Plans Reviewer jobs

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Nurse Medical Management Lead Medicaid California - 92620SY
WellPoint 478 reviews - Los Angeles, CA
Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...
Sponsored by WellPoint - 7 days ago
Feedyard Supervisor
Bartlett Cattle - Sublette, KS
Bartlett offers a generous benefits package including a 401(k) plan with company match, a profit sharing plan, and paid employee health insurance, life...
Sponsored by Bartlett & Company - 30+ days ago
Case Manager - PICU-PCU
Children's Hospital Philadelphia - Philadelphia, PA
Prior experience as a Case Manager or Utilization Reviewer preferred. With the patient, family and health care team, creates a discharge plan appropriate to the...
Sponsored by Children's Hospital Philadelphia - 30+ days ago

Associate Events Manager

Institute of International Education 11 reviews - Washington, DC 20005 (Logan Circle area)
Issues for peer reviewers. Plans, coordinates and supports Fulbright Scholar. Purpose of Position:....
10 hours ago - save job - email - more...

Medical Record Field Reviewer

Altegra Health 59 reviews - Charleston, WV - 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...
10 days ago - save job - email - more...

Plans Reviewer- Structural

Collier County, FL - Naples, FL
$23.19 - $34.79 an hour
Approves plans that comply; Prepares plan check correction reports; Responds to questions, complaints and requests for information/assistance from field...
11 hours ago - save job - email - more...

Building Inspector / Plans Examiner

City of El Paso, TX - El Paso, TX
$36,264.66 - $57,944.58 a year
Or plan review experience. Maintain computer databases for tracking of plan routing process. Review plans and specifications, materials, layouts and equipment....
8 days ago - save job - email - more...

Grants Administrator

Susan G. Komen for the Cure 9 reviews - Dallas, TX
Prepares document summarizing reviewer critiques. Prepares and sends routine reviewer documents and correspondence such as reviewer guides and instructions....
3 days ago - save job - email - more...

Coding Quality Reviewer

Cymetrix 22 reviews - Home Based
Reviewers are responsible for signing a confidentiality statement. This will involve direct one-on-one correspondence between the coder and reviewer....
12 hours ago - save job - email - more...

Utilization Review Specialist

Universal Health Services - Jeffersonville, IN - +1 location
Oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payers....
10 days ago - save job - email - more...

Coding Quality Reviewer Coord WFH

HSC - Overhead - Nashville, TN
Updates prebill log when education plans are received. GENERAL SUMMARY OF DUTIES....
HCA Inc - 8 days ago - save job - email - more...

Constructability Reviewer

RK&K 3 reviews - Baltimore, MD
K a leading transportation engineering and construction management firm in the Mid-Atlantic has an immediate opening for an experienced Contractor who will...
7 days ago - save job - email - more...

Clinical Care Reviewer UM

AmeriHealth Caritas 31 reviews - Philadelphia, PA
Reviews inpatient and outpatient services requiring Plan approval; Under the Direction of the Supervisor of Utilization Management, the Clinical Care Reviewer...
2 days ago - save job - email - more...
Occupational Therapist Clinical Reviewer
Healthways - Sterling, VA
OCCUPATIONAL THERAPIST CLINICAL REVIEWER*. Participate in group reviewer meetings. Experience in utilization review, utilization management, and quality...
Easily apply
Sponsored by Healthways - 10 days ago
RN Care Manager, Emergency Department
Manchester Memorial Hospital 4 reviews - Manchester, CT
Evaluates overall plan daily for effectiveness. Prevents denials through pro-active intervention with managed care reviewers, physicians and hospital staff....
Sponsored by Eastern Connecticut Health Network - 30+ days ago

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Company with Plans Reviewer jobs
478 reviews
WellPoint is a health benefits company, an independent licensee of the Blue Cross and Blue Shield Association.