jobs - physician reviewer

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IQ PARTNERS Inc. IQ PARTNERS Inc. Added -

Audience will consist of Nursing Specialists, Medical/Pharma Marketing professionals, Scientists and Physicians....

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UnitedHealth Group Added -

improve the health of millions. And you'll do your life's best work.(sm) The Medical Report Reviewer is part of the Quality... Kinesiology, Psychology, Registered Nurse, Physician Assistant or Foreign Medical Degree holder Knowledge of medical terminology...

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The US Oncology Network Added -

Texas Oncology is searching a Insurance Reviewer-Clinical to review chemotherapy regimens in accordance..., physician-led practice delivering leading-edge technology and treatment options and conducting innovative research. Founders...

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Julia Edmunds Associates, Inc Added -

Physician Advisor Physician Case Reviewer - OB GYN Full-time preferred. Part - time possibility of 30 hours per week... level provider appeals as designated b the client for adverse determinations. Participate in periodic physician reviewer...

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UnitedHealth Group Added -

of the Medical Record Reviewer will be to collect and review documents to support physician??s healthcare management and the... your life's best work.(sm) The Medical Record Reviewer is expected to work directly with Physicians and Midlevel Providers...

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Julia Edmunds Associates, Inc Added -

Physician Advisor Physician Case Reviewer - Primary Care Internal Medicine Family Practice Salary $195,000 Full-time.... Participate in periodic physician reviewer meetings. Attractive salary and benefit package including Medical, Health, Life...

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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... appropriateness guidelines and health p an medical policy. *Perform physician-level case review, following initial nurse review...

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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... clinical appropriateness guidelines and health p an medical policy. *Perform physician-level case review, following initial...

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Julia Edmunds Associates, Inc Added -

Physician Advisor Physician Case Reviewer - OB GYN Full-time preferred. Part - time possibility of 30 hours per week... first level provider appeals as designated b the client for adverse determinations. Participate in periodic physician...

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Added -

The Clinical Quality Reviewer is responsible for performing on-going assessments of the quality of work performed... or more often if problems are identified. Facilitate the Physician IQC process and communicates/coordinates frequently with the...

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Julia Edmunds Associates, Inc Added -

Physician Advisor Physician Case Reviewer - Primary Care Internal Medicine Family Practice Salary $195,000 Full... determinations. Participate in periodic physician reviewer meetings. Attractive salary and benefit package including Medical...

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Added -

The Clinical Quality Reviewer is responsible for performing on-going assessments of the quality of work performed... or more often if problems are identified. Facilitate the Physician IQC process and communicates/coordinates frequently with the...

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The US Oncology Network Added -

Texas Oncology is searching a Insurance Reviewer-Clinical to review chemotherapy regimens in accordance..., physician-led practice delivering leading-edge technology and treatment options and conducting innovative research. Founders...

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Added -

A staffing agency is in need of a Work at Home Physician Reviewer. Candidates will be responsible for the following...

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The Judge Group Added -

Our best client is seeking a Physician Reviewer – Internal Medicine The Opportunity: The is a remote position- 40...

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The Judge Group Added -

Our best client in California is seeking a Physician Reviewer - Surgery The Opportunity: The is a remote position...

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Freedom Health Added -

Title Clinical Reviewer Full-Time/Part-TimeFull-Time Description POSITION TITLE: Clinical Reviewer DEPARTMENT...: Appeals and Grievances GENERAL PURPOSE: The Clinical Reviewer will perform clinical review, in partnership with the Medical...

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Lee's Summit Medical Center Added -

DRG Clinical Reviewer - Registered Nurse (RN) At Lee’s SummitMedical Center, above all else, we are committed to the... on admissiondiagnosis. Directly works withphysicians and case managers to establish concise physician documentation. Involved in physician...

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L.A. Care Health Plan Added -

DUTIES The PARS Reviewer, a trained reviewer, is responsible for performing (as requested by the FSR Manager) the tri... physician, specialist, and ancillary services sites/facilities as determined by L.A. Care. QUALIFICATIONS AND REQUIREMENTS...

