Nurse Reviewer - Remote Louisiana. We are seeking a talented individual for a Nurse Reviewer who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need for the service based on clinical criteria, coverage policies, and utilization and p...
A company is looking for a Loss Control Reviewer. ...
Nurse Reviewer - Remote Louisiana. We are seeking a talented individual for a Nurse Reviewer who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need for the service based on clinical criteria, coverage policies, and utilization and p...
A company is looking for a High Value Reviewer. ...
Nurse Reviewer - Remote Louisiana. We are seeking a talented individual for a Nurse Reviewer who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need for the service based on clinical criteria, coverage policies, and utilization and p...
A company is looking for a Neurology MD/DO Reviewer. ...
Clinical Pharmacist Reviewer- REMOTE. ...
The Governmental Audit Reviewer (Registered Nurse) is responsible for the audit, submission, and appeal of clinical documentation associated with home health, hospice, LTACHs, and community based services, in response to external payer inquiries, denials, and requests for clinical documentation. ...
As a Physician Clinical Reviewer you will be a key member of the utilization management team. Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws requi...
Click on Learn more about this agency button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at www.This announcement has been amended to add additional cut-off dates.Yes-as determined by the agency p...
Physician Clinical Reviewer, MRx - Oncology - REMOTE. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required. Reviews all cases in which clinical determinatio...
Click on Learn more about this agency button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at www.Added additional cut off of 3/15/2024.Adding additional Specialty areas: Whistleblower Office Case D...
Physician Clinical Reviewer- GI- REMOTE. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required. Reviews all cases in which clinical determinations cannot be ...
Click on Learn more about this agency button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at www.Career transition (CTAP, ICTAP, RPL).Federal employees who meet the definition of a surplus or displ...
The Medical Coder Position will administer and process all incoming medical records and lay evidence included with a proposal to ensure correct documents are provided to the WCMSA reviewer. Ensure correct documents are provided to the reviewer. Review documents determining completeness and eligibili...
In this exciting position the content reviewer will localize, translate and adapt the content of various categories (i. ...
You are welcoming, reassuring, and have a passion for providing exceptional customer service.You are a go-to tax expert with 3+ years filing a minimum of 30 federal and state individual tax returns annually.You are an exceptional communicator and enjoy translating complex tax terminology into a lang...
As a trusted global transformation partner, Welocalize accelerates the global business journey by enabling brands and companies to reach, engage, and grow international audiences.Welocalize delivers multilingual content transformation services in translation, localization, and adaptation for over 25...
BCforward is currently seeking a highly motivated Document Reviewer for an opportunity in Monroe, LA!. ...
In this exciting position the content reviewer will localize, translate and adapt the content of various categories (i. ...
BCforward is currently seeking a highly motivated Document Reviewer for an opportunity in Monroe, LA!. ...
Nurse Reviewer - Remote Louisiana. We are seeking a talented individual for a Nurse Reviewer who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need for the service based on clinical criteria, coverage policies, and utilization and p...
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team.Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.Authorize, direct and ...
Governmental Audit Reviewer (Registered Nurse). ...