Nurse Reviewer $90,000 jobs

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Clinical Quality Assurance Coordinator
IME Resources - Dallas, TX
that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of... contacts the Peer Reviewer to obtain clarification...
Sponsored by IME Resources - 1 day ago
Clinical Data Manager
Ascent Pharma - South San Francisco, CA
reports in EDC (e.g., TrialMaster, OC RDC) Provide training on reports to reviewers Process requests for new reports and identify needs for new reports Assess... $45 - $65 an hour
Sponsored by Climber.com Catalyst - 26 days ago
Clinical Care Reviewer UM
AmeriHealth Caritas 24 reviews - Harrisburg, PA
The Clinical Care Reviewer UM is responsible for... medical information provided does not support the nurse review process for giving an approval of services...
Sponsored by AmeriHealth Caritas - 19 days ago

Medical Reviewer III

BlueCross BlueShield of South Carolina 10 reviews - Augusta, GA
Active RN licensure in state hired or active compact multistate RN license as defined by the Nurse Licensure Compact (NLC) or current licensure/certification in...
2 days ago - save job - email - more...

Clinical Quality Assurance Coordinator

IME Resources - Dallas, TX 75243 (Northeast Dallas area) - +1 location
Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists....
1 day ago - save job - email - more...

Clinical Care Reviewer UM

AmeriHealth Caritas 24 reviews - Harrisburg, PA
The Clinical Care Reviewer UM is responsible for completing medical necessity reviews using AHC policies and procedures, reviewing inpatient and outpatient...
19 days ago - save job - email - more...

Sr Nurse Reviewer I - Work from Home from Any State - Broads...

Broadspire 17 reviews - City of Sunrise, FL
Dependant upon an accounts special handling agreement, the Senior Nurse Reviewer may provide direction and education, as well as oversee or perform medical case...
Crawford & Company - 9 days ago - save job - email - more...

Manager Care Management Job

Cleveland Clinic 471 reviews - Cleveland, OH
Supervises Care Managers, Clinical Referral Coordinators, Nurse Reviewers, Social Workers and administrative and clerical support....
5 days ago - save job - email - more...

RN Appeals Specialist

Smith Arnold Partners - Bronx, NY
utilization issues concurrently and retrospectively related to potential denials from managed care, government payers, and third party... $90,000 a year
2 days ago - save job - email - more...

Pre-Service Nurse Reviewer Team Lead

Meridian Health Plan - Michigan
Identifies expected outcomes of the nurse reviewer orientation program and ongoing education programs. Ensure training manual is updated regularly as revisions...
20 days ago - save job - email - more...

Medical Services Reviewer ( Job Number: 272422 )

Kaiser Permanente 1,648 reviews - Aurora, CO
Licensure as a Registered Nurse or Certification as a Physician Assistant is required OR Licensure as a Practical Nurse with a....
26 days ago - save job - email - more...

Medical Reviewer

Central Vermont Home Health & Hospice - Vermont
- Are you a registered nurse or therapist committed to high quality home health services?. - Do you have experience working at a Medicare-certified agency?....
Seven Days - 11 days ago - save job - email - more...

Case Manager / Full Time - Days

Palm Beach Gardens Medical Center 651 reviews - Palm Beach Gardens, FL
Clinical review experience from other health care provider such as Home Health, SNF, Hospice or Insurance Reviewer background will be considered in lieu of...
13 days ago - save job - email - more...

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