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**Duties and Responsibilities:** + Review complex prior authorization, concurrent review , and re
…including credentialing, quality management, provider relations, grievance resolutions, and peer
…with vendors and surgical teams on equipment, monitoring OR block time utilization , and partici
Knoxville, TN
…are in place to achieve desired outcomes. + Collaborates with the Peer Review /PQPR medical staf
…that of other individuals performing similar services. Participate in peer review and performan
Columbia, SC
…established criteria or clinical guidelines. In this role, you will provide support and review
Cooperstown, NY
…no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct super
New York, NY
…Performance improvement variances and complications. + Performs comprehensive, concurrent chart
Washington, DC
…HSA (in the absence of the NM) by providing training and completing onsite review of nursing co
Bethesda, MD
…in the Defense Health Network. Registered Nurse will have overall responsibility for timely revi