Medical Review Jobs

NCI Information Systems, Inc1 - City of Virginia Beach, Virginia

Job ID 2019-3673 Job Locations US-VA-Henrico Category Healthcare / Biotechnology Type Regular Full-Time Responsibilities ESSENTIAL FUNCTIONS BY LEVEL: CODING SPECIALIST III * Audits medical records Medical Review Work careers...

from: resume-library.com - 6 days ago

Centene - Baton Rouge, Louisiana

Medical Review Nurse - Behavioral Health Position Purpose: Perform medical review provider claims, authorizations, and medical records to achieve resolution of authorization issues that result Medical Review careers...

from: resume-library.com (+1 source) - 5 days ago

Molina Healthcare - Columbus, OH

/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing medical reviewer pharmacovigilance...

from: jobs2careers.com (+1 source) - 6 days ago

Molina Healthcare - Troy, Michigan, US

with cost control standards. Knowledge/Skills/Abilities • Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been medical reviewer...

from: neuvoo.us (+1 source) - 4 days ago

Blue Cross Blue Shield (Bcbs) Of Michigan - Southfield, Michigan

RN Team Leader-Clinical Review-Medical Management-Commons-Southfield Southfield DEPARTMENTAL SUMMARY The responsibilities of this team lead position applies to the clinical review department which medical review nurse in Atlanta, GA...

from: resume-library.com - 3 days ago

San Francisco, California, United States (+3 locations)

; ensures that consistent, timely, and focused medical review and assessments for safety cases are conducted according to regulatory and departmental timelines at the individual level. This position medical records reviewer... 200.000 +

from: jobleads.com (+1 source) - 13 days ago

Automotive Resources Intl - Cambridge, Massachusetts

of your future at Takeda. Join us as a Director, Medical Review Pharmacovigilance in our Cambridge office. Here, everyone matters and you will be a vital contributor to our inspiring, bold mission. As a Medical medical reviewer...

from: resume-library.com - 17 days ago

Grey Staffing, LLC - Miami, FL

case review requirements, which includes review of cases sent for Second Level Review • Primary medical director leading utilization management and case management efforts. This includes conducting medical review nurse in Jacksonville, FL...

from: ziprecruiter.com - Yesterday

Amtrak - Oakland, California

for Amtrak job opportunities. All positions require pre-employment background verification, medical review and pre-employment drug screen. Amtrak is committed to a safe and drug-free workplace and performs pre work from home medical review specialist... 68000 - 75000

from: resume-library.com - 5 days ago

UPMC - Camp Hill, PA

to psychiatric services. Acts as a physician reviewer for cases referred by care management staff. Advises the Regional Medical Director on the development and review of programs, positions, and budgets having remote medical review nurse auditor...

from: jobs2careers.com (+2 sources) - 5 days ago