The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. Utilization Management Nurse Reviewers collaborate with healthcare providers, insurance companies, and patients to optimize healthcare delive...
Davey company, is seeking a mid-level Erosion and Sediment Control (ESC) and Stormwater Management (SWM) Plan Reviewer/Engineering Technician to join our Richmond, Virginia team. Virginia DEQ ESC & SWM Plan Reviewer Certifications. ...
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 la...
Board certification as an MD or DO with a current unrestricted state license to practice medicine - reviewers must maintain necessary credentials to retain the position. ...
Davies is currently looking for a full time Premium Audit Reviewer to work with our organization. The Premium Audit Reviewer performs quality review functions within the Audit QC Department to ensure that all audits meet regulatory and client-specific requirements. Effective written communication wi...
Dane Street, a certified “Great Place to Work” company is seeking a Physician to provide utilization review services for the Group Health Department.This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical appropriateness of services in c...
Registered Nurse / Med/Surg (Tier 3) / VA Reviewer . Greenlife Healthcare Staffing is currently seeking a Med Surg Registered Nurse - VA Reviewer to fill an opening with a Non-profit organization. Registered Nurse / Med/Surg (Tier 3) / VA Reviewer. Registered Nurse / Med/Surg (Tier 3) / VA Revi...
Acentra is looking for a Clinical Reviewer to join our growing team. The Clinical Reviewer will utilize clinical expertise to review medical records in accordance with contract requirements and appropriate criteria. The Clinical Reviewer plays a pivotal role in ensuring compliance with state go...
Judge Healthcare is seeking a Physician for a REMOTE Physician Reviewer with one of our biggest clients!. ...
We are seeking a qualified Utilization Reviewer who can work remotely from home. Forwards treatment requests for physician reviewer that cannot be approved as medically necessary based on application of solid clinical judgment. ...
Physician Clinical Reviewer will review charts to facilitate accurate representation of patient’s true clinical picture in the codes assigned by the coders. The Physician Clinical Reviewer will ensure that all reviewed charts capture the true clinical picture in compliance with federal laws, ICD-10 ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. As a Physician Reviewer/Advisor supporting Federal exams, the physician reviews medical records, performs a physical exam of the patient, and addresses clinical questions regarding the patient'...
Performs quality assurance review of network contractor estimates .Previous Experience in the following is highly preferred:.Reviews network contractor repair estimates to ensure estimates are technically accurate and meet appropriate industry guidelines and standards for repair.Verifies appropriate...
Registered Nurse / Wound Care (Tier 3) / VA Reviewer. Greenlife Healthcare Staffing is currently seeking a Wound Care Registered Nurse - VA Reviewer to fill an opening with a Non-profit organization. Reviewer time is not compensated for training. All VA case reviews are protected and reviewers will...
Acentra is looking for a Clinical Reviewer Immediate Advocacy Discharge Assistant to join our growing team. Maintains current knowledge base related to review processes and clinical practices related to the review processes, functions as the initial resource to nurse reviewers regarding al...
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...
Mental and Behavioral Health PA / VA Reviewer - Remote. Mental and Behavioral Health Physician Assistant - VA Reviewer to. Mental and Behavioral Health PA / VA Reviewer. Mental and Behavioral Health PA / VA Reviewer. ...
At Eide Bailly we believe respect is how to treat everyone, not just those you want to impress.Our culture focuses on collaboration to achieve career growth.Innovation is highly encouraged, which is where programs like our EB Xchange originate.This program allows interested tax and audit employees t...
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.Candidate must reside ...
Board certification as an MD or DO with a current unrestricted state license to practice medicine - reviewers must maintain necessary credentials to retain the position. ...
Responsible for reviewing OASIS and/or coding for home health and hospice agencies.Review OASIS and document recommended changes in approved system.Review ICD-10 coding and sequencing from documentation in the patient chart.Complete documentation of results review; ensure workflow processes are time...
Assess and assist other reviewers to assess the medical necessity and quality of healthcare services by conducting prospective, concurrent, and retrospective utilization management reviews. ...
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 la...
Greenlife Healthcare Staffing is currently seeking a Mental Health Nurse Practitioner - VA Reviewer to fill an opening with a Non-profit organization. Reviewer time is not compensated for training. All VA case reviews are protected and reviewers will not be asked to present in court. ...