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L.A. Care Health Plan Added -

DUTIES The PARS Reviewer, a trained reviewer, is responsible for performing (as requested by the FSR Manager) the tri... physician, specialist, and ancillary services sites/facilities as determined by L.A. Care. QUALIFICATIONS AND REQUIREMENTS...

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HCA Added -

DRG Clinical Reviewer - Registered Nurse (RN) At Lee’s Summit Medical Center, above all else, we are committed to the... concise physician documentation. Involved in physician awareness and education of documentation guidelines in relation...

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Julia Edmunds Associates, Inc Added -

Physician Advisor Physician Case Reviewer - Primary Care Internal Medicine Family Practice Full-time preferred. Part... physician reviewer meetings. Attractive salary and benefit package including Medical, Health, Life and Dental insurance, PTO...

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UnitedHealth Group Added -

improve the health of millions. And you'll do your life's best work.(sm) The Medical Report Reviewer is part of the Quality... Kinesiology, Psychology, Registered Nurse, Physician Assistant or Foreign Medical Degree holder Knowledge of medical terminology...

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Added -

Providence St. Vincent Medical Center is seeking an excellent Physiatry physician to join us in Portland, Oregon..., which operates 50 exceptional hospitals and more than 800 clinics across seven western states. With hundreds of physician...

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NACCHO Added -

Description: Providence St. Vincent Medical Center is seeking an excellent Physiatry physician to join us in Portland... of physician and advanced practice clinician opportunities in virtually all specialties at any given time, PSJH and Providence...

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NACCHO Added -

Line Chief. Participate as a peer reviewer process when requested. Integrate patient care activities on Medicine.../#:Physician-Program Manager/0602 Basic Requirements: U.S. citizenship English language proficiency Physical standards...

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Assisted Living Federation of America Added -

Line Chief. Participate as a peer reviewer process when requested. Integrate patient care activities on Medicine.../#:Physician-Program Manager/0602 Basic Requirements: U.S. citizenship English language proficiency Physical standards...

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American Medical Group Association Added -

Line Chief. Participate as a peer reviewer process when requested. Integrate patient care activities on Medicine.../#:Physician-Program Manager/0602 Basic Requirements: U.S. citizenship English language proficiency Physical standards...

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Julia Edmunds Associates, Inc Added -

Physician Advisor Physician Case Reviewer - Primary Care Internal Medicine Family Practice Full-time preferred. Part.... Participate in periodic physician reviewer meetings. Attractive salary and benefit package including Medical, Health, Life...

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Select Medical Added -

, Pain Management, Occupational Medicine, Family Medicine or Internal Medicine physician for a Full Time Physician Advisor... position in the Physician Review Division of Concentra. Candidates must have an active TX, or CA license. Relying on clinical...

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Select Medical Added -

, Pain Management, Occupational Medicine, Family Medicine or Internal Medicine physician for a Full Time Physician Advisor... position in the Physician Review Division of Concentra. Candidates must have an active TX, or CA license. Relying on clinical...

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Added -

Utilization Management/Episodic Case Manager Reviewer RN - Health Plan Full-Time M-F 1st Shift SUMMARY: Responsible... Registered Nurse Utilization Management/Episodic Case Manager (UM/ECM - RN) Reviewer facilitates clinically appropriate...

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Select Medical Added -

, Pain Management, Occupational Medicine, Family Medicine or Internal Medicine physician for a Full Time Physician Advisor... position in the Physician Review Division of Concentra. Candidates must have an active TX, or CA license. Relying on clinical...

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Select Medical Added -

, Pain Management, Occupational Medicine, Family Medicine or Internal Medicine physician for a Full Time Physician Advisor... position in the Physician Review Division of Concentra. Candidates must have an active TX, or CA license. Relying on clinical...

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Added -

The Clinical Quality Reviewer is responsible for performing on-going assessments of the quality of work performed... or more often if problems are identified. Facilitate the Physician IQC process and communicates/coordinates frequently with the...

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Added -

. JOB QUALIFICATIONS Required: Bachelor's Degree from an accredited university in a Physician Assistant Program or Master's Degree...

