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...therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science... ...project-specific training and coaching of team members and review of team output cross-functionally.
- Effectively represent...
Medical
Job Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or...
Medical
Full time
Immediate start
**Resp & Qualifications**
**PURPOSE:**
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing...
Medical
Remote job
Work experience placement
Immediate start
...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point in the following states:
* California
* Colorado... ...on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior...
Medical
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
...management, discharge planning and utilization review.
Review admissions and service... ...prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement... .../ Registration:
~ Licensed Registered Nurse credentialed from the Florida Board of...
Medical
Temporary work
Relief
Local area
...Work Shift:
Day (United States of America)
Utilization Review Nurse
Salary Range: $31.28 - $51.61 per hour
Responsible for... ...continuous improvement in both areas.
Refers cases and issues to Medical Director and Triad Team in compliance with Department...
Medical
Hourly pay
Shift work
...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday - Friday from 9:30 am - 6:0... ...Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior...
Medical
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Monday to Friday
...Reviewing Medical Director at Conviva in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve...
Medical
STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!
Strategic Staffing Solutions (S3) is currently looking for a Registered Nurse-Review Analysis for a contract opening with one of our largest clients located in Detroit, MI.
This is a....
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Contract work
...population in their quest to receive all the disability benefits they medically, legally, and ethically qualify for from both government and... ...life trajectory.
Job Overview:
The remote Medical Records Review Specialist is a medical professional working to build medical...
Medical
Holiday work
Permanent employment
Remote job
Flexible hours
...based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and... ...continuous improvement in both areas.
• Refers cases and issues to Medical Director and Triad Team in compliance with Department...
Medical
Shift work
...Job Summary:
The Handicap Coordinator will review workers' compensation claims/medical records to identify pre-existing conditions that may have delayed recovery. Gather all supporting medical documentation and submit with necessary forms/applications to the Ohio Bureau...
Medical
Holiday work
Temporary work
Immediate start
Job Description
QUALIFICATIONS
Qualified candidates must have one to three years prior office or relevant experience.
Ability to work on various assignments simultaneously and to communicate tactfully, verbally and in writing with department heads, managers...
Medical
Flexible hours
Shift work
Night shift
Weekend work
Day shift
Weekday work
JOB DESCRIPTION
Job Title: MEDICAL DATA ENTRY/DOCUMENTATION REVIEWER
JOB SUMMARY
Sunstar Paramedics is seeking a medical data entry / document reviewer to work in our patient billing services department. This position is responsible for auditing EMS transport documentation...
Medical
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
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 continued stays daily and provide...
Suggested
...flexible and experienced physicians for our medical reviewstream division. This telecommute... ...:
Relying on clinical background, reviews health claims providing medical interpretation... ...agencies, carriers, employers, nurses and health care professionals.
-Medical...
Medical
Permanent employment
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!
Strategic Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one of our largest clients located in Detroit, MI!
Title: Registered Nurse Re...
Contract work
Position Description :
Serco is seeking a motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team in supporting CMS implementation of the Payment Error Rate Measurement (PERM) Program to produce national...
Medical
Permanent employment
Full time
Contract work
Work experience placement
Local area
Immediate start
Remote job
...MUST HAVE Knowledge of CPT, ICD-9/10 and HCPCS codes along with commonly used concepts and practices in Workers Compensation medical bill review/auditing . Prepares and compiles medical provider bill data for Workers Compensation clients.
The successful candidate...
Medical
Full time
Remote job
Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance...
Medical
Permanent employment
Temporary work