Offres d'emploi
Trouvez des postes près de chez vous, sur site, hybrides ou à distance.- Emplois similaires à : Hematologist
Hematologist
MaximusNew YorkWe are looking for a 100% Remote, 1099, Hematology Oncology MD/DO ReviewerDescriptionMedical Expert Reviewer-Medical Expert Judgement Reviews determining final decision based off enrollee’s denial of
Senior Faculty Benign Hematologist
AMN HealthcareDurhamJob Description & Requirements Senior Faculty Benign HematologistStartDate: 5/1/2026 Pay Rate: $ - $ Shape the future of Hematology at a world-class, nationally ranked academic center. Duke University
Hematologist/Oncologist Needed for Locum Tenens Coverage at Inpatient and Clinic in Rome, Georgia
LocumTenens.comIrwintonThis Job at a Glance Job Reference Id: ORD- -MD-GA Title: MD Dates Needed: July 20th- Ongoing Shift Type: Day Shift Assignment Type: Inpatient; Clinic Call Required: No Board Certification Required: Y
Territory Sales Representative Nevada
Staples, Inc.Las VegasWork Location: This is a remote position with a regional focus. This position supports customers in Nevada exclusively. While the role primarily supports working from home, the individual performing t
Police Officer (Secret Service Police), $75,000 Recruitment Incentive
The United States Secret ServiceLas VegasNOTE: This position must be performed in Washington, DC so relocation to Washington, DC will be required. Recruitment Incentive: Applicants may be eligible for a $75,000 recruitment incentive in acco
Construction Senior Project Manager
*US AMR-Jones Lang LaSalle Americas, Inc.Las VegasJLL empowers you to shape a brighter way. Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are
Regional Construction Senior Project Manager
*US AMR-Jones Lang LaSalle Americas, Inc.Las VegasJLL empowers you to shape a brighter way. Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are
Bilingual Operations Recruiter (High Volume)
Valet LivingLas VegasJob descriptionFind Talent. Deliver Results. Grow Your Career.Valet Living is seeking a Bilingual Operations Recruiter who thrives in a high-volume, fast-moving environment. This role is all about bui
Associate Veterinarian
South Shores Animal HospitalLas VegasAssociate Veterinarian - South Shores Animal Hospital - Las Vegas, NVAre you looking to join a supportive, progressive, and well-established veterinary team in the heart of Las Vegas? South Shores Ani
Rehab Technician
SevitaLas VegasNeuroRestorative, a part of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges. In a var
Courier
Laboratory Medicine Consultants LTDLas VegasJob Functions, Duties, Responsibilities and Position Qualifications:We're not just a workplace - we're a Great Place to Work certified employer!Proudly certified as a Great Place to Work, we are dedic
Customer Experience Associate, Temporary
DraftKingsLas VegasAt DraftKings, AI is becoming an integral part of both our present and future, powering how work gets done today, guiding smarter decisions, and sparking bold ideas. It’s transforming how we enhance c
Inside Solutions Representative (Cox Business)
Cox CommunicationsLas VegasInside Solutions Representative (Cox Business)Building strong business relationships is a marathon, not a sprint. While speed is certainly important in sales, trust and authenticity are earned over ti
Truck Driver CDL A Regional
Ryder SystemLas VegasPosition Description Ryder is hiring a Class A CDL Truck Driver in Las Vegas NV— offering weekly pay, excellent benefits, and a driving career you can feel good about. See and Hear from a Ryder Em
Speech Language Pathologist (SLP) *Sign On Bonus Available
Care Options for KidsLas VegasSpeech Language Pathologist (SLP) Pediatric Home HealthPay: $62,000-$100,000/yearSign-On Bonus Opportunity!Eligible candidates may qualify for asign-on bonus* as part of their total compensation packa
Video Operations Manager
3G Productions LLCLas VegasPosition OverviewTheVideo Floor Operations Manageris responsible for overseeing daily video warehouse and floor operations. This role leads video technicians, manages inventory and equipment readiness
Final Mile Delivery & Installation
RyderLas VegasRyder Last Mile is looking to add to our expansive final mile delivery carrier network. We are looking for carriers that are interested in contracting to deliver and install furniture/appliances.Pay D