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Added -

telephone, fax or WEB requests for authorization of clinical services from physician offices/and or imaging centers, comparing... a review determination or to refer to physician review if criteria are not met. Maintains current departmental standards...

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CareCore National Added -

ability to apply for a job. Returning Candidate? Clinical Reviewer Clinical Reviewer Career ID 2017-3315 Career Locations US-CO-Colorado Springs... of clinical services from physician offices/and or imaging centers, comparing requests against established clinical protocols...

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Banner Health Added -

, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals...

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CareCore National Added -

ability to apply for a job. Returning Candidate? Clinical Reviewer - RN/LPN in Florida Clinical Reviewer - RN/LPN in Florida Career ID 2017-3454... for authorization of clinical services from physician offices/and or imaging centers, comparing requests against established clinical...

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Added -

telephone, fax or WEB requests for authorization of clinical services from physician offices/and or imaging centers, comparing... a review determination or to refer to physician review if criteria are not met. Maintains current departmental standards...

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The US Oncology Network Added -

Texas Oncology is searching for a Insurance Clinical Reviewer. The Insurance Clinical Reviewer processes and audits the.... We are an independent, physician-led practice delivering leading-edge technology and treatment options and conducting innovative research...

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Sava Senior Care Added -

, and restorative, rehabilitation and physician services to ensure appropriate reimbursement. This position supports multiple...

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eviCore healthcare Added -

Springs, CO, you will be responsible for taking clinical certification calls/faxes from physician office and imaging center... worries that often accompany hands-on clinical patient care. We have multiple Clinical Reviewer positions available in...

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KEPRO, Inc. Added -

psychiatric facilities. Performs quality medical record review,preparing cases for physician review and related activities...

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eviCore healthcare Added -

, FL, you will be responsible for taking clinical certification calls/faxes from physician office and imaging center staff... hands-on clinical patient care. We have multiple Clinical Reviewer positions available in Melbourne, so feel free to share...

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Houston Methodist Added -

as appropriate, utilizing the established physician query process. (EF) 5. Provides assistance to Clinical Documentation Management... and corrects if necessary in order to achieve the highest quality of entered data. (EF) 4. Assigns and enters physician...

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Sava Senior Care Added -

Claim Utilization Reviewer Job ID #: 613950 Facility Name: Atlanta Functional Area: Nursing Facility Address... and physician services to ensure appropriate reimbursement. This position supports multiple facilities in/around the Texas area...

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$32 per hour

The CSI Companies 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 -

ability to apply for a job. Returning Candidate? Clinical Reviewer TN RN/LPN Clinical Reviewer TN RN/LPN Career ID 2017-3190 Career Locations US-TN... what a "day in the life" looks like for an eviCore Clinical Reviewer? to learn more! Responsible for all clinical certification...

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The Judge Group Added -

The Judge Group is currently seeking a Physician Reviewer for one of our top clients in Farmington, Connecticut...

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HCA Added -

by providing the data used in physician re-credentialing. The RN Clinical Reviewer supports regulatory compliance with JCAHO...Menorah Medical Center – Overland Park, KS Registered Nurse – Clinical Reviewer Menorah Medical Center, a full...

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IASIS Healthcare Added -

JOB SUMMARY: The Clinical Nurse Reviewer resides in the Internal Audit Department and conducts review of the Medical... department Utilize clinical skills, chart review, physician communication, Interqual and other criteria. Review air, ambulance...

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Indeed Canadian Pharmacists Association Added -

Ability to work effectively with a motivated team of expert physicians and pharmacists. You will work with expert authors and peer reviewers to produce...

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Anthem, Inc. Added -

members nationwide. Nurse Reviewer I or Nurse Reviewer Associate This position may be filled at either the Nurse Reviewer... I or Nurse Reviewer Associate level, based on the background and experience of the candidate Location: Deerfield IL Start...

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ALICARE MEDICAL Added -

Utilizes medical knowledge, established clinical guidelines, and physician support to provide medical review of care... profile. Coordinates referral of cases to the Physician Consultants: Prepares cases that require review by the Consultants...

