Duties: 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. 80% May provide...
will be reviewing clinical for pre-certifications for durable medical equipment, home health care and elective procedures. Performs... medical reviews using established criteria sets and/or performs utilization management of professional, inpatient...
fellowship. Job Summary Reporting to the Director/Medical Director, the Quality Reviewer carries out audits for chart QA... is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than...
mentoring and application process for Terracon Authorized Project Reviewer certification. Requirements: Bachelor's degree... type of services and projects being managed Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID...
in field of expertise. Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 34530BR..., we offer many programs including medical, dental, vision, life insurance, 401(k) plan, paid time off and holidays, education...
in field of expertise. Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 34532BR..., we offer many programs including medical, dental, vision, life insurance, 401(k) plan, paid time off and holidays, education...
Other: Participation in BLE's Senior Professional program is required to serve as final reviewer on deliverables, sign contracts... and Assurance Serve as final reviewer for calculations, drawings, and reports where authorized. Ensure conformance with BLE...
Other: Participation in BLE's Senior Professional program is required to serve as final reviewer on deliverables, sign contracts... and Assurance Serve as final reviewer for calculations, drawings, and reports where authorized. Ensure conformance with BLE...
under the supervision of a Terracon Authorized Project Reviewer. Begin documented mentoring and application process... for Terracon Authorized Project Reviewer certification. Requirements: Bachelor's degree in Geology, Hydrogeology or related...