Retail Assistant Manager - Part-Time
MauricesLas VegasBrand OverviewAt maurices, we're all about feel-good fashion for real life. We're committed to our service with style promise and to offering affordable fashion that takes women from workday to weeken
Sales Associate - CosmoProf Store # 08811
CosmoProf BeautyLas VegasCOSMOPROF SALES ASSOCIATEBy working at Cosmoprof, you would be part of the largest hair and beauty supplier in the world and we are on a mission to empower our customers to express themselves through
Sales Development Representative (IT Services & Office Equipment Sales)
Office1Las VegasSales Development Representative (IT Services & Office Equipment Sales)At Office1, we leverage our "winning triangle" to create an unparalleled company culture. We align our commitment to our customer
TITLE I - TEACHER/FAMILY ASSISTANT III- SMITH, HELEN ES
Clark County School DistrictLas VegasTitle I Teacher/Family Assistant IIIPosition: Title I Teacher/Family Assistant IIIMonths: 9Hours: 7Position RequirementsEducation, Training, and Experience1. High school graduation or other equivalent
Personal Care Specialist (Part Time), Tropicana West
Green Thumb IndustriesLas VegasPersonal Care Specialist (Part Time), Tropicana WestLas Vegas, Nevada, United StatesThe RoleRISE Personal Care Specialists engage in one-on-one interactions with patients and/or customers from the tim
Checkout Team Associate
WalmartLas VegasCheckout Team AssociateWal-Mart #1559 201 N Nellis Blvd Las Vegas, NV 89110-5321 4 open positions CP-1559-9020 $16.00 - $29.00/hr* Part time Shift may start between 8:00am - 4:00pmRole SummaryFront en
Sales Associate
Boot BarnLas VegasSales PartnerOur Sales Partners engage with customers and create an exceptional in-store experience. They embody Boot Barn's Mission, Vision and Values in their words and actions while demonstrating s
MEAT/CLERK
KrogerLas VegasMeat Department AssociatePerform general clean-up and stock work in the Meat department and provide customer service. Demonstrate the company's core values of respect, honesty, integrity, diversity, i
Hematologist
- New York, New York, United States
- New York, New York, United States
À propos
Description
Medical Expert Reviewer-Medical Expert Judgement Reviews determining final decision based off enrollee’s denial of treatment coverage denied by the CA DMHC.
Reviews are based off Medical Necessity and Experimental/Investigational.
Specialty Driven-Expert within the Specialty Requested.
This service involves getting a thorough and professional medical review from an expert provider. The review is done to make a final decision on whether a particular treatment should be covered by the CA DMHC (Department of Managed Health Care) or not. The reviews are based on two main factors: medical necessity (whether the treatment is necessary for the patient's health) and whether the treatment is experimental or investigational.
Systems and Tools
Expert Reviewers must use their own personal computer to access a web-based portal.
Review Training –Trainer will work closely with reviewer for the first 3-5 cases.
Scheduled Training- based on reviewer’s schedule.
No direct defined evidence standard or guidelines.
Templates will be used to complete reviews.
Provider Specialty Minimum Qualifications
24 hours of direct patient care per week.
5 years’ experience in appropriate specialty post training.
Medical Necessity Review: Standard Case Most common type of review.
30 – 45 minutes to complete.
5 – 7 days to turnaround.
Medical Necessity Review: Expedited Case Sickest patients 24-hour turnaround.
45 min - 1 hour to complete.
Experimental/Investigational Reviews: Standard Case Second most common review.
1-2 hours to complete (based on experience).
5 - 7-day turnaround.
Volume: Varies based on need.
Experimental/Investigational Reviews: Expedited Case Sickest of patients 24-hour turnaround.
1-2 hours to complete (based on experience).
For more information about Maximus, please visit https://maximus.com/ to learn more about our organization.
#J-18808-Ljbffr
Compétences linguistiques
- English
Cette offre provient d’une plateforme partenaire de TieTalent. Cliquez sur « Postuler maintenant » pour soumettre votre candidature directement sur leur site.