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HSC - Overhead Added -

Quality Reviewer(CQR) performs internal quality assessment reviews on Health Information Management Service Center(HSC) coders... practices and to improve the quality of physician documentation within the body of the medical record to support code...

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KEPRO, Inc. Added -

excellent career opportunity: Clinical Reviewer - LPN/RN Utilizes clinical expertise for the review of medicalrecords... for services. Determines approval or initiates a referral to the physician consultant and processes physician consultant...

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Ascent Pharma Added -

Drug Safety Contractor (Medical Reviewer) Pleasanton, CA Contract The Drug Safety Contractor contribute... events and comprehensively evaluating SUSARs. QUALIFICATIONS MD, PharmD, Physician Assistant, or Nurse Practitioner...

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KEPRO, Inc. Added -

excellent career opportunity: BH Clinical Reviewer - LPN/RN Reviews medicalrecords against contract-specific criteria in... or initiates a referral to the physician consultant and processes physician consultant decisions ensuring reason for the denial...

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Community Health Plan of Washington Added -

communicates with the UM Manager, Medical Director, physician advisor/reviewer and primary care physician for support, problem...'s condition. Supports physician decision-making, working collaboratively with all members of the health care team, the patient...

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PRAHS Added -

most. Responsibilities: Who are you? As a practicing Nurse, Physician’s Assistant and/or Clinical Research Coordinator, you cared... to have? Bachelors degree, required Degree in nursing or physician’s assistant, strongly preferred Minimum of 3 years of relevant...

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Added -

improvement solutions for musculoskeletal procedures involving the spine, and high-tech diagnostic imaging. Physician Advisors... Determinations, as applicable. Perform physician-level case review of musculoskeletal utilization requests involving the spine...

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Added -

and database entry Assigns case reviews by identifying the issues for review and the specialty of the physician reviewer necessary...A full service staffing and recruitment firm has an open position for a Remote Registered Nurse Case Reviewer in...

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improvement solutions for musculoskeletal procedures involving the spine and joints, and high-tech diagnostic imaging. Physician... Determinations, as applicable. Perform physician-level case review of musculoskeletal utilization requests involving the spine...

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improvement solutions for musculoskeletal procedures involving the spine and joints, and high-tech diagnostic imaging. Physician... Determinations, as applicable. Perform physician-level case review of musculoskeletal utilization requests involving the spine...

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Added -

improvement solutions for musculoskeletal procedures involving the spine and joints, and high-tech diagnostic imaging. Physician... Determinations, as applicable. Perform physician-level case review of musculoskeletal utilization requests involving the spine...

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Added -

improvement solutions for musculoskeletal procedures involving the spine, and high-tech diagnostic imaging. Physician Advisors... Determinations, as applicable. Perform physician-level case review of musculoskeletal utilization requests involving the spine...

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Added -

and database entry Assigns case reviews by identifying the issues for review and the specialty of the physician reviewer necessary...A full service staffing and recruitment firm has an open position for a Remote Registered Nurse Case Reviewer in...

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Added -

improvement solutions for musculoskeletal procedures involving the spine, and high-tech diagnostic imaging. Physician Advisors... Determinations, as applicable. Perform physician-level case review of musculoskeletal utilization requests involving the spine...

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CareCore National Added -

ability to apply for a job. Returning Candidate? Clinical Reviewer- Pharmacist Clinical Reviewer- Pharmacist Career ID 2017-3402 Career Locations... of specialty drug or medical oncology drug requests from physician offices, comparing requests against established clinical...

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Added -

modalities. Participate in periodic physician reviewer meetings Demonstrate and maintain knowledge of relevant policies...We are currently seeking Physician Advisors to conduct office-based pre-authorization of high-tech diagnostic imaging...

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The US Oncology Network Added -

Texas Oncology is searching for a Insurance Clinical Reviewer. The Insurance Clinical Reviewer processes and audits the.... We are an independent, physician-led practice delivering leading-edge technology and treatment options and conducting innovative research...

read more...



