Plans Reviewer jobs

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Senior Lighting Designer
One Lux Studio - New York, NY
Periodically acts as a QC reviewer on projects; Manages and designs the lighting portion of projects by producing a work plan that includes but is not limited...
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Sponsored by One Lux Studio - 30+ days ago
MetroWest Leonard Morse Hospital 27 reviews - Natick, MA
Utilization problems, and plans and implements solutions that directly influence. The Utilization Review employee will work....
Sponsored by MetroWest Medical Center - 30+ days ago
Utilization Reviewer - Behavioral Health
MetroWest Leonard Morse Hospital 27 reviews - Natick, MA
Excellent telephone skills, interpersonal skills and the ability to build positive, collegial relationships with reviewers....
Sponsored by MetroWest Medical Center - 30+ days ago

Senior Customer Due Diligence Quality Assurance Specialist

Citi 2,395 reviews - Los Angeles, CA
Provide monitoring of the Quality Assurance teams workload and performance through daily aging reports and QA reviewer reports....

Claim Reviewer

MetLife GTO - Oriskany, NY
Mentor New Reviewers as needed. Plans and organizes time and priorities to achieve business results. Summary of Responsibilities:....

Utilization Reviewer

The Emily Program - Minneapolis-Saint Paul, MN
Follow up with clients to ensure their treatment plan is implemented an appointments are scheduled. The Utilization Reviewer/Senior Case Manager (UR) performs...

Claim Reviewer

MetLife 979 reviews - Oriskany, NY
Mentor New Reviewers as needed. Plans and organizes time and priorities to achieve business results. No....

Medical Record Field Reviewer

Altegra Health 70 reviews - Albany, NY - 100+ locations
We are currently recruiting RNs, LPNs, MA’s, Certified Coders, and RHIT or RHIA professionals to work as Medical Records Reviewers (Field Reviewers) in your...

QA Project Specialist

Emergent BioSolutions 16 reviews - Lansing, MI
Then plan and implement improvements as appropriate. Organize/coordinate, analyze/interpret, problem-solve, make decisions, supervise, plan, communicate,...

Behavioral Health Case Manager I

Anthem, Inc. 555 reviews - Atlanta, GA
Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...


White Plains Hospital 36 reviews - White Plains, NY
Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes. Reviews all remittance advice to ensure appropriate...

Plans Reviewer

City of Cedar Park 2 reviews - Cedar Park, TX 78613
The City of Cedar Park is currently seeking qualified applicants for the position of Plans Reviewer . This position will review and coordinate the processing of...

DRG Coding Auditor - Remote

HMS 373 reviews - Montana - +2 locations
Facilitates quality improvement plan development and implementation as requested, both internally and with external customers....
Vice President of Academic Services
Academic Partnerships 21 reviews - Dallas, TX
Defines, plans, develops, manages and assesses all academic support provided to partner university’s faculty members in both pre- and post-production of online...
Sponsored by Academic Partnerships - 30+ days ago
Quality Improvement Specialist
Alleghany Highlands Community Services - Covington, VA
Reviews incident reports to assure behavior plans are followed. Serves ongoing as reviewer of Merryfield ICF-IID policies and procedures;...
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Sponsored by Alleghany Highlands Community Services - 12 days ago

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Company with Plans Reviewer jobs
27 reviews
MetroWest, the largest community health system between Worcester and Boston, is growing! Apply now for our new Adult Behavioral Health unit!