JOB TITLE (#25121): Licensed Vocational Nurse/ Med/Surg / VA Reviewer - Remote Minimum of 5 years active clinical... Licensed Vocational Nurse - VA Reviewer to fill an opening with a Non-profit organization Requirements of the Licensed...
JOB TITLE (#25122): Licensed Vocational Nurse/ Mental Health/ VA Reviewer - Remote Minimum of 5 years active clinical... Health Licensed Vocational Nurse - VA Reviewer to fill an opening with a Non-profit organization Requirements of the...
to ensure that these dedicated individuals and their loved ones receive high-quality care administered as economically... facility benefits or services and appeals. You will document decisions using indicated protocol sets, or clinical guidelines...
Job Description: JOB SUMMARY Support and provide coding and compliance training to clinical personnel, billing..., and/or other client staff. Establish effective communication with clinical staff, and/or hospital staff to address documentation, coding...
Job Description: JOB SUMMARY Support and provide coding and compliance training to clinical personnel, billing..., and/or other client staff. Establish effective communication with clinical staff, and/or hospital staff to address documentation, coding...
from the comfort of home? MES is seeking a self-motivated, high-performing RN to join our team as a *Remote* Clinical Quality... early days are 8:00am-4:30pm EST or 9:00am-5:30pm EST; and the late days are 12:00pm-8:30pm EST. The Clinical Quality...
* Clinical Quality Assurance Coordinator! This position is 100% remote and the schedule will be Monday-Friday, 2 early days... Clinical Quality Assurance Coordinator is responsible for ensuring Peer Review case reports are of the highest quality...
TO THE FOLLOWING: Performs quality assurance review of peer review reports, correspondences, addendums or supplemental... addressed. Ensures each review is supported by clinical citations and references when applicable and verifies...
Summary We are currently hiring for a Medical Reviewer I to join BlueCross BlueShield of South Carolina. In this role... as Medical Reviewer I, you will perform medical reviews using established criteria sets and/or performs utilization management...
Reviewer I Location: Illinois. This is a remote position working from home, however, the ideal candidate will live within 50...Anticipated End Date: 2025-01-26 Position Title: Nurse Reviewer I Job Description: Carelon Health is a proud...
, our work spans laboratory, digital and decentralized clinical trial services. Your determination to deliver quality... and quality to deliver groundbreaking innovations. Discover Impactful Work: The Data Reviewer performs review of a variety...
Reviewer I Location: Illinois. This is a remote position working from home, however, the ideal candidate will live within 50...Anticipated End Date: 2025-01-26 Position Title: Nurse Reviewer I Job Description: Carelon Health is a proud...
that is preventative, proactive and tailored to their unique needs. Using an evidence-based approach focused on quality care management... and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices...
that is preventative, proactive and tailored to their unique needs. Using an evidence-based approach focused on quality care management... and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices...
Anticipated End Date: 2025-02-10 Position Title: Reviewer - Therapy Services Job Description: Title: Reviewer... – Therapy Services *This position will be 100% remote* Location: Candidates must reside within 50 miles or 1-hour commute...
Overview: Medicare Medical Review RN (Medical Reviewer III) - REMOTE The Medicare Medical Review RN (Medical... Reviewer III) will primarily be responsible for conducting clinical reviews of medical records during the course of fraud...
Job Tittle: Claims Reviewer Job ID: 74398 Location: Arizona – Remote What you will be doing: Conducts medical... claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys...
! We're looking for a detail-oriented Claims Reviewer who can apply clinical and coding knowledge to ensure accurate claims... for process improvement and flag quality or fraud concerns. Support peers and clinical/non-clinical staff with claims and coding...
to the client. Will act as a liaison and coordinate quality issue reports along with all new reviewer reports with the VP...The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services...
to the client. Will act as a liaison and coordinate quality issue reports along with all new reviewer reports with the VP...Job Description: The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring...