jobs - physician reviewer

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HCA Added -

JFK Medical Center Atlantis, FL Registered Nurse Managed Care Reviewer PRN Facility Description: JFK Medical...: We are looking for a dedicated Passionate Managed Care Reviewer who will under supervision, perform clinical reviews for designated payors...

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Medical Mutual of Ohio Added -

established criteria and guidelines to the Physician Reviewer. Manages initial, concurrent , and retrospective review of cases...

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Julia Edmunds Associates, Inc Added -

Physician Advisor Physician Case Reviewer - Primary Care Internal Medicine Family Practice Salary $195,000 Plus 7... level provider appeals as designated b the client for adverse determinations. Participate in periodic physician reviewer...

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Julia Edmunds Associates, Inc Added -

We are currently recruiting an Oncology/ Hematology Physician Case Reviewer. This is a full time opportunity however.... *Perform physician-level case review, following initial nurse review, of oncology and high-tech diagnostic imaging requests...

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Julia Edmunds Associates, Inc Added -

We are recruiting a Physician Advisor Case Reviewer for Neuro-Orthopaedic Spine Surgery or Neurosurgery, General...

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Alberta Health Services Alberta Health Services Added -

Reviews are conducted to assess compliance with the 4 moments of hand hygiene and include review of AHS staff, physicians and volunteers....

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Magellan Health Added -

review (DUR) efforts by reviewing physician prescribing patterns, consulting with physicians regarding these patterns using... D General Job Information Title Clinical Pharmacist Reviewer-2 Grade 28 Job Family Care Management_Ph Country United...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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The Judge Group Added -

Judge Healthcare is currently seeking a HEDIS Reviewer for a contract role located in Durham, North Carolina... Analyst will collaborate with non-clinical personnel regarding collection of medical records from physician offices...

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Added -

for review and the specialty of the physician reviewer necessary to complete the peer matched review. Provides supporting... reference documentation to the reviewer. Applies state laws during the Quality Assurance process. Interacts with physician reviewers...

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CareCore National Added -

Want to know what a "day in the life" looks like for an eviCore Clinical Reviewer? to learn more! Responsible... for authorization of clinical services from physician offices/and or imaging centers, comparing requests against established clinical...

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Medical Mutual Added -

and guidelines to the Physician Reviewer. * Manages initial, concurrent, and retrospective review of cases, including appeals...Utilization Management Nurse Reviewer- Care Transitions Description Performs discharge planning and utilization...

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KEPRO, Inc. Added -

excellent career opportunity: Clinical Reviewer- QOC Utilizes clinical expertise for the review of medical records... for services. Determines approval or initiates a referral to the physician consultant and processes physician consultant...

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Pfizer Added -

The Medical Writing Quality Control (QC) Reviewer is a member of the Clinical Communications team within the Medical..., if you are a licensed physician who incurs recruiting expenses as a result of interviewing with Pfizer that we pay or reimburse, your name...

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Beacon Health Options Added -

ABOUT THE POSITION We are currently seeking a dynamic RN REVIEWER, PDIP to join our team at our office in WOBURN... practice within the department, expert discussion topics as needed with Beacon’s physician advisor or pharmacist(s). Identify...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Meridian Health Plan Added -

ability to apply for a job. Returning Candidate? Behavioral Health Reviewer - Detroit Behavioral Health Reviewer - Detroit Job ID 2017-4776.... A Day in the Life of a Behavioral Health Reviewer: T This position functions collaboratively with the members of the...

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Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

read more...



Inovalon Added -

Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes Medical Assistants..., Certified Nursing Assistants, and Medical Clerks to go to physician offices, clinics, hospitals, and other clinical facilities...

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Added -

Healthcare management system has an open position for a Home Based Behavioral Health Nurse Reviewer. Must be able... to: Assist in the transcription of physician reviews by editing and formatting Receive requests for precertification...

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Added -

A healthcare facility in New York City is seeking a diligent physician to join their staff as a Utilization Management... Reviewer. In this role, the Utilization Management Reviewer will work from home 20 hours per week. Apply today! The...

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PeaceHealth Added -

PeaceHealth is seeking a Coding Reviewer - Hospital Coding (Telecommuting) for a 1.0 full time equivalent Non-Exempt... issues with subsequent audit and reassessment. Develops training materials and curriculum for Coding, Physician, external...

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Career Beacon College of Physicians and Surgeons of Nova Scotia Added -

Coordinating follow-up to physicians and peer reviewers once review is complete; Communicating with our physician peer reviewers as they complete each of their...

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Added -

and quality improvement solutions for our oncology and diagnostic imaging solutions. Physician Reviewers determine the medical.... Successful candidates will: Perform physician-level case review, following initial nurse review, of oncology and high-tech diagnostic...

