Utilization Review Physician Jobs

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Clinical Reimbursement Coordinator (Full Time)  

Genesis HealthCare - Fredericksburg, Virginia

, restorative, rehabilitation and physician services to ensure appropriate reimbursement. RESPONSIBILITIES/ACCOUNTABILITIES: - RevenueOptimization - Resource Utilization: 1.1 Tracks Medicare Customers Utilization Review Physician Work careers...

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from: resume-library.com (+1 source) - Yesterday

Supervising Medical Director (Remote)  

Centene - MO, United States (+1 location)

development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies. Identifies utilization review studies Utilization Review Physician careers...

from: jobleads.com (+1 source) - 11 days ago

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Medical Director  

Centene - Indianapolis, Indiana

and policies. - Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies physician utilization review...

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from: resume-library.com - 4 days ago

Associate Medical Director  

Southfield, MI, United States

with physicians in the BCBSM network regarding: medical policies, utilization management, claims editing, use of resources and quality.. Perform high dollar claims and complex case reviews.. Participate in inter utilization review physician advisor...

from: jobleads.com - 3 days ago

Medical Director  

Lee's Summit, MO, United States

to the organization’s medical and pharmacy programs Conducts peer to peer reviews as requested by attending physicians or as needed to establish the medical necessity of requested services. Knowledge, Skills utilization review chiropractor...

from: jobleads.com - 3 days ago

Senior Medical Director  

Centene - Columbus, Ohio

utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identify clinical quality improvement physician advisor utilization review...

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from: resume-library.com (+1 source) - 7 days ago

PACE KC Medical Director  

Pace, FL, United States

services. Assistance with the performance and/or review of medical audits and review of physician’s practice patterns related to Geriatric Care and Medicare Care Management programs to assure adherence telecommute utilization review physician ortho...

from: jobleads.com - 3 days ago

Medical Director  

Louisville, KY, United States

decisions). Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations. Leads physician meetings, training and education of PCPs within assigned utilization review physician orthopedic surgeon...

from: jobleads.com - 5 days ago

Clinical Documentation Specialist – REMOTE  

Capital Staffing - Minneapolis, MN

trends. Confers with nursing, case management, utilization review and other clinical caregivers to explain the importance of clear and concise documentation. Collects and analyzes data showing utilization review physician los...

from: ziprecruiter.com - 2 days ago

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Medical Director of Center- Atlanta  

Atlanta, GA, United States (+2 locations)

decisions). Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations. Leads physician meetings, training and education of PCPs within assigned utilization review physician telecommute prn...

from: jobleads.com - 11 days ago


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Some Valuable Facts about Utilization review physician jobs

We are pleased that approximately 10% of our users in the Health sector, are also interested in applying to some of these jobs.

Location is an important factor in your decision, right? That’s why you would need to know that Dallas, TX is the place, displaying the 3% of all job offers. Another important place is New York, NY where you can apply to a total of 28 jobs and finally, another alternative is the population of Philadelphia, PA where there are 27 job opportunities.

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