Medical reviewer jobs in Bayonne, New Jersey - Page 2Create job alerts

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

We are actively recruiting specialists in the following areas:.Anesthesiology - Adult Cardiac.Anesthesiology - Critical Care Medicine.Anesthesiology - Hospice-Palliative Care.Anesthesiology - Neurocritical Care.Anesthesiology - Sleep Medicine.As a VA medical reviewer, you will conduct thorough, obje

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans. As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice. What Should I Expect? • Performs comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance with all State and Federal mandated regulations, • Make clinical judgments based on clinical experience and evidence-based medical research as a Subject Matter Expert (SME) in your clinical area of expertise, • Maintain compliance with all regulation changes as they impact medical and utilization review practices, • Document all review information as instructed, • Communicate report results to the appropriate supervisor, • Access electronic health information, as assigned/granted Do I Qualify?, • Must hold a current medical license, • Must be board certified within their clinical specialty (as appropriate), • Currently works a minimum of 20 hours per month within their area of clinical specialty, • Must have a minimum of 5 years full-time experience in direct care, • Must be actively seeing patients within the last 3 yearsWebsite: • Email:

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans. As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice. What Should I Expect? • Performs comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance with all State and Federal mandated regulations, • Make clinical judgments based on clinical experience and evidence-based medical research as a Subject Matter Expert (SME) in your clinical area of expertise, • Maintain compliance with all regulation changes as they impact medical and utilization review practices, • Document all review information as instructed, • Communicate report results to the appropriate supervisor, • Access electronic health information, as assigned/granted Do I Qualify?, • Must hold a current medical license, • Must be board certified within their clinical specialty (as appropriate), • Currently works a minimum of 20 hours per month within their area of clinical specialty, • Must have a minimum of 5 years full-time experience in direct care, • Must be actively seeing patients within the last 3 yearsWebsite: • Email:

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans. As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice. What Should I Expect? • Performs comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance with all State and Federal mandated regulations, • Make clinical judgments based on clinical experience and evidence-based medical research as a Subject Matter Expert (SME) in your clinical area of expertise, • Maintain compliance with all regulation changes as they impact medical and utilization review practices, • Document all review information as instructed, • Communicate report results to the appropriate supervisor, • Access electronic health information, as assigned/granted Do I Qualify?, • Must hold a current medical license, • Must be board certified within their clinical specialty (as appropriate), • Currently works a minimum of 20 hours per month within their area of clinical specialty, • Must have a minimum of 5 years full-time experience in direct care, • Must be actively seeing patients within the last 3 yearsWebsite: • Email:

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans. As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice. What Should I Expect? • Performs comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance with all State and Federal mandated regulations, • Make clinical judgments based on clinical experience and evidence-based medical research as a Subject Matter Expert (SME) in your clinical area of expertise, • Maintain compliance with all regulation changes as they impact medical and utilization review practices, • Document all review information as instructed, • Communicate report results to the appropriate supervisor, • Access electronic health information, as assigned/granted Do I Qualify?, • Must hold a current medical license, • Must be board certified within their clinical specialty (as appropriate), • Currently works a minimum of 20 hours per month within their area of clinical specialty, • Must have a minimum of 5 years full-time experience in direct care, • Must be actively seeing patients within the last 3 yearsWebsite: • Email:

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans. As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice. What Should I Expect? • Performs comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance with all State and Federal mandated regulations, • Make clinical judgments based on clinical experience and evidence-based medical research as a Subject Matter Expert (SME) in your clinical area of expertise, • Maintain compliance with all regulation changes as they impact medical and utilization review practices, • Document all review information as instructed, • Communicate report results to the appropriate supervisor, • Access electronic health information, as assigned/granted Do I Qualify?, • Must hold a current medical license, • Must be board certified within their clinical specialty (as appropriate), • Currently works a minimum of 20 hours per month within their area of clinical specialty, • Must have a minimum of 5 years full-time experience in direct care, • Must be actively seeing patients within the last 3 yearsWebsite: • Email:

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

Must have a minimum of 5 years full-time experience in direct care. As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

Job DescriptionPosition Summary This list does not represent all responsibilities for this position. Candidate must understand, be willing and able to assume roles and responsibilities other than these to meet the needs of the department and NYCHSRO/MedReview in general. Responsibilities: • To ensure accurate and timely data entry of incoming records and appeals, • To review correspondence received and identify the type of document being submitted for action., • To acknowledge correspondence for Document Management processing, • To Identify late appeal request and notify to Operations Unit Manager for claims disposition., • To demonstrate knowledge of filing and retrieving hard copy and electronic documents (letters, worksheets, charts, etc.), • To contact Operation Unit Manager for further medical records processing, • To assist reviewer in locating unidentified documents, • To raise inquiries or issues through the Halo platform, • Ability to process all medical records, in a timely and efficient manner and ensuring accuracy., • Candidates will be motivated, organized, detail oriented, responsible, and reliable, can multi-task and be able to work independently., • Candidates will have excellent communication and problem-solving skills., • Candidates will be able to access multiple system platforms., • Candidates will have the ability to understand and become knowledgeable of policies & procedures, HIPAA regulations and to complete work in compliance with these and other standards., • Ability to read and comprehend simple, healthcare terminology. For example, DRG, Cost Outlier, Readmission is preferred., • Data-entry experience with excellent typing skills required., • Candidates will have the ability to learn new processes in a fast-paced environment., • Experience with previous release of information, medical records, or other related experience in a healthcare environment is preferred., • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents., • 401(k) with Employer Match - Join the team and we will invest in your future, • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, to observe holidays., • Wellness - We care about your well-being. From Commuter Benefits to FSAs, we’ve got you covered. Powered by JazzHR Xhgerscagm

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

We are actively recruiting specialists in the following areas: * Otolaryngology (ENT) - Neurotology * Otolaryngology (ENT) - Sleep Medicine * Otolaryngology (ENT) - Plastic Surgery within Head/Neck As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality an

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

We are actively recruiting specialists in the following areas: * Preventative Medicine - Medical Toxicology * Preventative Medicine - Undersea & HB Medicine * Preventative Medicine - Addiction Medicine As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the qualit

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans. As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care pro

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

We are actively recruiting specialists in the following areas: * Pathology - Cypothology * Pathology - Dermatopathology * Pathology - Hematopathology * Pathology - Medical Microbiology * Pathology - Molecular Genetic * Pathology - Neuropathology As a VA medical reviewer, you will conduct thorough

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive