jobs - physician reviewer

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Evicore Healthcare Added -

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

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One Call Care Management Added -

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

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R1 RCM Added -

looking for a self-motivated Inpatient Coding Quality Reviewer professional to join our team. We have a relentless focus on driving... our company and your career. The Inpatient Coding Quality Reviewer will be responsible for reviewing inpatient coded cases...

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R1 RCM Added -

looking for a self-motivated Inpatient Coding Quality Reviewer professional to join our team. We have a relentless focus on driving... our company and your career. The Inpatient Coding Quality Reviewer will be responsible for reviewing inpatient coded cases...

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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... as designated b the client for adverse determinations. Participate in periodic physician reviewer meetings. Attractive salary...

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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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Julia Edmunds Associates, Inc Added -

Physician Advisor Physician Case Reviewer - Primary Care Full-time preferred. Monday- Friday - Hours between 8AM... 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.... *Perform physician-level case review, following initial nurse review, of oncology and high-tech diagnostic imaging requests...

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CareCore National Added -

ability to apply for a job. Returning Candidate? Clinical Reviewer RN Melbourne Florida Clinical Reviewer RN Melbourne Florida Career ID 2017-3540... 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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CareCore National Added -

ability to apply for a job. Returning Candidate? Clinical Reviewer LPN- Melbourne Florida Clinical Reviewer LPN- Melbourne Florida Career ID 2017-3541... 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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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, Nursing, Physician Assistant or Foreign Medical Degree holder Knowledge of medical terminology, Anatomy...

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Workopolis EVEREST CLINICAL RESEARCH Added -

Interact with trial sponsor medical reviewer to obtain confirmation of the coded terms. Perform administrative duties for Data and Safety Monitoring Boards and...

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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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Added -

Reviewer in Vancouver. Must be able to: Perform chart/ coding audits as required by Coding System regulatory policies... and according to internal plan Develop training materials and curriculum for coding, physician, external vendor and CDI caregivers Serve...

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PeaceHealth Added -

Req ID: 153235 PeaceHealth is seeking a Coding Reviewer - Hospital Coding (Telecommuting) for a 1.0 full time... for Coding, Physician, external vendor and CDI caregivers. Serves as an expert resource for ICD-10/CPT as it affects coding...

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University Health Network University Health Network Added -

Reviewer and author a relevant SOPs/guidelines. UNIVERSITY HEALTH NETWORK is Canada's largest academic health sciences centre and is affiliated with the...

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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...

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The Judge Group Added -

The Judge Group is currently seeking a Utilization Review - Nurse Reviewer RN with one of our best healthcare clients... requests to a physician for review. Facilitates quality improvement plan development and implementation as requested...

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Julia Edmunds Associates, Inc Added -

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

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Fladger Associates Added -

with guidance in only the most complex situations and serve as a close partner to the physician and clinical scientist on the team...

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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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Julia Edmunds Associates, Inc Added -

Physician Advisor Physician Case Reviewer - Primary Care Full-time preferred. Monday- Friday - Hours between 8AM.... Participate in periodic physician reviewer meetings. Attractive salary and benefit package including Medical, Health, Life...

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The CSI Companies Added -

by identifying the issues for review and the specialty of the physician reviewer necessary to complete the peer matched review...The CSI Companies is seeking a Nurse Reviewer for a well known client. The position is fully remote and equipment...

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CTG 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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Rangam Consultants Inc Added -

physician and clinical scientist on the team. This position will have key relationships internally with clinical project teams...

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Indeed Providence Health Care Research Institute Added -

Prioritizes and manages several projects with various departments, investigators, authors, and reviewers at one time....

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Julia Edmunds Associates, Inc Added -

Physician Advisor Physician Case Reviewer - Primary Care Full-time preferred. Monday- Friday - Hours between 8AM.... Participate in periodic physician reviewer meetings. Attractive salary and benefit package including Medical, Health, Life...

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Added -

of the physician reviewer Applicants must meet the following qualifications: May be required to travel at least 10...An IT services provider is searching for a person to fill their position for a Remote Nurse Reviewer. Candidates...

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Rangam Consultants Inc Added -

independently with guidance in only the most complex situations and serve as a close partner to the physician and clinical scientist...

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Prime Consultants Added -

principles behind appropriate utilization of covered modalities. Participate in periodic physician reviewer meetings...Our client is currently seeking FT NICU/IPICU Physician Case Reviewers to conduct office-based pre-authorization...

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Prime Consultants Added -

principles behind appropriate utilization of covered modalities. Participate in periodic physician reviewer meetings...Our client is currently seeking FT NICU/PICU Physician Case Reviewers to conduct office-based pre-authorization of high...

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CTG Added -

and database entry. Assigns case reviews by identifying the issues for review and the specialty of the physician reviewer...Nurse Reviewer (SNF) CTG's premier client in the Healthcare Industry has an immediate opening for a Nurse Reviewer...

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Added -

of the physician reviewer necessary to complete the peer matched review Performing clinical and medical reviews, data...Holding company is searching for a person to fill their position for a Remote Skilled Nursing Facility Nurse Reviewer...

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CTG Added -

Nurse Reviewer (SNF) CTG's premier client in the Healthcare Industry has an immediate opening for a Nurse Reviewer... Reviewer is responsible for performing clinical reviews of medical information and quality assurance as defined by review...

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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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US Tech Solutions, Inc Added -

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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Freedom Health Added -

Title Pre-Certification Reviewer Full-Time/Part-Time Full-Time Description POSITION TITLE: Pre-Certification... Reviewer JOB NUMBER: 700-023 DEPARTMENT: Utilization Management REPORTS TO: Supervisor, Clinical CREATED...

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Magellan Health Added -

review (DUR) efforts by reviewing physician prescribing patterns, consulting with physicians regarding these patterns using... Part D; managed care or PA setting. General Job Information Title Clinical Pharmacist Reviewer Grade 28 Job Family...

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VCU Health Added -

Pediatric-Urology opening in Richmond, Virginia. This and other physician jobs brought to you by DocCafe. VCU... on departmental, College, and/or University committees as necessary, as well as in a professional in their field, e.g., reviewer...

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Medix Added -

Currently hiring for an experiencedAppeals Nurse Reviewer with a large Managed Care Organizarion in the heart.... Apply approved departmental guidelines to first level review and refer to Physician Advisor when unable to do so Assigned an appeal...

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CareCentrix Added -

The CareCentrix Post-Acute Care program is a comprehensive offering that manages financial risk for the costs of care for 90-days after a patient’s discharge from the hospital. The program identifies the recommended site-of-care for the pat...

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$25 - 35 per hour

Added -

innovative medical benefits solutions Values- Integrity, Flexibility, Empathy, and Collaboration What is a Clinical Reviewer... requests for authorization of clinical services from physician offices/and or imaging centers, comparing requests...

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$25 - 35 per hour

Added -

innovative medical benefits solutions Values- Integrity, Flexibility, Empathy, and Collaboration What is a Clinical Reviewer... requests for authorization of clinical services from physician offices/and or imaging centers, comparing requests...

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CTG Added -

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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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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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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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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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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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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Health Care Service Corporation Added -

, current, unrestricted license in the state of NM. *3 years of clinical experience in physician office, hospital, or surgical...

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Academy Physicians Added -

documents from the requesting physician. These will have been summarized for you by an Initial Clinical Reviewer, but the full...Orthopedics-Spine opening in None, Tennessee. This and other physician jobs brought to you by DocCafe. Our client...

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THE EXECU-SEARCH GROUP Added -

Reviewer (APR) to their growing staff. In this administrative and leadership role, the Administrative Physician Reviewer (APR... Director and/or the CRT Director, the Administrative Physician Reviewer (APR) will review all CRT cases assigned to him/her in...

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$70000 - 80000 per year

One Call Care Management Added -

inical Nurse Reviewer ($70-80K, EMG & NCS Reporting Required, 15 PTO days, Excellent Benefits) Responsible... treatments, and billing accuracy. The Clinical Reviewer’s primary stakeholder is the client (Adjuster/NCM) and must ensure...

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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: Glendale, California...

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Automated Benefits Services Added -

and guidelines based on a review of physician notes and documentation. In addition, the complex claims specialist...

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Medical Mutual Added -

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

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Anthem, Inc. Added -

members nationwide. Orthopedic and Spine Clinical Reviewer (Physical Therapist) – Westchester, IL AIM Specialty Health... and Spine Clinical Reviewer at our Westchester, IL contact center. Physical Therapists at AIM have a unique opportunity...

