RN Medical Reviewer III (Reporting and Research) - Palmetto GBA
BlueCross BlueShield Of South Carolina - South CarolinaWhat You Will Do: Performs medical claim reviews for one or more of the following: claims for medically complex services, services that require... coding for claims/operations.
1 day ago, source: Careerjet
Medical Reviewer/Safety Reviewer III
Katalyst HealthCares & Life Sciences - Lake CountyJob Description: The Medical Device Safety team is a highly diverse department that plays a critical role... needs. Responsible for individual and periodic medical device safety reporting. Responsible for PI site notifications...
1 day ago, source: Careerjet
Medicaid Medical Review RN (Medical Reviewer III)
CoventBridge - Grove CityOverview: Medicaid Medical Review RN (Medical Reviewer III) - REMOTE The Medicaid Medical Review RN (Medical... Reviewer III) will primarily be responsible for conducting clinical reviews of medical records during the course of fraud...
31 days ago, source: Careerjet
Medical Review Specialist III (All Medicare claim types)
NCI Information Systems - USAEmpower AI: As a casual Medical Review Specialist III (Medical Reviewer III) you will primarily perform Medicare... comprehensive medical record and claims review to make payment determinations for Medicare claims (all claim types) . Perform...
7 days ago, source: Careerjet
Medical Review Specialist III (All Medicare claim types)
Empower AI Inc. - Reston: Empower AI: As a casual Medical Review Specialist III (Medical Reviewer III) you will primarily perform Medicare comprehensive... medical record and claims review to make payment determinations for Medicare claims (all claim types) .
7 days ago, source: Careerjet
Clinical Reviewer III (ECSS), Remote in LA
Magellan Health - Baton Rougeto medical necessity criteria. General Job Information Title Clinical Reviewer III (ECSS), Remote in LA Grade 26 Work....
14 days ago, source: Careerjet
Department Manager III
Terracon - Saint Louisof expertise. Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 32491BR Employment..., we offer many programs including medical, dental, vision, life insurance, 401(k) plan, paid time off and ...
4 days ago, source: Careerjet
Medical Records Analyst & Educator
Healogics - Jacksonvilledetermination guidance. Classify order packets as (i) clearly meets payor guidance as to medical necessity, (ii) based on reviewer...’s opinion, meets payor guidance as to medical necessity (with written opinion), (iii) clearly does not meet payor ...
29 days ago, source: Careerjet
Charge Nurse (RN), Spinal Cord Unit, $10K Sign-On Bonus
University of Maryland Medical System - Baltimoreprocesses. 2. Actively engaged in advancing own practice; role model for others. III. Education & Experience 1. Licensure...
19 days ago, source: Careerjet
Nuclear Engineer (Peer Reviewer), Level III
Akima - Oak Ridgefor this position are required to successfully complete a post- offer, pre-employment drug test. Medical Exam(s) - Job related pre...-placement medical examinations may be required for this position. Benefits Description: Regular - The company...
63 days ago, source: Careerjet