CareCore National Added -

ability to apply for a job. Returning Candidate? Clinical Reviewer Clinical Reviewer Career ID 2017-3364 Career Locations US-FL-Melbourne Career..., which include but are not limited to evaluating telephone, fax or WEB requests for authorization of clinical services from physician...

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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 decisions...

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The Judge Group Added -

Our best client in Delaware is seeking a Physician Reviewer The Opportunity: The is a remote position...

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Highmark Added -

/physician advisor, and third party payers, etc. Maintains a working knowledge of care management, utilization review changes...

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Allegheny Health Network Added -

/physician advisor, and third party payers, etc. Maintains a working knowledge of care management, utilization review changes...

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Meridian Health Plan Added -

Use established medical criteria to approve services based on information obtained from attending physician and/or other providers...

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Parallon Added -

Quality Reviewer(CQR) performs internal quality assessment reviews on Health Information Management Service Center(HSC) coders... practices and to improve the quality of physician documentation within the body of the medical record to support code...

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HCA Added -

Quality Reviewer(CQR) performs internal quality assessment reviews on Health Information Management Service Center(HSC) coders... practices and to improve the quality of physician documentation within the body of the medical record to support code...

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Northern Ontario School of Medicine Northern Ontario School of Medicine Added -

 Selection of residents to the program – may be invited to act as a dossier reviewer. Standards of the College of Family Physicians of Canada (CFPC) and with...

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Medical Mutual Added -

Physician Advisor. • Manages initial, concurrent and retrospective review of cases, including appeals. • Initiates and maintains...

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UnitedHealth Group Added -

of the Medical Record Reviewer will be to collect and review documents to support physician’s healthcare management and the... your life's best work.(sm) The Medical Record Reviewer is expected to work directly with Physicians and Midlevel Providers...

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Added -

. This is an opportunity to join a large, physician-led medical group with low physician turnover. Position details: Full time, employed... workers, fitness professionals and a clinical data reviewer support the team Enjoy security and strong referral base...

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Select Medical Added -

appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies... and workers’ compensation claims. Meets (when required) with Concentra Physician Review Medical Director to discuss quality...

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Select Medical Added -

appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies... and workers’ compensation claims. Meets (when required) with Concentra Physician Review Medical Director to discuss quality...

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Select Medical Added -

appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies... and workers’ compensation claims. Meets (when required) with Concentra Physician Review Medical Director to discuss quality...

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$65 per hour

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, and then 400 mentored case file reviews as part of the orientation process if no previous disability review experience. Physician... must have an available 10 weekday block to complete the orientation. After the 400 files, the physician may be ?released? from orientation...

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$70000 - 80000 per year

One Call Care Management Added -

inical Reviewer II - Parsippany Responsible for completing clinical QA audits and/or plan of treatment reviews... for ongoing care, progression of treatment, appropriateness of past treatments, and billing accuracy. The Clinical Reviewer...

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Medical Mutual of Ohio Added -

Physician Advisor. • Manages initial, concurrent and retrospective review of cases, including appeals. • Initiates and maintains...

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STG International Added -

STG International is accepting resumes of qualified candidates for the Staff Physician position to work full-time... are available, utilized and monitored. Acts as initial reviewer for all outside referrals/consults to specialty services not offered at the...

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STG International Added -

STG International is accepting resumes of qualified candidates for the Staff Physician position to work full-time... are available, utilized and monitored. Acts as initial reviewer for all outside referrals/consults to specialty services not offered at the...

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Providence Health & Services Added -

Providence St. Vincent Medical Center is seeking an excellent Physiatry physician to join us in Portland, Oregon..., which operates 50 exceptional hospitals and more than 800 clinics across seven western states. With hundreds of physician...

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STG International Added -

STG International is accepting resumes of qualified candidates for the Staff Physician position to work full-time... are available, utilized and monitored. Acts as initial reviewer for all outside referrals/consults to specialty services not offered at the...

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Parallon Added -

Quality Reviewer(CQR) performs internal quality assessment reviews on Health Information Management Service Center(HSC) coders... practices and to improve the quality of physician documentation within the body of the medical record to support code...

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