across the care continuum...Work at officeRemote workShift work$295.3k - $347.41k
...care of many of the non-clinical responsibilities for... ...1.0 FTE) Primary Care Physician either Family Medicine... ...Comprehensive, Market-Leading Benefits Generous... ...Paid Malpractice & Tail Coverage Professional... ...further information, please review the Know Your Rights...Full timeLocal areaImmediate startRelocation package- ...Description Senior Hospitalist Clinical Reviewer Job Type: Contractor... ...opportunity is ideal for experienced physicians with a strong background in... ...Experience leading or contributing to hospital... ...Experience with medical coding, utilization review, or physician audit...Remote jobFor contractors
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$280k - $325k
...Description Job Description Primary Care Physician (Family Medicine) | Full-Time... ...paid time off, CME, and malpractice coverage Position Overview Provide... ...team-based care model with dedicated clinical support staff Utilize EPIC EMR and integrated population health...Full timeWork at office$259.49k - $317.97k
...prior to all exams or procedures.Review and document patient's... ...in Epic.Assist with meeting clinic quality improvement and operations... ...in developing and utilizing HealthPoint practice guidelines... ...employees enjoy:Comprehensive health coverage – Medical, dental, and vision...Local areaShift work- Chirosconnect is looking for a Lead Chiropractor / Clinic Director in Renton, WA, to launch a new state-of-the-art clinic in early 2026. This leadership role provides an opportunity to shape clinical systems and patient experience while enjoying national brand support...
$23.9 - $34.79 per hour
...patient intake process in our clinic, adhering to established... ...and procedures to employees, physicians and members (patients). Provides... ...and explains insurance benefit coverage to patient. Notifies... ...Center experience and Previous “lead” or supervisory experience Where...Work experience placementWork at office- ...Genetics, seeks a full-time Assistant or Associate Professor on the Clinical Practice Track. The role is based at UW Medical Center to care... ...with experience. Duties include outpatient care, call coverage, some inpatient work, and active participation in education and...Full time
$125 per hour
...scalable solutions and clinical expertise help solve... ...Enabling our teams with leading technology allows... ..., daily work includes reviewing and analyzing clinical... ...CMS National and Local Coverage Determinations (NCD/LCD... ...urology, or orthopedics. Utilization management experience...Remote jobHourly payFull timeFor contractorsWork at officeLocal areaImmediate startWork from home$25 - $27 per hour
...The Role: The Floor Lead plays a pivotal role on our store... ...our people against performance review criteria and KPIs. Engaging... ..., dental, and mental health coverage, designed with flexibility, inclusivity... ...~ US ONLY: Opportunity to utilize 401(k) & commuter benefits...Hourly payFull timeWorldwideShift workWeekend workAfternoon shift$35 - $45 per hour
...Job Description We are looking to hire two new side sewer leads at Pioneer Plumbing to work in the underground department. Pioneer... ...to work. You must have 2+ years of Underground utilities experience. Have a working smartphone. Have a clean driving...Immediate start$35.57 - $52.8 per hour
...Laboratory Scientist Lead role at Virginia... ...care through clinical correlation of results... ...testing as assigned and review results with... ...equipment to provide the physician with the most... ...Health, utilizes professionalism and... ...pending work and coverage Coordinating scheduling...Hourly payFull timeTemporary workPart timeTraineeshipRelocation packageShift work$45.31 - $67.01 per hour
...Description: The Nurse Clinical Leader provides... ...several of the following: leading change, scheduling, maintenance... ...employee performance reviews. The Nurse Clinical... ...of patients. The RN utilizes the nursing process... ...: patient, family, physician, non-nursing professionals...Hourly payRemote workShift work$180k - $250k
...Lead the Way in Emergency Veterinary Care - ER Service Head Opportunity at BluePearl Renton... ...Benefits ~ Medical, dental, and vision coverage ~ Paid time off, parental leave,... ...priority . Whether you want to advance in clinical leadership, pursue specialty board certification...Full timeRelocation package
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