Physician Rheumatology - Competitive Salary

Day to Day ResponsibilitiesReviews for medical necessity, coding accuracy, medical policy compliance and contract compliance.Triages and prioritizes cases to meet required turn-around times.Prepares and presents cases electronically to the Medical Director (MD) for approvals or denials and medical necessity determination.Communicate determinations to providers in compliance with state, federal and accreditation requirements.Identifies potential quality of care issues, service or treatment delays

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Sr Epic Beaker Analyst Opportunities (Multiple Openings) We are seeking multiple Sr Epic Beaker Analysts to support a large-scale laboratory systems initiative. These roles will provide Sr-level expertise across the full application lifecycle, including requirements gathering, analysis, design, configuration, testing, validation, implementation, and post-deployment support for Epic Beaker and related laboratory technologies. Successful candidates will possess Epic Beaker AP or CP certification

Job DescriptionJob Quick Facts: Specialty: Family Medicine Job Type: Permanent Facility Location: Bourbon, IN Service Setting: Inpatient/Outpatient Reason For Need: Vacancy Coverage Type: Clinical + Call Work Schedule: Mon-Fri; 8a-5p Call Type: Phone Call only Call Ratio: 1:7 Patient Demographics: Pediatrics to Geriatrics Patient Volume: 18-22 Support Staff: 1 NP Procedures: - Skin tag and mole removal, Suturing, & Joint Injection - Treatments: Chronic Disease Management, Dressing changes, Sutur