is looking for a Physical Therapist Clinical Reviewer - PRN with Minnesota PT Licensure (Remote U.S.) to join our growing team. Job Summary...: The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria...
to ensure documentation supports medical necessity while meeting production and quality goals. Documents decisions...It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges...
to ensure documentation supports medical necessity while meeting production and quality goals. Documents decisions...It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges...
It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges.... Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical...
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.... Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical...
Clinical Reviewer plays an integral role in optimizing the patient's recovery journey. The Prior Authorization Clinical... Reviewer is responsible for reviewing pre-authorization requests for skilled nursing and rehabilitative services...
opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. This telework opportunity allows... you to customize your schedule as a 1099 independent contractor. Your main task will be to evaluate medical records, provide clinical...
containment, and medical quality improvement activities. Serves as an expert physician resource and reviewer... including medical review of complex, controversial, or experimental medical services. Quality - Assists Medical Director...
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...
Company: Schultheis & Panettieri, LLP Position: Audit Manager, Reviewer Job Location: Hauppauge, NY Salary Range... on Quality Control. This position requires a CPA license. Responsibilities include: Detailed review of engagements...
Continuous quality improvement (CQI) case reviewer STATUS: Full time (40 hours per week) LOCATION: Arkansas... Change has an opening for up to two continuous quality improvement (CQI) case reviewers who will focus on evaluating child...
licenses as needed. Join Centene’s mission-driven team as a Remote Psychologist Reviewer specializing in Applied Behavior... and ensure high-quality, evidence-based behavioral health care. Why Join Us? 100% remote flexibility Meaningful work...
is looking for a Clinical Reviewer - LPN/LVN or RN (remote U.S.) to join our growing team. Job Summary: The purpose of this position... is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements...
independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care. Provide evidence-based... about quality, accountability, and patient outcomes. As a member of our reviewer panel, you'll play a key role in ensuring the...
locations across North America, we are seeking a highly skilled and analytical Full-Service Reviewer to join their remote Claims... quality control role. Key Responsibilities – Full-Service Reviewer Conduct comprehensive estimate reviews for services...
Title: Clinical Reviewer RN Location: Remote (must hold an unrestricted Massachusetts RN license) Duration: 5-month... is not required. Overview: We are seeking an experienced Inpatient RN Utilization Reviewer to independently manage a clinically complex...
to determine medical appropriateness, while maintaining production goals and quality standards. ***This is a remote position... is looking for a Clinical Reviewer RN-PRN to join our growing team. Job Summary: Utilize clinical expertise for the review of medical...
POSITION: National Client Manager / Senior PCA Reviewer - Building Assessments LOCATION: Flexible / Remote POSITION... SUMMARY AEI Consultants has a new opportunity available for an experienced National Client Manager/Senior Reviewer...
JOB TITLE (#25023): Emergency NP / VA Reviewer - Remote Minimum of 5 years active clinical practice within the... - VA Reviewer to fill an opening with a Non-profit organization Responsibilities of the Emergency NP / VA Reviewer: Audits...
We bring you tomorrow's opportunity, today. Volt is immediately hiring a Physician Reviewer in Remote within the 5... quality improvement activities. Other duties as assigned by the Medical Director. Board Certified (ABMS) M...