Physician reviewer jobs in Colorado

 ...Nurse Reviewer I Description Nurse Reviewer I Location: Within 50 miles of a pulse point Shift : Monday - Friday, from 9:30 am...  ...outside of the client health plan network. * Notifies ordering physician or rendering service provider office of the preauthorization determination... 

 ...live well. We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer- GI- REMOTE **Job Description Summary** Key member of the utilization management team, and provides timely medical... 

 ...inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Hematology and Medical Oncology you will be a key member of the utilization management team. We can offer you a... 

 ...Are you an accomplished Board Certified Pain Medicine physician ? C andidates must have a CO license and currently have or interested...  ...contractor. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about... 

 ...Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. The is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for auditing medical bills to ensure that they are appropriate and adhere... 

Job Description: Seeking energetic, capable, skilled case manager with knowledge of IMM, MOON, HINN notices and experience with MCG. Must have computer skills ABOUT: 16 bed Critical Access Hospital with 1 Case Manager located in Meeker, CO Patient Ratio: less than...

Job Description Colorado Springs is a city in Colorado at the eastern foot of the Rocky Mountains. It lies near glacier-carved Pikes Peak, a landmark in Pike National Forest with hiking trails and a cog railway leading to its 14,114-foot summit. Whether you like outdoor...

 ...another gastroenterologist. The schedule is Monday through Friday with a 1:4 call that is shared with an independent GI group and ER physicians. The incoming physician will work in the clinic for 4 1/2 days and have a 1/2 day for administrative work each week. They are... 

 ...submittals. Establishes project in tracking software and routes submittal documents to external referral agencies and internal plan reviewers in various town departments, including development services, utilities, public works, the fire department, parks and recreation,... 

 ...Medical Center Case Manager / Discharge Planner / Utilization Review, Registered Nurse (RN) is responsible for compliance with CMS Conditions...  ...ensure they work toward a common goal. Communicate with physicians and providers to ascertain plans for timely discharge.... 

**Plan Review Support Specialist** by | Aug 2, 2021 JOB TITLE: Plan Review Support Specialist Pay Scale: $16.50 to $18.00 D.O. E. Benefits: Medical, Dental, vision, paid vacation, retirement plan Full Time Position POSITION SUMMARY: Plan Review Receptionist... 

Job Description Whether you are searching for a position in your area or in another state, we have professionals to help you achieve your goals through our relationships with facilities nationwide - in rural settings, small cities, and major metropolitan areas. Your...

 ...better, safer and more interconnected world. Job Description Our Wheat Ridge, CO laboratory is looking for a Data Reviewer to join their team! The Data Reviewer is responsible for ensuring data is reviewed in a timely fashion after acquisition to ensure... 

 ...performance areas, interactive water features, walking trails and a three-rink ice arena. CompHealth has opportunities available for physicians in many specialties. Positions with good pay, flexible schedules, minimal administration, and the chance to help underserved... 

Job Description Brighton is the county seat of Adams County and a part of the Denver-Aurora-Lakewood, CO Metropolitan Statistical Area and the Front Range Urban Corridor. This northeastern Denver suburb sits along the banks of the South Platte River. Brighton combines...

Job Description You will find awe-inspiring natural beauty in Grand Junction and exhilarating outdoor adventures that include hiking or biking the Kokopelli Trail, skiing on the Grand Mesa, whitewater rafting on the Colorado River, and golfing on green fairways set ...

Job Description Come practice in La Junta, located in the beautiful Arkansas River Valley, one of the best kept secrets in Colorado. It is located at what once was the junction of the Mountain Branch of the Santa Fe Trail and the Trappers Trail into the mountains and...

 ...you will be supported by specialty teams comprised of tenured professionals. Our goal is to make a difference in the lives of our physicians and the healthcare communities they serve. Contact Catherine Lee at ****@*****.*** or 954.837.2760. ~ Shared... 

Job Description Come practice in Lafayette, a home rule municipality located in southeastern Boulder County, Colorado. Lafayette has carefully set aside greenbelts, bike ways, parks, and open lands to preserve the natural atmosphere. The city lies north of Denver, and...

 ...experience the authenticity of Colorado's eastern plains just two hours east of Denver. CompHealth has opportunities available for physicians in many specialties. Positions with good pay, flexible schedules, minimal administration, and the chance to help underserved...