Nurse Reviewer - Remote Kentucky. 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 pr...
...
Nurse Reviewer - Remote Kentucky. 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 pr...
Building Construction Plan Reviewer. We are seeking experienced plan reviewers or experienced on-site fire and building inspectors. ...
Nurse Reviewer - Remote Kentucky. 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 pr...
What You’ll Be Doing:As a Vascular Surgery , Physician Clinical Reviewer you will be a key member of the utilization management team. What You Will Be Doing:Serve as the specialty match reviewer in Vascular Surgery cases, that do not initially meet the applicable medical necessity guidelines, as wel...
University of KentuckyEqual Employment Opportunity/M/F/disability/protected veteran status.ShiftThis position is primarily day shift; Monday through Friday with some weekends and holidays.Job SummaryThis position works as a member of the multidisciplinary team with social workers, case managers, fin...
As a Cardiology, Physician Clinical Reviewer you will be a key member of the utilization management team. As well as, aids and acts as a resource to Initial Clinical Reviewers. Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guid...
As a Cardiology, Physician Clinical Reviewer you will be a key member of the utilization management team. As well as, aids and acts as a resource to Initial Clinical Reviewers. Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guid...
What You’ll Be Doing:As a Physician Clinical Reviewer you will be a key member of the utilization management team. What You Will Be Doing: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 ...
What You’ll Be Doing:As a Vascular Surgery , Physician Clinical Reviewer you will be a key member of the utilization management team. What You Will Be Doing:Serve as the specialty match reviewer in Vascular Surgery cases, that do not initially meet the applicable medical necessity guidelines, as wel...
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.This announcement has been amended to add additional cut-off dates.Yes-as determined by the agency p...
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...
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...
The Clinical Reviewer conducts documentation reviews, assesses service needs, and assigns levels of care to CHFS committed youth in or at risk of out-of-home placement and monitors cases for quality improvement issues as they relate to the out-of-home placements. The Clinical Reviewer is a positive ...
Nurse Reviewer - Remote Kentucky. 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 pr...
This is a part time, 1099 position.Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism.Reviews take on average 1 to 1.Each review is meant to evaluate the quality of the finished construction.Driving t...
Building Construction Plan Reviewer. We are seeking experienced plan reviewers or experienced on-site fire and building inspectors. ...
Nurse Reviewer - Remote Kentucky. 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 pr...