Alabama Licensed Medical Reviewer
VirtualVocationsRochester, New York, United Statesjob_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Medical Reviewer II to perform medical reviews and support medical claims.
Key Responsibilities
Conducts medical claim reviews and determines medical necessity based on established criteria and guidelines
Educates staff on medical reviews, terminology, and coverage determinations
Participates in quality control activities and provides guidance to team members
Required Qualifications
Associate Degree in Nursing or Graduate of an Accredited School of Nursing
Active, unrestricted RN license from the United States or a compact multistate RN license
Two years of clinical experience as an RN
Proficiency in Microsoft Office
serp_jobs.job_alerts.create_a_job
Medical Reviewer • Rochester, New York, United States
Job_description.internal_linking.related_jobs A company is looking for a Medical Reviewer III for a remote position.Key Responsibilities Provide medical review consultancy to support US Immunology Medical Affairs teams Ensure compliance wit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Licensed Practical Nurses (LPN) plan and manage patient care specific to each patient.The LPN acts as the eyes and ears of Registered Nurses and Physicians and performs ongoing and accurate assessm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Emergency Room RNs (ER RNs) record present symptomology, as well as collect a thorough patient history.The ER RN assesses, plans, implements, and evaluates patient care plans in coordination with o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Registered Nurse Senior Medical Reviewer (Medicare Part B).Key Responsibilities Lead and provide guidance to staff in specialty programs, medical review, and utilizatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
LocumJobsOnline is working with All Medical Personnel to find a qualified Pediatrics MD in Warsaw, New York, 14569!.Start Date or Shifts Requested : .
Cough, Cold, Flu, Sinus infections, High BP, High...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Host Healthcare is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Dansville, New York.Job Description & Requirements.
Pay package is based on 8 hour shifts and 40 hour...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Medical Solutions is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Dansville, New York.Job Description & Requirements.
We’re seeking talented healthcare profess...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Reviewer, Physical Therapy.Key Responsibilities Evaluate cases that do not pass the authorization approval process and promote a supportive team approach Revi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
IDR Healthcare is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Greece, New York.Job Description & Requirements.
IDR Healthcare is an awarding winning staffing firm ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Appeals RN - Fully Remote.Key Responsibilities Review medical records to verify service criteria and clinical eligibility for coverage Coordinate reviews with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Planet Healthcare is seeking a travel nurse RN Case Management Level II for a travel nursing job in Webster, New York.Job Description & Requirements.
Planet Healthcare Job ID #72656907.Pay packa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 LocumJobsOnline is working with All Medical Personnel to find a qualified Family Practice MD in Warsaw, New York, 14569!.
Start Date or Shifts Requested : .Cough, Cold, Flu, Sinus infections, High B...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Lead Clinical Reviewer to join their team.Key Responsibilities Review medical records against criteria to determine medical appropriateness Guide team members and supp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Medical Coding Reviewer I.Key Responsibilities Perform clinical / coding medical claim review to ensure compliance with coding practices Analyze provider billing practic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Webster, NY.Shift : 5x8 hr days Start Date : 10 / 06 / 2025 Duration : 13 weeks Pay : $2524 / Week...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Medical Bill Reviewer-100% remote (EST or CST time zone).Key Responsibilities Identify provider participation status when automated processes fail Apply PPO guidelines...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Other - Abstract RN.Key Responsibilities Conduct electronic medical record abstraction services accurately and efficiently Abstract information from electroni...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days MedSurg RNs provide bedside care for a variety of patients and execute individualized patient assessments to create an individualized plan of care.
MedSurg RNs prepare equipment and assist physician...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Medical Reviewer III
VirtualVocationsRochester, New York, United Statesserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Travel MedSurg LPN in Rochester, New York
Gifted HealthcareMumford, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Emergency Room RN in Rochester, New York
Gifted HealthcareOntario Center, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tennessee Licensed Senior Medical Reviewer
VirtualVocationsRochester, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Locum Physician (MD / DO) - Pediatrics - General / Other in Warsaw, NY
LocumJobsOnlineWarsaw, NY, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Travel Nurse RN - OR - Operating Room
Host HealthcareDansville, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Operating Room Registered Nurse
Medical SolutionsDansville, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Physical Therapy Reviewer
VirtualVocationsRochester, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Medical-Surgical Telemetry RN
IDR HealthcareGreece, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Clinical Appeals RN
VirtualVocationsRochester, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse Level II RN - Case Management
Planet HealthcareWebster, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Locum Physician (MD / DO) - Family Practice in Warsaw, NY
LocumJobsOnlineWarsaw, NY, USserp_jobs.job_card.full_time +2
- serp_jobs.job_card.promoted
Virginia Licensed Lead Clinical Reviewer
VirtualVocationsRochester, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Remote Medical Coding Reviewer
VirtualVocationsRochester, New York, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse - RN - Case Manager - $2524 / Week - Hiring Now
Cynet HealthWebster, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Bill Reviewer
VirtualVocationsRochester, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Abstract RN
VirtualVocationsRochester, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel MedSurg RN in Rochester, New York
Gifted HealthcareMumford, NY, USserp_jobs.job_card.full_time