Physician Peer Reviewer - Endocrinology Federal Hearings and Appeals Services (FHAS) is a URAC ... License is of the type and scope that permits applying clinical judgement in consideration of an ...
Quick apply
Physician Peer Reviewer - Endocrinology Federal Hearings and Appeals Services (FHAS) is a URAC ... License is of the type and scope that permits applying clinical judgement in consideration of an ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
For the past 30 years, FHAS has provided external peer review services to healthcare organizations ... License is of the type and scope that permits applying clinical judgement in consideration of an ...
For the past 30 years, FHAS has provided external peer review services to healthcare organizations ... License is of the type and scope that permits applying clinical judgement in consideration of an ...
Freelance Peer Reviewer: Medicine
Avenel, NJ · On-site +1
Prior experience as a peer reviewer for academic journals is highly desirable. * Familiarity with ... Anaesthesiology and Pain Medicine, Clinical Oncology, Molecular Oncology, Gastroenterology ...
Freelance Peer Reviewer: Medicine
Avenel, NJ · On-site +1
Prior experience as a peer reviewer for academic journals is highly desirable. * Familiarity with ... Anaesthesiology and Pain Medicine, Clinical Oncology, Molecular Oncology, Gastroenterology ...
Prior experience as a peer reviewer for academic journals is highly desirable. * Familiarity with ... Anaesthesiology and Pain Medicine, Clinical Oncology, Molecular Oncology, Gastroenterology ...
Prior experience as a peer reviewer for academic journals is highly desirable. * Familiarity with ... Anaesthesiology and Pain Medicine, Clinical Oncology, Molecular Oncology, Gastroenterology ...
PEER REVIEWER - GENERAL SURGEON - REMOTE
$255K - $307K/yr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
PEER REVIEWER - GENERAL SURGEON - REMOTE
$255K - $307K/yr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
This role coordinates clinical peer review activities, maintains confidential records, assists medical staff committees, tracks performance improvement actions and ensures compliance with ...
This role coordinates clinical peer review activities, maintains confidential records, assists medical staff committees, tracks performance improvement actions and ensures compliance with ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
Quick apply
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
$80K - $90K/yr
Submits supportive research relevant to peer review and best evidence practice patterns. * Documents all pertinent clinical patient / case file information and actions into case notes.
$80K - $90K/yr
Submits supportive research relevant to peer review and best evidence practice patterns. * Documents all pertinent clinical patient / case file information and actions into case notes.
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
Quick apply
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
Quick apply
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
PEER REVIEWER - INTERVENTIONAL RADIOLOGY - REMOTE
Washington, DC · Remote
$327K - $409K/yr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
Quick apply
PEER REVIEWER - INTERVENTIONAL RADIOLOGY - REMOTE
Washington, DC · Remote
$327K - $409K/yr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
Board Certified Neuro-Ophthalmology Disability Peer Reviewer
$18 - $22.50/hr
Current, unrestricted medical license * 5+ years of clinical practice experience * Experience in conducting Disability Peer Reviews preferred Benefits * Independent consultant role allows for ...
Board Certified Neuro-Ophthalmology Disability Peer Reviewer
$18 - $22.50/hr
Current, unrestricted medical license * 5+ years of clinical practice experience * Experience in conducting Disability Peer Reviews preferred Benefits * Independent consultant role allows for ...
Board Certified Neuro-Ophthalmology Disability Peer Reviewer
$18 - $22.50/hr
Current, unrestricted medical license * 5+ years of clinical practice experience * Experience in conducting Disability Peer Reviews preferred Benefits * Independent consultant role allows for ...
Board Certified Neuro-Ophthalmology Disability Peer Reviewer
$18 - $22.50/hr
Current, unrestricted medical license * 5+ years of clinical practice experience * Experience in conducting Disability Peer Reviews preferred Benefits * Independent consultant role allows for ...
$13 - $16.25/hr
Current, unrestricted medical license * 5+ years of clinical practice experience * Experience in conducting Disability Peer Reviews preferred * Independent consultant role allows for schedule ...
$13 - $16.25/hr
Current, unrestricted medical license * 5+ years of clinical practice experience * Experience in conducting Disability Peer Reviews preferred * Independent consultant role allows for schedule ...
