) proposals Lead and plan national advisory boards to inform and shape medical strategy Develop and communicate high-quality... value for external stakeholders Serve as medical reviewer and internal subject matter expert for promotional...
. The Physician Reviewer is the primary physician reviewer for Clinical Appropriateness Reviews cases in our organization... assisting with this function and coordinating care for our patients. The position will also participate in Process and Quality...
Remote Pro Fee Coding Quality Reviewer shall report directly to the Pro Fee Quality Review Supervisor and will be responsible... for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse Federal...
Quality Reviewer to ensure compliance with the contract, and program requirements for Clinical Quality Management (CQM..., and evaluating medical records retrospectively for potential quality, safety, and utilization issues by using organizational...
Reviewer shall report directly to the Internal Quality Control Director and will be responsible for accessing and reviewing the... medical record documentation, coding and abstracting accuracy as defined in quality review policies and facility guidelines...
Reviewer shall report directly to the Internal Quality Control Director and will be responsible for accessing and reviewing the... medical record documentation, coding and abstracting accuracy as defined in quality review policies and facility guidelines...
is looking for a Full-time Physician Medical Reviewer (M.D. or D.O.) (Remote U.S. - Preferred within Tennessee) to join our growing team.... Job Summary: The primary responsibilities of a Physician Medical Reviewer (M.D. or D.O.) include conducting independent medical...
is looking for a Medical Reviewer - Psychiatrist - Must be Licensed in Arkansas - PRN (Remote within the U.S.) to join our growing team... activities within the company. Responsibilities include conducting case consultations to determine medical necessity...
Summary Performs medical reviews using established criteria sets and/or performs utilization management... sets or clinical guidelines. Provides support and review of medical claims and utilization practices...
. Some Important Information for you: Position Title: Quality Design Reviewer Employment Type: Remote Status: Full-time Salary.... Ready to join a team that makes a difference? A little about the position: Job Summary The Quality Design Reviewer...
. MAJOR DUTIES & RESPONSIBILITIES Quality Audits Reviews reports accompanying medical records to ensure that the report...JOB SUMMARY The New York Workers' Compensation Quality Analyst is responsible for managing the various aspects of the...
satisfaction and results. MAJOR DUTIES & RESPONSIBILITIES Quality Audits Reviews reports accompanying medical records...Job Description: JOB SUMMARY The New York Workers' Compensation Quality Analyst is responsible for managing the...
Position Title: Physician Reviewer – Pediatric Nephrologist Organization: Managed Medical Review Organization (MMRO... Director, Associate Medical Director, and Clinical Staff. Contribute ideas for process improvement and quality enhancement...
Position Title: Physician Reviewer – Oncologist Organization: Managed Medical Review Organization (MMRO) Employment... Type: Independent Contractor Industry: Healthcare About MMRO Managed Medical Review Organization (MMRO) is an established, URAC...
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited Independent Review... Organization (IRO) that provides objective, evidence-based medical peer reviews nationwide. We are currently seeking Board...
that allows you to combine your passion for medical science with your attention to detail, the Medical Reviewer position... with the client/medical writers. Deliver QC reports to the stakeholders and identify quality trends. Ensure timely delivery...
services. Medical Reviewer / Healthcare Provider – Reasonable Accommodation Evaluations Job Type: Contract Location.... We blend the best in people with the ongoing demands of the workplace by providing high-quality staffing and executive search...
Summary We are currently hiring for a Senior Medical Reviewer to join BlueCross BlueShield of South Carolina.... In this role as a Senior Medical Reviewer, you will act as Team Lead for specialty programs, medical review, utilization management...
to change. Medical Reviewer, Registered Nurse About J29 At J29, we believe in empowering our employees to do great things... supporting documentation, support quality assurance through audits and ongoing training, and maintain compliance with CMS...
to change. Medical Reviewer, Certified Coder About J29 At J29, we believe in empowering our employees to do great things... supporting documentation, support quality assurance through audits and ongoing training, and maintain compliance with CMS...