Medical reviewer jobs in United States - Page 2

Description IntroductionCorpus Christi Medical Center Bay Area is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Registered Nurse Clinical Reviewer position and spen...

Description IntroductionRio Grande Regional Hospital is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Registered Nurse Clinical Reviewer position and spend more tim...

Wintrust is a financial holding company with approximately $50 billion assets under management and traded on the NASDAQ:WTFC. Built on the "HAVE IT ALL" model, Wintrust offers sophisticated technology and resources of a large bank while focusing on providing service-based community banking to eac...

Position Title: Director, Online Learning Requisition Number: SCA00745 General Description: The Director, Online Learning provides leadership and management of daily operations for all aspects of Online Learning, including strategic planning, faculty development, quality assurance, assessment and...

Functions as the Medical Director for Primary Care at the Royal C. Johnson Veterans Hospital and the Community Care (CC) program at Sioux Falls VA Healthcare System (SFVAHCS). To qualify for this position, you must meet the Basic Requirements: • as well as any additional requirements (if ap...

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...

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sens...

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 practice guidelines as defined by...

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...

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 practice guidelines as defined by...

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 practice guidelines as defined by...

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sens...

Nurse Reviewer - Remote Oklahoma. 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...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose:...

This is an OPEN CONTINUOUS ANNOUCEMENT until December 21, 2024. Qualified applicants will be considered and referred as vacancies become available. Applicants will remain active for 6 months after their initial application is received and/or updated. After that time, you must update your applicat...

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sens...

Description Summary: This position monitors and controls the workflow of legal claims, maintains legal files and acts as a liaison between internal departments, CHRISTUS Legal Department and appointed counsel to gather discovery documents, arrange appointments, and telephone conferences. This p...

The Clinical Nurse Reviewer I is responsible for reviewing and making medical determinations as to whether a claim meets the benefits the member carries. DescriptionClinical Review Nurse I - Medicare Part BNational Government Services is a proud member of Elevance Health's family of brands. Minim...

DescriptionSUMMARY:Be more than just an employee number! Join Terran Orbital, a leader in innovation, manufacturing, and operations in the satellite industry. We are a pioneer in the miniaturization of space technologies and the delivery of responsive space solutions. We are a unique, fast-growin...

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 and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000...

Nuclear Fuel Services (NFS) is a division of BWX Technologies. At BWX Technologies, Inc. (NYSE: BWXT), we are People Strong, Innovation Driven. Headquartered in Lynchburg, Virginia, BWXT is a Defense News Top 100 manufacturing and engineering innovator that provides safe and effective nuclear sol...

Member Appeals Associate, Medicare Appeal Coordinator 625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA Req #2056 Tuesday, June 4, 2024 Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We a...

Company OverviewEvery firm has a culture – the values, beliefs, methodology, attitudes and standards that reflect an organization’s DNA. But the truly inspiring firms – the game-changers, the industry leaders and the disruptors – have cultures that propel them to innovate and stand out. At Brown ...

HEDIS Quality Reviewer/ Clinical Quality Reviewer .Shift :: 9:00am- 5:00pm (Hybrid) .The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS, QARR, Medicare Advantage Star measures and quality improvement activities.This po...