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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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Medical Mutual Added -

established criteria and guidelines to the Physician Advisor. 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 Full... determinations. Participate in periodic physician reviewer meetings. Attractive salary and benefit package including Medical...

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CareCore National Added -

ability to apply for a job. Returning Candidate? Clinical Reviewer LPN Colorado Springs Clinical Reviewer LPN Colorado Springs Career ID 2017-3545... to know what a "day in the life" looks like for an eviCore Clinical Reviewer? to learn more! Responsible for all clinical...

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Medical Mutual of Ohio Added -

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

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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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Tufts Health Plan Added -

The Utilization Review Physician will primarily perform utilization management functions for all Tufts Health Plan... and retrospective utilization review. The Utilization Review Physician will work closely with staff from all partner UM and Medical...

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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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CareCentrix Added -

ability to apply for a job. Returning Candidate? Physician Reviewer/Medical Director Physician Reviewer/Medical Director Job ID 2017-4036...

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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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Fabergent Added -

Please respond with your updated profile if interested Title: Clinical Care Reviewer Location : Doral, FL Duration : 3 months... services, outpatient and/or inpatient elective surgery, and referrals for specialty physician consultation with non...

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CareCore National Added -

ability to apply for a job. Returning Candidate? Clinical Reviewer RN Colorado Springs Clinical Reviewer RN Colorado Springs Career ID 2017-3544... to know what a "day in the life" looks like for an eviCore Clinical Reviewer? to learn more! Responsible for all clinical...

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Added -

The Clinical Care Reviewer will complete medical necessity reviews using KFHP policies, and inpatient and outpatient...), home care home infusion services, outpatient and/or inpatient elective surgery, and referrals for specialty physician...

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CTG Added -

reviews by identifying the issues for review and the specialty of the physician reviewer necessary to complete the peer...Nurse Reviewer CTG's premier client in Ohio has an immediate opening for a Nurse Reviewer for a 6+ Months Contract...

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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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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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Job Juncture, Inc. Added -

and quality improvement solutions for high-tech diagnostic imaging and musculoskeletal management. Physician Reviewers determine... spine and joints, and high-techdiagnostic imaging. Physician Advisors determine the medical necessity of requests using...

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Job Juncture, Inc. Added -

and quality improvement solutions for high-tech diagnostic imaging and musculoskeletal management. Physician Reviewers determine... spine and joints, and high-techdiagnostic imaging. Physician Advisors determine the medical necessity of requests using...

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CareCore National Added -

ability to apply for a job. Returning Candidate? Clinical Reviewer LPN Bluffton, SC Clinical Reviewer LPN Bluffton, SC Career ID 2017-3546 Career... in the life" looks like for an eviCore Clinical Reviewer? to learn more! Responsible for all clinical certification...

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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 -

ability to apply for a job. Returning Candidate? Clinical Reviewer RN Bluffton, SC Clinical Reviewer RN Bluffton, SC Career ID 2017-3547 Career... in the life" looks like for an eviCore Clinical Reviewer? to learn more! Responsible for all clinical certification...

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CareCore National Added -

ability to apply for a job. Returning Candidate? Clinical Reviewer LPN-Franklin TN Clinical Reviewer LPN-Franklin TN Career ID 2017-3542 Career... in the life" looks like for an eviCore Clinical Reviewer? to learn more! Responsible for all clinical certification...

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CareCore National Added -

ability to apply for a job. Returning Candidate? Clinical Reviewer RN Franklin TN Clinical Reviewer RN Franklin TN Career ID 2017-3543 Career... in the life" looks like for an eviCore Clinical Reviewer? to learn more! Responsible for all clinical certification...

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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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Added -

will be to: - Review the documents from the requesting physician. These will have been summarized for you by an Initial Clinical Reviewer... a clinical reviewer panel of specialists to make peer decisions on Work Comp claims. The position is designed to provide...

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Added -

The Opportunity: This is a remote position- 40 hours per week The Responsibilities: Conducts medical case reviews for medical necessity, appeals and denials Maintains the quality and timeliness of peer clinical and/or appeal case rev...

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Added -

The Opportunity: The is a remote position- 40 hours per week The Responsibilities: Conducts medical case reviews for medical necessity, appeals and denials Maintains the quality and timeliness of peer clinical and/or appeal case revi...

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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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IQ PARTNERS Inc. IQ PARTNERS Inc. Added -

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

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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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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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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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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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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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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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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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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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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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