Physician Peer Reviewer - Geriatric Psychiatrist - MUST BE LICENSED IN NEW JERSEY Federal Hearings ... License is of the type and scope that permits applying clinical judgement in consideration of an ...
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Physician Peer Reviewer - Geriatric Psychiatrist - MUST BE LICENSED IN NEW JERSEY Federal Hearings ... License is of the type and scope that permits applying clinical judgement in consideration of an ...
Physician Peer Reviewer - Geriatric Psychiatrist - MUST BE LICENSED IN NEW JERSEY Federal Hearings ... License is of the type and scope that permits applying clinical judgement in consideration of an ...
Quick apply
Physician Peer Reviewer - Geriatric Psychiatrist - MUST BE LICENSED IN NEW JERSEY Federal Hearings ... License is of the type and scope that permits applying clinical judgement in consideration of an ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
This role coordinates clinical peer review activities, maintains confidential records, assists medical staff committees, tracks performance improvement actions and ensures compliance with ...
This role coordinates clinical peer review activities, maintains confidential records, assists medical staff committees, tracks performance improvement actions and ensures compliance with ...
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Physician Peer Reviewer- Endocrinology
Wilkes Barre, PA • On-site
Federal Hearings And Appeals
Contractor
Re-posted 25 days ago
Job description
Physician Peer Reviewer – Endocrinology
Federal Hearings and Appeals Services (FHAS) is a URAC-accredited Independent Medical Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For the past 30 years, FHAS has provided external peer review services to healthcare organizations, government agencies, insurance companies, and legal entities.
FHAS is currently expanding its elite panel of physicians licensed to assist with independent review claims and appeals in any of the following specialties:
Addiction Medicine, Allergy & Immunology, Anesthesiology, Cardiovascular Disease, Child & Adolescent Psychiatry, Chiropractic Medicine, Dentist, Dermatology, Emergency Medicine, Endocrinology, Diabetes, & Metabolism, Family Medicine, Gastroenterology, Internal Medicine, Interventional Cardiology, Interventional Radiology & Diagnostic Radiology, Medical Genetics & Genomics, Medical Oncology, Nephrology, Neurological Surgery, Neurology, Obstetrics and Gynecology, Ophthalmology, Orthopedic Surgery, Pain Medicine, Pathology, Pediatrics, Pediatric Cardiology, Pediatric Critical Care Medicine, Developmental-Behavioral Pediatrics, Pediatric Emergency Medicine, Pediatric Gastroenterology, Pediatric Nephrology, Physical Medicine & Rehabilitation, Plastic Surgery, Psychiatry, Psychology *PhD, Radiation Oncology, Radiology, Rheumatology, Sleep Medicine, Thoracic & Cardiac Surgery, Transplant Hepatology, Undersea & Hyperbaric Medicine
Description
- Responsible for reviewing medical case files and making medical determinations. Cases may include medical necessity and medical appropriateness, experimental or investigational treatment, administrative or legal issues, or a combination of these categories, which are filed with the Department of Human Services’ Bureau of Hearings and Appeals (BHA).
- Reviews and analyzes Federal and State laws, regulations, and applicable policy guides
- Completes and evaluates the review process in a regulatory timeframe.
Work Experience Requirements
- Successful completion of a Residency or Fellowship Program
- Must possess a current state license in a state of the United States/recognized in the relevant jurisdictions as a Doctor of Medicine or Doctor of Osteopathic Medicine and if required by contract, licensed in the state in which requests the review.
- License is unrestricted and if there is a restriction that is allowed by a relevant jurisdiction, according to the medical director or clinical director, it is of the type that does not affect the health professional’s ability to fulfill the roles and responsibilities of a reviewer.
- License is of the type and scope that permits applying clinical judgement in consideration of an individual members clinical needs to render a decision.
- For either a Doctor of Medicine or Doctor of Osteopathic Medicine, possess the same license or certification as the ordering practitioner.
- Must hold a current board certification issued by the American Board of Medical Specialties or American Osteopathic Association.
- 5-years or more post graduate active clinical experience in direct patient care
- Experience providing direct patient care within the past 3 years, if performing external reviews
Job Type
Contract
Work Location
Remote