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The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. ...

The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. ...

The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. ...

The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. ...

Provides timely review of Start of Care, Resumption of Care and Recertifications.Utilizes CRC tool to provide clinical feedback related to OASIS accuracy.Accurately codes chart based on primary and secondary reasons for home care based on Chart rev Registered Nurse, Quality, Nurse, Registered, He...

Looking to work at a firm that encourages a work life balance and career growth? .Withum is a forward-thinking, technology-driven advisory and accounting firm, helping clients to be in a Position of StrengthSM in today’s modern business landscape.At Withum, we empower clients with innovative tool...

Participates in the member and provider outreach, collection, and review of medical records to abstract clinical information for HEDIS quality reporting.Training will be provided prior to the start of the assignment.Outreach to members to complete survey to address Social Determinants of Health (...

Looking to work at a firm that encourages a work life balance and career growth? .Withum is a forward-thinking, technology-driven advisory and accounting firm, helping clients to be in a Position of StrengthSM in today’s modern business landscape.At Withum, we empower clients with innovative tool...

The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. ...

At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and ensuring adherence to proper billing guidelines. ...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Northern NY/NJ. Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred. In ad...

Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm &....

Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain hig...

TravelNurseSource is working with Voca LLC to find a qualified ER/Trauma RN in Denville, New Jersey, 07834!. ...

TravelNurseSource is working with Host Healthcare to find a qualified Labor/Delivery RN in Morristown, New Jersey, 07962!. As an nurse, you will be matched to one of our responsive recruiters who will have your back throughout your journey. ...

Registered Nurse - Emergency Room. TRS Healthcare is seeking a Registered Nurse who is licensed to work in NJ, and has Emergency Room experience. The Registered Nurse assumes responsibility and accountability for incorporating the vision, values, mission and critical goals of the organization int...

Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain hig...

AlliedTravelCareers is working with Cariant Health Partners to find a qualified Physical Therapist (PT) in Mountain Lakes, New Jersey, 07046!. Doctorate (DPT) in Physical TherapyGraduate of a certified physical therapy programPossess or be eligible for state licensure. And as a healthcare-owned c...

AlliedTravelCareers is working with Triage Staffing LLC to find a qualified Physical Therapist (PT) in Atco, New Jersey, 08004!. Travel Rehab: Physical Therapy Atco, NJ. ...

AlliedTravelCareers is working with GQR Healthcare to find a qualified Physical Therapist (PT) in Wayne, New Jersey, 07470!. ...

Client in NJ seeking Physical Therapist (PT) to work 08:00 - 16:30. ...

ACES Healthcare Staffing is actively hiring for the following position: .Highly competitive pay packages.Concierge travel department for relocation assistance.Onboarding medical expense allotment .Health Insurance, Vision Insurance and Dental Insurance.Life insurance provided up to 50K .Paid sick...

Physical Therapist Assistant - SNF. Details of the Physical Therapist Assistant opening:. Daily Range of Responsibilities of the Physical Therapist Assistant:. Assists Physical Therapists in directing patient participation in selected tasks to restore, reinforce and enhance performance. ...

The Case Manager is responsible for conducting face to face visits in the members home utilizing comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). The case manager is responsible for coor...