Nebraska Licensed Medical Review SpecialistVirtualVocations • Norwalk, California, United States
Nebraska Licensed Medical Review Specialist
VirtualVocations • Norwalk, California, United States
job_description.job_card.30_days_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 Review Specialist : Post Service.
Key Responsibilities
Perform medical review to ensure compliance with contracts, regulations, and medical policies
Conduct accurate and timely medical reviews of claims, preauthorizations, and customer service inquiries
Collaborate with healthcare providers and internal teams to promote high-quality, cost-effective care
Required Qualifications, Training, and Education
Associate degree in nursing or Certified Practical Nurse with three years of clinical experience
Current, unrestricted Registered Nurse or Licensed Practical Nurse license from Nebraska or participating consortium state
Bachelor's degree in a healthcare field (preferred)
Certification in Managed Care (preferred)
Experience in medical review or utilization management (preferred)
serp_jobs.job_alerts.create_a_job
Medical Review Specialist • Norwalk, California, United States
Job_description.internal_linking.related_jobs
Quality Improvement Specialist at Providence Little Company of Mary Medical Center San Pedro in San Pedro, CA.This position is Full-time and will work 8-hour, Day shifts.
Providence Little Company o...serp_jobs.internal_linking.show_more
Eurofins Scientific is a network of independent companies providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment safer, heal...serp_jobs.internal_linking.show_more
IDR is seeking a Health Information Services Technician - Epic to join one of our top clients in Torrance, CA.This role is perfect for individuals with a strong background in health information man...serp_jobs.internal_linking.show_more
At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community.
As a member of Prime Healthcare, Centinela Hospital ...serp_jobs.internal_linking.show_more
Abbott is a global healthcare leader that helps people live more fully at all stages of life.Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses an...serp_jobs.internal_linking.show_more
Company Providence at Home with Compassus Position Summary The Clinical Documentation Specialist is responsible for the quality review of all OASIS documents and review of key elements of the Pl...serp_jobs.internal_linking.show_more
Come lead with us at Corporate At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation.This position...serp_jobs.internal_linking.show_more
Entrepreneurial Spirit, Rooted in Tradition.Mitsubishi Tanabe Pharma America, Inc.Mitsubishi Tanabe Pharma Corporation (MTPC) in Japan, which has a storied reputation more than 300 years in the mak...serp_jobs.internal_linking.show_more
Manager, Risk Adjustment, Medical Coding.This position is flexible and must be based in a KP location, CA, OR, CO, WA, GA, MD, VA, HI or D.
In addition to the responsibilities listed below, the posi...serp_jobs.internal_linking.show_more
Reimbursement Specialist is responsible for complete, timely, and accurate follow-up and collections on submitted claims to clients,.
Responsible for researching denials and rejections, settling pay...serp_jobs.internal_linking.show_more
We are seeking a Quality Management Systems Specialist who will be responsible for ensuring compliance with internal and external regulatory requirements, including but not limited to Site, Divisio...serp_jobs.internal_linking.show_more
Senior Regulatory Affairs Specialist - Urology.Onsite Location(s) : Irvine, CA, US, 92602.Additional Location(s) : US-CA-Irvine.
US-CA-Valencia; US-MA-Marlborough; US-MN-Maple Grove.Diversity - Innov...serp_jobs.internal_linking.show_more
Join Amplity, the full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services.
No matter where a drug is in its lifecycle, we scale with ease...serp_jobs.internal_linking.show_more
We are currently seeking a highly motivated Risk Adjustment Coding Specialist II.Manager - Risk Adjustment and will conduct provider medical record audits, analysis of practice coding patterns, edu...serp_jobs.internal_linking.show_more
PHI) by health information is indexed accurately, maintained in accordance with hospital policies and procedures in the electronic legal health record and that information is available in a timely ...serp_jobs.internal_linking.show_more
Position Title : Authorization Specialist II.Under the general supervision of the Quality Assurance Supervisor, the Authorization Specialist II focuses on managing contract patient authorization sta...serp_jobs.internal_linking.show_more
Hematology Clinical Account Specialist.AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of to...serp_jobs.internal_linking.show_more
Job Opportunity At American Family Care.Great small business work environment.Paid vacation, health insurance, dental insurance, retirement benefit, and more!.
American Family Care (AFC) is one of t...serp_jobs.internal_linking.show_more We are currently seeking a highly motivated Risk Adjustment Coding Specialist II.Manager - Risk Adjustment and will conduct provider medical record audits, analysis of practice coding patterns, edu...serp_jobs.internal_linking.show_more 
At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives out of the hospital and in their homes.
We are actively recruiting in ...serp_jobs.internal_linking.show_more
RN - Quality Improvement Specialist
Providence Health and Services • Los Angeles, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Laboratory Data Review Specialist, (M-F, 2PM to 11PM Shift) Eurofins Environment Testing Southwest, Calscience, Tustin, CA
Eurofins Environment Testing Southwest, LLC • USA, California, Tustin
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days
Medical Record Technician - Epic
IDR, Inc. • Torrance, CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Manager of Clinical Documentation Specialist
Prime Healthcare • Inglewood, CA, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Manager, Clinical Data Review Medical Devices (on-site)
Abbott • Sylmar, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Documentation Specialist RN
Providence at Home with Compassus • Irvine, California, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Clinical Documentation Specialist RN
Houston Methodist • Los Angeles, CA, United States
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Neurology Account Specialist (Los Angeles)
Mitsubishi Tanabe Pharma America • Los Angeles, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Manager, Risk Adjustment, Medical Coding
Kaiser Permanente • Pasadena, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Sr. Reimbursement Specialist
MDxHealth • Irvine, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Doc Control Specialist
Actalent • Irvine, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Senior Regulatory Affairs Specialist - Urology
Boston Scientific • Irvine, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Immunology Account Specialist - LA North
Amplity Health • Los Angeles, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Risk Adjustment Coding Specialist II (Northern Virginia)
Astrana Health, Inc. • Alhambra, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Records Tech II
Pacifica Hospital of the Valley • Sun Valley, California, United States, 91352
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30
Authorization Specialist II (LPHA)
Tarzana Treatment Centers, Inc • Los Angeles, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Hematology Clinical Account Specialist - North Los Angeles
AbbVie • Los Angeles, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Medical Billing Specialist
American Family Care • Ladera Ranch, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Risk Adjustment Coding Specialist II (Central Maryland)
Astrana Health, Inc. • Alhambra, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Intake Specialist
AdaptHealth • Foothill Ranch, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted