Physician Reviewer
w3r Consulting
Description
Preferred Qualification(s):
- Evaluates clinical service requests made by an organization's members and providers.
- Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests.
- May also provide clinical leadership in other areas of the organization.
- Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member.
- Participates in the process to evaluate clinical service requests.
- Practices anticipatory case management for members whose cases come for review, in partnership with case managers. Participates in the Physician Review Units' appeal process of service denials.
- Participates in the development of Physician Review Units' policies and procedures.
- Actively participates in all unit continuous quality improvement activities.
- Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background.
- Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not provide direct patient care or medical diagnosis.)
- Board Certification in a Medical Specialty, active medical license. TX and NM license within 6 mo
Preferred Qualification(s):
- Orthopedics, Genetics, PMR, Allergy Immuniology, Rheumatology, plastic surgery, transplant, HemeOnc
Vacancy posted 8 hours ago
Similar jobs that could be interesting for youBased on the Physician Reviewer in Houston, TX vacancy
- Swyft Filings, LLC is looking for a Document Specialist to ensure accurate and timely production of legal documents. This remote position requires the ability to manage filings and deadlines while providing excellent customer service. Ideal candidates should possess strong...SuggestedRemote work
Swyft Filings
Houston, TX4 days ago - ...please send a request to ****@*****.***. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: Skills and Requirements Experience with SharePoint - administration permissions, moving...Suggested
Insight Global
Houston, TX3 days ago $22 - $26 per hour
...auditing or quality assurance activities. Experience working with manufacturing, construction, field, or inspection records. Experience reviewing and managing data books, revision audits, and inspection documentation. Proficiency with SharePoint for tracking data and managing...SuggestedContract workTemporary workActalent
Houston, TX3 days ago- Hunton Trane, a division of the Hunton Group, is seeking a detail-oriented Document Controller to support our growing Industrial EPC project portfolio. This role is critical in ensuring accurate, timely, and compliant document flow across engineering, procurement, and ...Suggested
The-Hunton-Group
Houston, TX2 days ago - Job Title To maintain, process, and safeguard student records and documentation while ensuring accuracy, confidentiality, and compliance with district procedures and applicable state and federal regulations. Perform clerical duties to ensure efficient daily campus operations...SuggestedWork at office
Harris County Department of Education
Houston, TX9 days ago - Document Specialist The Document Specialist position provides intermediate-level support with a primary focus on the management, control, and delivery of high-volume engineering and construction documentation across active infrastructure projects. This role is critical...Work at officeLocal area
R. R. CASSIDY, INC.
Houston, TX7 days ago - Houston, Texas: Flexicrew Technical Services (FTS) is seeking a Document Controller to support engineering and capital projects by ensuring the accurate control, organization, distribution, and maintenance of project documentation throughout the project lifecycle. This...For contractorsWork at officeLocal area
TempWorks Software Incorporated
Houston, TX4 days ago - Information Governance/Records Clerk This position coordinates file management activities, including file creation, transfers, retention, destruction, and data access requests, while ensuring compliance with Firm policies and records management standards. The Coordinator...Work experience placementWork at office
Professional Alternatives
Houston, TX2 days ago - ...maintaining document control standards including carrying tasks related to inputting documents and tracking metrics on CWLNG document review cycle times. Key Accountabilities Understand, follow, and apply document control procedures. Verify documentation against our...Work at officeFlexible hours
Commonwealth LNG
Houston, TX2 days ago - ...to coordinate all ECOs (engineering change order) and ECNs (engineering change notifications). Meet weekly with internal teams to review ECN status. Generate and send weekly customer ECO, Deviation and FAI reports. Maintain SAP Master Data (Routing, MRP controller, Buyer...Work at officeLocal areaFlexible hours
Foxconn Industrial Internet - FII
Houston, TX2 days ago - Job Title: Document Control Administrator / Quality Control Location: Houston, TX (Fully Onsite) Schedule: Monday–Friday, 7:30 a.m. – 4:30 p.m. Employment Type: Full‑Time Contract (with potential for permanent hire in Spring 2026) Overview We are seeking a highly organized...Permanent employmentFull timeContract workWork at officeMonday to Friday
TEEMA Solutions Group
Houston, TX3 days ago - ...Product Compliance Coordinate and manage product labeling to ensure compliance with applicable laws and retailer standards: Develop and review: Warning labels Support label design and formatting Validate product claims for accuracy and compliance Partner with internal teams...
