Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required.
Directs daily involvement in the following utilization management functions:
Reviews all cases in which clinical determinations cannot be made by the Initial Clinical Reviewer.
Discusses determinations with requesting physicians or ordering providers, when available, within the regulatory time frame of the request by phone or fax.
Provides clinical rationale for standard and expedited appeals.
Provides assistance and act as a resource to Initial Clinical Reviewers as needed to discuss cases and problems.
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD...
Oct 24, 2021
Physician
Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required.
Directs daily involvement in the following utilization management functions:
Reviews all cases in which clinical determinations cannot be made by the Initial Clinical Reviewer.
Discusses determinations with requesting physicians or ordering providers, when available, within the regulatory time frame of the request by phone or fax.
Provides clinical rationale for standard and expedited appeals.
Provides assistance and act as a resource to Initial Clinical Reviewers as needed to discuss cases and problems.
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD...
WHO WE’RE LOOKING FOR:
PlateJoy Health is looking for a physician to help patients improve their metabolic health through the PlateJoy Health line of products. You’ll bring deep knowledge and clinical expertise in obesity medicine as well as diabetes prevention and management to the clinical team of physicians and registered dietitians. As a member of our clinical team, you’ll partner closely with our product, engineering, and business strategy teams to deliver innovative telehealth and RPM services.
WHAT YOU’LL BE DOING:
• Medically monitor patients enrolled in the PlateJoy Health medical program via email, text, phone, and video conference as needed
• Work closely with PlateJoy Health’s physicians, dietitians, and technical team in order to provide tailored lifestyle change interventions ...
Oct 14, 2021
Physician
WHO WE’RE LOOKING FOR:
PlateJoy Health is looking for a physician to help patients improve their metabolic health through the PlateJoy Health line of products. You’ll bring deep knowledge and clinical expertise in obesity medicine as well as diabetes prevention and management to the clinical team of physicians and registered dietitians. As a member of our clinical team, you’ll partner closely with our product, engineering, and business strategy teams to deliver innovative telehealth and RPM services.
WHAT YOU’LL BE DOING:
• Medically monitor patients enrolled in the PlateJoy Health medical program via email, text, phone, and video conference as needed
• Work closely with PlateJoy Health’s physicians, dietitians, and technical team in order to provide tailored lifestyle change interventions ...
COMPANY OVERVIEW:
WithHealth is an innovative healthcare company that delivers precision-based telemedicine to deliver affordable, accessible, preventive and personalized care. We partner with Tribal Health Departments to create needs-based telehealth programs that expand existing services and improve health outcomes. Our Tribal Health Program provides telehealthcare services to patients who are on-site at IHS/Tribal clinics.
POSITION OVERVIEW:
Under the general direction of the Medical Director of Tribal Health Services, or their designee, and as part of a multidisciplinary team, the endocrinologist works with the patients’ primary care physician for the prevention, diagnosis and treatment of different endocrine disorders, including DMII.
ESSENTIAL FUNCTIONS/RESPONSIBILITIES:
(May include but are not limited to)
Analyzing, examining, and investigating patients and their medical histories for signs and symptoms of hormonal...
Oct 05, 2021
Physician
COMPANY OVERVIEW:
WithHealth is an innovative healthcare company that delivers precision-based telemedicine to deliver affordable, accessible, preventive and personalized care. We partner with Tribal Health Departments to create needs-based telehealth programs that expand existing services and improve health outcomes. Our Tribal Health Program provides telehealthcare services to patients who are on-site at IHS/Tribal clinics.
POSITION OVERVIEW:
Under the general direction of the Medical Director of Tribal Health Services, or their designee, and as part of a multidisciplinary team, the endocrinologist works with the patients’ primary care physician for the prevention, diagnosis and treatment of different endocrine disorders, including DMII.
ESSENTIAL FUNCTIONS/RESPONSIBILITIES:
(May include but are not limited to)
Analyzing, examining, and investigating patients and their medical histories for signs and symptoms of hormonal...
Work from any location, determine your own schedule, and earn extra income while helping men optimize their hormone levels with one of the fastest-growing men's health companies in the country. Seeking Urologists, Endocrinologists, and all other physicians with deep knowledge and experience in prescribing for men with hypogonadism. Please review and respond to the two applicant qualification questions we ask of our applicants at the bottom, if you are able to do so. We are specifically looking for physicians who specialize in men's health and have experience prescribing testosterone or other hormone-boosting pharmaceuticals. We are currently looking for physicians licensed in Kentucky and highly value physicians who are licensed in multiple states.
Who We Are:
We are a modern men’s health company committed to giving men confidence as they age. Our goal is to help men break through highly stigmatized conditions using education and increasing access by making care...
Sep 16, 2021
Physician
Work from any location, determine your own schedule, and earn extra income while helping men optimize their hormone levels with one of the fastest-growing men's health companies in the country. Seeking Urologists, Endocrinologists, and all other physicians with deep knowledge and experience in prescribing for men with hypogonadism. Please review and respond to the two applicant qualification questions we ask of our applicants at the bottom, if you are able to do so. We are specifically looking for physicians who specialize in men's health and have experience prescribing testosterone or other hormone-boosting pharmaceuticals. We are currently looking for physicians licensed in Kentucky and highly value physicians who are licensed in multiple states.
Who We Are:
We are a modern men’s health company committed to giving men confidence as they age. Our goal is to help men break through highly stigmatized conditions using education and increasing access by making care...
