Medical Reviewer jobs

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Nurse Reviewer
Blue Cross Blue Shield of Rhode Island - Providence, RI
refer concerns to plan Medical Directors. ESSENTIAL... review techniques including all aspects of the medical review function, including pre-authorization...
Sponsored by Blue Cross Blue Shield of Rhode Island - 30+ days ago
Registered Nurse Medical Data Reviewer
Apple & Associates Inc - Syracuse, NY
POSITION INFORMATION : Registered Nurse Medical Data Reviewer (Multi-specialty practice). SCHEDULE... Registered Nurse Medical Data Reviewer will provide...
Sponsored by Apple & Associates Inc - 1 day ago

Nurse Reviewer NGS I

WellPoint, Inc 413 reviews - South Portland, ME
1 year of clinical experience with an understanding of clinical experience;. Inpatient, Home Health and/or skills nursing experience a plus....
WellPoint - 1 day ago - save job - email - more...

Utilization Reviewer RN (Part-Time, Day shift)

Miami Children's Hospital 49 reviews - Miami, FL
Utilization Management or Case Management experience. Minimum 2 years clinical experience. Registered Nurse, Licensed to practice in the State of Florida....
3 days ago - save job - email - more...

Field-Based Chart Reviewer/Collector (RN/LPN)

Inovalon 66 reviews - Ararat, NC - +96 locations
prefer experience in performing chart abstractions;. Ability to manage and meet deadlines;. Electronically download review assignments to the laptop and data...
15 hours ago - save job - email - more...

Physician Reviewer

Quality Health Strategies - Washington, DC
Have active admitting privileges at a hospital within the District of Columbia. Have a practice that includes Medicare patients....
7 hours ago - save job - email - more...

Physician - Utilization Management

HealthCare Partners 58 reviews - Pasadena, CA
Ability to work with other physicians . Consult with specialists on indications for referrals and provide education on the appropriate indications for...
7 days ago - save job - email - more...

Medical Reviewer/Safety Reviewer - C

Planet Pharma 2 reviews - North Chicago, IL
Candidates must have a minimum of an RN. Must have industry or CRO experience. Safety Management does not report SAEs to Regulatory agencies....
Easily apply
7 days ago - save job - email - more...

MEDICAL CARE PROGRAM SPECIALIST II (FULL-TIME CONTRACTUAL)

State of Maryland 72 reviews - Baltimore, MD
All information concerning your qualifications must be submitted by the closing date. Three years of administrative or professional experience developing or... $19.44 - $25.11 an hour
4 days ago - save job - email - more...

Clinical Appeals Reviewer - Schaumburg, IL

UnitedHealth Group 1,369 reviews - Schaumburg, IL - +2 locations
High School Diploma/GED. 1+ year of Telephonic Customer Service experience. 1+ year of Healthcare Insurance experience....
6 days ago - save job - email - more...

Medical Reviewer III

CGS Administrators 5 reviews - Nashville, TN
Ability to work independently, prioritize effectively and make sound decisions. Working knowledge of managed care and various forms of health care delivery...
10 days ago - save job - email - more...

Medical Record Field Reviewer

Outcomes Health Information Solutions 34 reviews - Birmingham, AL - +7 locations
5. Professional, articulate and able to work independently. 5. Successfully complete required training, testing and quality assessments....
Easily apply
23 hours ago - save job - email - more...
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