Join to apply for the Peer Reviewer - Clinical - Physician, Physician Asst, Nurse Practitioner, OB/GYN role at Advantage Health Centers Join to apply for the Peer Reviewer - Clinical - Physician, Physician Asst, Nurse Practitioner, OB/GYN role at Advantage Health Centers Summary Description Reviews patient information to ensure treatment/service provided falls within the plan guidelines and that the service was appropriate for the condition. Reviewing for positions – Physicians – (OB/GYN, Internal Medicine, Family Medicine), Physician Assistant, Nurse Practitioner JOB TITLE: Clinical Peer Reviewer REPORTS TO: President & CEO DEPARTMENT: Peer Review Committee FLSA STATUS: Hourly – Non Exempt Summary Description Reviews patient information to ensure treatment/service provided falls within the plan guidelines and that the service was appropriate for the condition. Reviewing for positions – Physicians – (OB/GYN, Internal Medicine, Family Medicine), Physician Assistant, Nurse Practitioner Specific Responsibilities include, but are not limited to: Reviewing x-rays, patient charts and other patient records to ensure treatment/service provided is within guidelines of the plan. Review pre-authorization paperwork to ensure the intended treatment meets the treatment plan criteria and relevant program criteria. Complete Peer Review Form for each chart reviewed The list of responsibilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary, if needed. Academic And Experience Requirements Graduation from an accredited school Valid, unexpired license to practice in Michigan (Physicians) Valid, unexpired certification to practice in Michigan (Physician Assistant, Nurse Practitioner) Successful completion /passing of background check, drug screen and credential check Other Qualifications Desired: Ability to communicate effectively (verbal and written). Excellent organization and interpersonal skills required. Skilled in working with others in a team environment. Must be proficient in MS Office applications (Word, Excel, PowerPoint) Experience working with EMR systems- eCW preferred. Will train. Experience Minimum 3-5 years of experience as a Physician, Physician Assistant or Nurse Practitioner Knowledge of medical/clinical procedures, terminology, and codes. Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Research, Analyst, and Information Technology Industries Medical Practices Referrals increase your chances of interviewing at Advantage Health Centers by 2x Sign in to set job alerts for “Clinical Reviewer” roles. Detroit, MI $45,000.00-$47,500.00 3 weeks ago Contract- Clinical Research Coordinator- Vaccines (Detroit, MI)* International Medical Graduate (IMG) - Clinical Research Sustainability Center Research Assistant (Non-Student Temporary) Research Study Coordinator II- Full time- Department of Allergy- Detroit Campus Research Study Coordinator II - Cancer Clinical and Translational Research Office - Contingent - Days Research Study Coordinator II - Cancer Clinical and Translational Research Office - 40 Hours - Days Research Associate - Department of Oncology Sr. Clinical Research Coordinator- Cardiology (Detroit, MI) Research Associate - Department of Neurology Senior Quality Management Associate (Fixed Term) - Europe/North America - Remote Research Study Assistant II_ Full time- Research Design & Analysis Research Assistant, Community Health, Kinesiology, Health and Sport Studies Research Associate - Department of Otolaryngology Research Assistant - Pontiac Property Condition Assessment CQI Qual Improv Lead - Behavioral Health - 40 hrs/wk - Detroit RN - Clinical Oncology Research Coordinator - RN, Fairlane We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Advantage Health Centers
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