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
RN Medical Reviewer III (Reporting and Research) - Palmetto GBA
BlueCross BlueShield Of South Carolina - South Carolinacoding for claims/operations. Makes reasonable charge payment determinations based on clinical/medical information... and established criteria/protocol sets or clinical guidelines.
1 day ago, source: Careerjet
Medical Reviewer/Safety Reviewer III
Katalyst HealthCares & Life Sciences - Lake Countyin conceptualizing, designing, and implementing high-priority analytical strategies, clinical oversight, and initiatives. The team... of regional contract CRAs, and organize the files and budgets associated with several clinical studies.
1 day ago, source: Careerjet
Medicaid Medical Review RN (Medical Reviewer III)
CoventBridge - Grove CityReviewer III) will primarily be responsible for conducting clinical reviews of medical records during the course of fraud...Overview: Medicaid Medical Review RN (Medical Reviewer III) - REMOTE The Medicaid Medical Review RN (Medical...
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.... · Utilize Microsoft Office suite and other software templates as associated source input for claims review. · Make clinical...
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....
7 days ago, source: Careerjet
Registered Nurse Clinical Reviewer
HCA Houston Healthcare - ConroeDescription Introduction Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want...
6 days ago, source: Careerjet
QA Associate II/III
Grifols - Claytonengineering projects, clinical studies, stability studies, ETPs, and Regulatory submissions. QA III Primary responsibilities...
11 days ago, source: Careerjet
Clinical Reviewer III, Behavioral Health - Albuquerque, NM
Magellan Health - Albuquerqueto medical necessity criteria. General Job Information Title Clinical Reviewer III, Behavioral Health - Albuquerque, NM... programs for providers and other clinical staff.
24 days ago, source: Careerjet
Charge Nurse (RN), Spinal Cord Unit, $10K Sign-On Bonus
University of Maryland Medical System - Baltimoreof 2/year, submit signed “Peer Reviewer Validation Form”)Demonstrated ability to assume a clinical leadership role.... Why Join UM Rehab?
19 days ago, source: Careerjet