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Are you a Surgery - Transplant physician looking to expand your career opportunities? DirectShifts offers a streamlined multi-state licensing service that helps you get licensed quickly and compliantly so you can access more jobs without the paperwork burden. · Why Multi-State Li ...
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The Heart Hospital Baylor Plano · is an academic cardiovascular hospital searching for advanced heart failure and transplant cardiologist to join our four advanced heart failure cardiologists and three advanced practice providers team. The Heart Hospital Baylor Plano is part of t ...
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Are you a Surgery - Transplant physician looking to expand your career opportunities? DirectShifts offers a streamlined multi-state licensing service that helps you get licensed quickly and compliantly so you can access more jobs without the paperwork burden. · Why Multi-State Li ...
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StaffMed Health Partners has partnered with one of the healthcare systems in Dallas to assist them with recruiting a Heart Failure Cardiologist to join their growing Cardiovascular service line and team. This is an exciting opportunity for someone to come in and help this healthc ...
Dallas $300,000 - $550,000 (USD) per year1 week ago
- Work in company
Physician Assistant, Kidney, Liver Transplant Inpatient Nocturnal
Only for registered members
WHY UT SOUTHWESTERN? · With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and bene ...
Dallas, TX2 weeks ago
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You will be contacted directly by Baylor after applying to this position · The Physician HTPN examines and treats patients with a wide range of conditions, take patient histories, request diagnostic tests, make diagnoses, prescribe treatment, administer vaccinations, perform foll ...
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You will be contacted directly by Baylor after applying to this position · The PA Surgical Specialty-Operative is a licensed, certified, non-physician healthcare provider who actively renders direct patient care and possesses delegated prescriptive authority, is credentialed and ...
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Plano, TX1 month ago
Surgery - Transplant Physician - Plano - Dane Street
Description
This telework opportunity allows you to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.Physician Specialties:
Stem Cell Transplant - Seeking physicians who specialize in bone marrow and stem cell transplant medicine.
JOB SUMMARY
Utilizes clinical expertise, reviews insurance appeals, and prospective and retrospective claims.
The physician reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care.
MAJOR DUTIES AND RESPONSIBILITIES:
All of our physician reviewers are contractors with Dane Street.
A flat rate is offered for Group Health Record/Policy Reviews.
Reviews all medical records and addresses each question posed by the client utilizing client-specific criteria or other nationally recognized evidence-based criteria
Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
Provides copies of any criteria utilized in a review with the report promptly
Makes telephone calls as mandated by the state and/or client specifics
Peer to Peer calls may be required. Dane Street will help arrange any Peer to Peer phone calls, if needed.
The average length of time to review each case is between 15-30 minutes.
The cases are prepared for you before they are provided for your review.
Some cases may REQUIRE a short turnaround time meaning some cases may need to be reviewed the same day Returns cases on or before the due date and time
Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
Attends all required orientation and training
Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
PLEASE BE AWARE:
In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.
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