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Added -

and quality improvement solutions for our oncology and diagnostic imaging solutions. Physician Reviewers determine the medical.... Successful candidates will: Perform physician-level case review, following initial nurse review, of oncology and high-tech diagnostic...

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Added -

and quality improvement solutions for our oncology and diagnostic imaging solutions. Physician Reviewers determine the medical.... Successful candidates will: Perform physician-level case review, following initial nurse review, of oncology and high-tech diagnostic...

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Medstaff National Medical Staffing Added -

Neurology opening in Aurora, Colorado. This and other physician jobs brought to you by DocCafe. COLORADO MEDICAL..., you will be transition to be an Independent Case Reviewer. HIGHLIGHTS:Independent ContractorFlexible Hours & Flexible ScheduleMonthly...

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Medstaff National Medical Staffing Added -

Cardiology opening in Aurora, Colorado. This and other physician jobs brought to you by DocCafe. COLORADO MEDICAL..., you will be transition to be an Independent Case Reviewer. HIGHLIGHTS:Independent ContractorFlexible Hours & Flexible ScheduleMonthly...

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Medstaff National Medical Staffing Added -

Orthopedics opening in Aurora, Colorado. This and other physician jobs brought to you by DocCafe. COLORADO MEDICAL..., you will be transition to be an Independent Case Reviewer. HIGHLIGHTS:Independent ContractorFlexible Hours & Flexible ScheduleMonthly...

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The Judge Group Added -

Judge Healthcare is currently seeking a remote Physician Reviewer for our premier client in Wilmington...

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eQHealth Solutions Added -

Nature & Scope of Position Provide physician peer review (second level) medical necessity determination decisions... Provide physician peer review (second level) medical necessity determination decisions based on sound medical and clinical...

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Julia Edmunds Associates, Inc Added -

Physician Advisor Physician Case Reviewer - Primary Care Internal Medicine Family Practice Salary $195,000 Plus 7... physician reviewer meetings. Attractive salary and benefit package including Medical, Health, Life and Dental insurance, PTO...

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Julia Edmunds Associates, Inc Added -

We are currently recruiting an Oncology/ Hematology Physician Case Reviewer. This is a full time opportunity however... an medical policy. *Perform physician-level case review, following initial nurse review, of oncology and high-tech diagnostic...

read more...



Julia Edmunds Associates, Inc Added -

We are recruiting a Physician Advisor Case Reviewer for Neuro-Orthopaedic Spine Surgery or Neurosurgery, General...

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Merck Added -

Division (MMD), Clinical Safety and Risk Management (CSRM) Physician, and others, as appropriate. The MDCP Medical Reviewer... Reviewer-DRU Description Merck & Co., Inc. Kenilworth, N.J., U.S.A. known as Merck in the United States and Canada...

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Prime Consultants Added -

understanding the principles behind appropriate utilization of covered modalities. Participate in periodic physician reviewer... services. Physician Reviewers determine the medical necessity of outpatient requests using clinical guidelines and health plan...

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Prime Consultants Added -

Sleep Medicine Physician Case Reviewer Are you looking to get out of clinical medicine? If so, we have a Sleep... Medicine Physician Case Reviewer opportunity for you that has a regular 9-5 schedule with no on call or late hours. There...

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Prime Consultants Added -

Sleep Medicine Physician Case Reviewer Are you looking to get out of clinical medicine? If so, we have a Sleep... Medicine Physician Case Reviewer opportunity for you that has a regular 9-5 schedule with no on call or late hours. There...

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Prime Consultants Added -

understanding the principles behind appropriate utilization of covered modalities. Participate in periodic physician reviewer... services. Physician Reviewers determine the medical necessity of outpatient requests using clinical guidelines and health plan...

read more...



Prime Consultants Added -

by a physical therapy reviewer or a nurse reviewer. Conduct peer-to-peer consultations with ordering physicians, physician... improvement solutions for high-tech diagnostic imaging and musculoskeletal management. Physician Reviewers determine the medical...

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Prime Consultants Added -

by a physical therapy reviewer or a nurse reviewer. Conduct peer-to-peer consultations with ordering physicians, physician... improvement solutions for high-tech diagnostic imaging and musculoskeletal management. Physician Reviewers determine the medical...

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McKesson McKesson Added -

The Quality Reviewer will conduct release of finished products with thorough evaluation of relevant batch record and management retained samples....

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Magellan Health Added -

(database development/outcomes reporting). General Job Information Title Physician Clinical Reviewer Grade 32 Job Family... cannot be made by the Initial Clinical Reviewer. -Discuss determinations with requesting physicians or ordering providers, when...

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McKesson McKesson Added -

Act of the first level reviewer of deals that outside Sales Managers bring forward that are outside of their delegation....

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