Reviewer Medical Necessity jobs in Bluffton, SC

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Manager, Oncology Clinical Certifications
CareCore National - Bluffton, SC
utilized for the accurate determination of medical necessity and ensure clinical certification services... reporting of Clinical Reviewer activity • Maintaining...
Sponsored by CareCore National - 5 days ago
Call Center Representative
CareCore National - Bluffton, SC
of medical necessity Promptly transfers a telephone call for review of services to a clinical first level reviewer or medical reviewer if the review cannot be...
Sponsored by CareCore National - 8 days ago

Manager, Oncology Clinical Certifications

CareCore National - Bluffton, SC
Must also be proficient with Microsoft Office, particularly Excel and Word. Monitoring the Oncology Services team to assure that utilization management criteria...
5 days ago - save job - block - email - more...

Call Center Representative

CareCore National - Bluffton, SC
Processes clinical certification requests for radiological services from physician offices and/or imaging centers, collecting demographic information and...
30+ days ago - save job - block - email - more...
Senior Consultant/Director - Regulatory and Compliance
FTI Consulting, Inc. - United States
medical records to assess the medical necessity of... for reviewing medical record documentation to assess the medical necessity of services; these reviews...
Sponsored by FTI Consulting, Inc. - 1 day ago
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Company with Reviewer Medical Necessity jobs
CareCore provides comprehensive, customized programs to clients that seek to manage appropriate utilization of diagnostic imaging services.
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