Sinomax
Houston, TX4 days ago - Aquatech International LLC in Houston, TX is seeking a full-time Document Control Administrator to support engineering and production. You will compile and maintain control records, release drawings, and ensure data quality. The role involves organizing documentation, ...Full timeMonday to Friday
Aquatech International
Houston, TX8 hours ago $40 - $50 per hour
A recruitment agency is seeking a Senior Document Controller in Houston, Texas. The role involves managing an Enterprise Document Management System and coordinating document control processes. Candidates should have a minimum of 10 years' experience in document control...Contract workJAB Recruitment LLC
Houston, TX3 days ago- ...engineering, manufacturing, and management by ensuring all documentation meets company, customer, and regulatory requirements. Preparing, reviewing, and filing technical and quality documents. Maintaining records for inspections, certifications, procedures, and audits....Permanent employmentContract work
Ellwood Technical Welding Solutions
Houston, TX1 day ago - Document Controller The purpose of this role is to ensure assigned document control assignments, tasks and activities are completed on time, accurate, verified, traceable and complete. Incumbent is accountable for document control activities for formal and informal Incident...Work at office
Ecom Industries
Houston, TX7 days ago - ...Plans – verify all sheets are provided Process Bid Documents – verify all documents are provided Schedule Deliveries Assist updating Review Schedule REQUIRED EDUCATION/LICENSE/CERTIFICATIONS Minimum of an Associate’s Degree. REQUIRED QUALIFICATIONS 1+ years of experience...Work at office
LJA Engineering
Houston, TX2 days ago - Document Controller Wood is recruiting for a Document Controller to join our team in Houston, TX. The position plays a critical role in ensuring that the accuracy and quality of project-related documents are maintained. The role will have interactions with various functions...Full timeFor contractors
John Wood Group Limited
Houston, TX2 days ago - Manage and organize all company documents to ensure easy access and retrieval. Implement and maintain document control procedures and policies. Maintain confidentiality and security of sensitive documents. Ensure all documents are up-to-date and comply with industry standards...
TEEMA Solutions Group
Houston, TX2 days ago - ...Procore Submittals as outlined in contract documents Maintain distribution list of responsible parties for various stages of document review process Assign workflow to responsible parties to review vendor documents within Procore or other document control systems After...Contract workTemporary workWork at officeLocal area
Quanta Infrastructure Solutions Group
Houston, TX8 hours ago $18 per hour
...excellence. About You To empower the aspirational so our clients can fulfill their dreams, we need a Document Specialist to review each document carefully, ensuring accuracy and meeting deadlines, all while creating an exceptional customer experience. You will...For contractorsWork at officeRemote workSwyft Filings
Houston, TX4 days ago$24 per hour
Direct message the job poster from Forrest Solutions Join a prestigious AmLaw 100 law firm as a Records Clerk and become an essential part of a team that values precision, efficiency, and innovation. This role offers the opportunity to work in a fast-paced, professional...16 hoursFull timeWork at officeRemote workForrest Solutions
Houston, TX2 days ago- Legal Document Specialist (Word Processing) Founded in 1920, Akerman is recognized as one of the nation's premier law firms, with more than 700 lawyers across the United States. Akerman is seeking an experienced legal Document Specialist to join our team. This fully...Work at officeRemote workMonday to Friday
- ...close attention to time-sensitive information, and task deadlines and be able to schedule overlapping activities to meet deadlines. Review and analyze title information and documents, LTC, and title opinions. Enter and maintain ownership information and documents in...Work at office
- ...approved Project Procedures. Oversees and assists in the preparation of all acquisition packages prior to issuing to Land Agents. Reviews all executed documents for accuracy. Reviews payments for easements and damages. Prepares ownership, survey permission and...Full timeTemporary workPart timeWork at officeLocal area
- Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Document Controller Specialist Location: Houston, TX Summary: The primary...For contractors
- Job Title Location 700 Almeda-Genoa Road, Houston, TX, 77047, United States Job Category Document Control, Records Management Industry Precast Concrete, Construction, Manufacturing Employee Type Non-Exempt FT Required Degree High School Manage Others ...
$87k - $115k
...maintain all right-of-way files, and oversee the preparation and production of easements and other documents within approved systems Review documents to prepare reports detailing ownership information, acquisition status, landowner contacts, special field conditions,...Daily paidFull timeWork from homeRelocationHome officeO.R. Colan Associates
Houston, TX2 days ago- ...follow up with stakeholders. Maintain project folders and metadata accuracy. Manage project MDL/MDR. Coordinate document reviews between internal teams, clients, and vendors. Prepare project status reports. Oversee document workflows, transmittals, and approvals...Contract work
- Join to apply for the Document Control Assistant role at ESPO Corporation . Job Title: Document Control Assistant Location: Houston, TX. Job type and Duration: Contract to Hire Our client, a global Architecture and Design Firm, is looking to hire a Document Control Assistant...Contract workWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Physician Reviewer. Be the first to apply!
Related searches
- supervising physician Houston, TX
- doctor on call Houston, TX
- physician-ob gyn Houston, TX
- doctor of optometry Houston, TX
- physician neurology Houston, TX
- internal medicine primary care physician Houston, TX
- weekend doctor Houston, TX
- permanent doctor Houston, TX
- post-acute care physician Houston, TX
- part time physician Houston, TX