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Search parameters used for this particular query: Healthcare Medical Reviewersjob / career / vacancy; job location: United States of America (USA). We found several listings that are shown below (part time / full time jobs / jobs near me).
Job Description: Assists with providing patients with ready access to their own healthcare team for direct patient care, health promotion, disease prevention and patient…
Company: Capital Health Plan Hiring Organization: Capital Health Plan Salary: TBD
Location: Remote Street Address: TBD
Locality: Remote Region: disclosed when applied Postal code: disclosed when applied
Job Description: Review medical content to ensure all claims are factual and consistent with clinical best practices. Our Medical Expert Board ensures that all of our medical…
Company: Dotdash Meredith Hiring Organization: Dotdash Meredith Salary: TBD
Location: United States Street Address: TBD
Locality: United States Region: disclosed when applied Postal code: disclosed when applied
Job Description: In this position you will assess the medical necessity and quality of healthcare services by conducting prospective, concurrent, and retrospective utilization…
Company: Comagine Health Hiring Organization: Comagine Health Salary: TBD
Location: Remote Street Address: TBD
Locality: Remote Region: disclosed when applied Postal code: disclosed when applied
Job Description: Forwards treatment requests for physician reviewer that cannot be approved as medically necessary based on application of solid clinical judgment.
Job Description: Collaborate with Medical Director and third-party reviewers to determine medical necessity. Advanced understanding of healthcare modalities, pathophysiology,…
Company: Baylor Scott & White Health Hiring Organization: Baylor Scott & White Health Salary: TBD
Location: Killeen, TX Street Address: TBD
Locality: Killeen, TX Region: disclosed when applied Postal code: disclosed when applied
Job Description: Reviews and analyzes medical billings for appropriate payment classifications. This position requires a credit check*. High School diploma or equivalent.
Company: TMF Health Quality Institute Hiring Organization: TMF Health Quality Institute Salary: TBD
Location: Remote Street Address: TBD
Locality: Remote Region: disclosed when applied Postal code: disclosed when applied
Job Description: Successful candidates will perform medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or…
Job Description: Document decisions and rationale while maintaining pertinent clinical information in various medical management systems. 5+ years utilization review experience.
Job Description: Individuals with a degree in a healthcare related field who possess professional clinical backgrounds with Medicare QIO experience with quality of care reviews…
Job Description: They will also refer authorization requests not meeting criteria to specialty physician reviewer according to established medical necessity, benefit and…
Company: Hill Physicians Medical Group Hiring Organization: Hill Physicians Medical Group Salary: TBD
Location: California Street Address: TBD
Locality: California Region: disclosed when applied Postal code: disclosed when applied
Job Description: Application of critical thinking and knowledge of clinically appropriate treatment, evidence-based care and medical necessity criteria for appropriate…
Company: CVS Health Hiring Organization: CVS Health Salary: TBD
Location: Phoenix, AZ Street Address: TBD
Locality: Phoenix, AZ Region: disclosed when applied Postal code: disclosed when applied
Job Description: Competitive compensation and benefits packages including medical, dental, and vision coverage. Through extensive interaction with physicians and other members…
Company: Mount Carmel Health System Hiring Organization: Mount Carmel Health System Salary: TBD
Location: Columbus, OH 43219 Street Address: TBD
Locality: Columbus, OH 43219 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Requires HS diploma or equivalent; 2 years customer service experience in healthcare related setting and medical terminology training; or any combination of…
Company: Elevance Health Hiring Organization: Elevance Health Salary: TBD
Location: Remote Street Address: TBD
Locality: Remote Region: disclosed when applied Postal code: disclosed when applied
Job Description: 1+ years of experience with medical record management or medical billing (healthcare information). This employee will be part of the Intake Operations team…
Company: Optum Hiring Organization: Optum Salary: TBD
Location: San Juan, PR 00917 Street Address: TBD
Locality: San Juan, PR 00917 Region: disclosed when applied Postal code: disclosed when applied
Job Description: As part of your mission as an evaluator/product reviewer, you will be responsible for carrying out evaluations as part of the CE marking conformity assessment…
Company: GMED NA Hiring Organization: GMED NA Salary: TBD
Location: Remote Street Address: TBD
Locality: Remote Region: disclosed when applied Postal code: disclosed when applied
Job Description: With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient…
Company: R1 RCM, Inc. Hiring Organization: R1 RCM, Inc. Salary: TBD
Location: Remote Street Address: TBD
Locality: Remote Region: disclosed when applied Postal code: disclosed when applied
Job Description: One (1) year of Medicare appeals, medical review, clinical, healthcare regulatory interpretation/application, healthcare compliance, billing and coding or…
Company: TMF Health Quality Institute Hiring Organization: TMF Health Quality Institute Salary: TBD
Location: Remote Street Address: TBD
Locality: Remote Region: disclosed when applied Postal code: disclosed when applied
Job Description: Ability to proficiently read and interpret medical records. Maintain expert knowledge of medical record review and EMR systems. Bachelor’s Degree required; and.
Company: NYC Health + Hospitals Hiring Organization: NYC Health + Hospitals Salary: TBD
Location: New York, NY Street Address: TBD
Locality: New York, NY Region: disclosed when applied Postal code: disclosed when applied
Job Description: Medical insurance background as well as medical terminology and knowledge of CPT codes preferred. We offer career advancement, a rich tuition reimbursement…
Company: Catholic Health Long Island Hiring Organization: Catholic Health Long Island Salary: TBD
Location: Bethpage, NY 11714 Street Address: TBD
Locality: Bethpage, NY 11714 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Responds to medical queries regarding use of Emergent BioSolutions’ products from healthcare professionals, government stakeholders and other scientific…
Job Description: Authorizes healthcare services in compliance with contractual agreements, Health Plan guidelines and appropriate medical necessity criteria.
Data as of 2023-12-03 (Cached) with id 115455. Database job listings: 1,214,315 jobs and growing. Find more jobs near me.
If you are switching jobs:
The replacement of job should not be an excuse for labelling the workplace you have worked in as poor. You should say to your boss why you are leaving the business and you should point out things that bothered you, take action in a polite and professional way however. Keep a measure of professionalism that has led you to this aspect in your career. This can help one to make solid references in the future. In talks with fresh potential employers, it's important to be nice.
You should also tell your better that you will be grateful for the opportunity that you have had in working for his or hers organization. You never know whenever your current boss will end up being a great reference. Be aware that no one likes to end up being criticized. Not from subordinates or co-workers even. Even if they should have it. A person with whom you possess ever worked with can be a potentially positive reference. Do not demolish the bridges behind you. Maintain genuine contacts.
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