Average salary: $68,212 /yearly

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Search Results: 16,398 vacancies

Description Job Summary: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for...  ...department operations and accurately entering the results of chart audits into the database. Developing and maintaining expertise... 
Medical
Work experience placement

JobRialto

Newtown Square, PA
1 day ago
 ...solid hands-on containerization with Docker and Kubernetes on Cloud technologies. • Should have strong hands on experience in Helm Chart, Rundeck and Openshift. • should have Hall architecture experience is mandatory. • Strong understanding of cloud computing and containerization... 
Suggested

Diverse Lynx

Paulsboro, NJ
5 days ago
 ...Job Description Job Description We are actively recruiting for Medical Review Nurse / Case Managers to join our Medical Review Team! The primary responsibility of the Nurse/Case Manager is to manage the Medical Review process in conjunction with GeoBlue’s Supervisors... 
Medical
Holiday work
Remote job
Home office
Shift work
Night shift
Weekend work
Saturday

Worldwide Insurance Services

King of Prussia, PA
9 days ago
Genex Service LLC Utilization Reviewer 2 US--Remote Job ID: 24-16859 Type: Regular Full-Time # of Openings: 1 Category: Insurance & Administration...  ...precertification review for New Jersey auto accident PIP medical treatment referrals in our fast-paced, supportive environment... 
Medical
Holiday work
Full time
Second job
Remote job
Work from home
Flexible hours

Genex Services, LLC.

Wayne, PA
1 day ago
 ...supervision, the Utilization Coordinator provides utilization review, Amkai chart surveillance and denials management for the inpatient case...  ...level of care. The Utilization Coordinator interfaces with the medical team, physician office staff, other staff members as well as... 
Medical
Part time
Worldwide

Wills Eye Hospital

Philadelphia, PA
3 days ago
 ...seeking an individual with an outstanding work ethic and a history of success in the Appraisal field to join our team as a full time Review Appraiser/Staff Appraiser. The ideal candidate will demonstrate initiative, integrity, honesty, professionalism, and will maintain... 
Suggested
Full time
Remote job
Work from home
Monday to Friday

UniversalCIS

Broomall, PA
5 days ago
Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the treatment utilizing clinical expertise and evidence... 
Medical
Immediate start

Elite Services

King of Prussia, PA
1 day ago
 ...Job Description Job Description The Medical Director of Quality Management is responsible for the overall medical leadership to...  ...including complaint and grievance decisions, quality care concerns, chart reviews, and significant incident reports. Provide oversight and... 
Medical
Work experience placement
Relief
Local area

Community Behavioral Health.

Philadelphia, PA
4 days ago
 ...introducing you to our mission and celebrated service orientation. Together, let's drive excellence in healthcare. SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for... 
Suggested
Full time

Redeemer Health

Jenkintown, PA
3 days ago
 ...Twitter: Job Description The Senior Associate, Regulatory Review must follow the protocol established by our pharmaceutical...  ...review. This includes preparing completed editorial content to the Medical-Legal-Regulatory (MLR) review board (a board of experts... 
Medical
Flexible hours
Shift work
3 days per week

Digitas Health

Philadelphia, PA
12 days ago
 ...rendering professional clinical care within the medical practice in support of and as directed by...  ...pertinent information into the patient’s chart. Obtains relevant clinical information...  ...for scheduled testing, and a summary review of the overall therapeutic plan.... 
Medical
Permanent employment
Immediate start
Shift work
Night shift

Align ENT & Allergy

Media, PA
9 days ago
 ...every Monday hours will be 10:30a-7p The Medical Assistant (MA) assists the practice...  ...to alert provider that patient is ready: reviews past medical, surgical, family, smoking history...  ...signs and documents in EMR, prepares chart for patient visit, understands insurance... 
Medical
Permanent employment
Contract work
Temporary work
Flexible hours
Afternoon shift

Accede Solutions Inc

Radnor, PA
23 days ago
 ...Medical Nurse Practitioner (NP) Overview Position Summary: The incumbent serves as an obstetrics and gynecology (OB/GYN) Nurse Practitioner...  ...skills through consultation, formal and informal education and review of literature for the benefit of themselves as well as for the... 
Medical
Internship

CFG Health Network

Camden, NJ
2 days ago
 ...What You'll Do Evaluate clinical and discharge paperwork: Review documentation from partner hospitals to ensure accuracy and facilitate...  ...phone assessments. Enhance team knowledge: Improve the medical and clinical expertise of the admissions team through training... 
Medical
Full time
Temporary work
Flexible hours

Avenues Recovery

Warminster, PA
10 days ago
 ...Within Digitas Health, the Vice President, Director, Regulatory Review will provide advice to creative, strategy, planning, marketing,...  ...every person to grow and thrive. Our benefits package includes medical coverage, dental, vision, disability, 401K, as well as parental... 
Medical
Flexible hours
Shift work
3 days per week

Digitas Health

Philadelphia, PA
12 days ago
 ...requirement. BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager...  ...following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company... 
Medical
Holiday work
Full time
Local area
Remote job
Monday to Friday

BAYADA Home Health Care

Pennsauken, NJ
2 days ago
 ...support of business results, customer engagement and experience. This role is an integral part of Marketing's new Copy & Content Review team and will be a critical component to ensuring that Marketing remains in compliance with associated regulations through the review... 
Holiday work
Work from home
Flexible hours

TD

Mount Laurel, NJ
2 days ago
 ...direction of the Clinical Supervisor, the Certified Medical Assistant (CMA) will work with the...  ...standing lab orders and chief complaint. * Review patient current medication list at each visit and document in patient's chart. * Provides health screenings as ordered by... 
Medical
Holiday work

Spectrum Health Services, Inc

Philadelphia, PA
5 days ago
 ...Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity. Performs utilization review in accordance with all state mandated regulations. Consults with Physician Advisor to discuss medical... 
Medical
Relief

CoperUniversity Health Care

Camden, NJ
1 day ago
 ...Job Description Job Description Document review project currently in progress. This is remote work for a Philadelphia area law firm. Must be located within Pennsylvania. Must have an active attorney license in any state Must have a PC/Mac Business hours... 
Remote job
Shift work

Wegman

Philadelphia, PA
22 days ago