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Medical Reviewer Jobs in USA: 95,982 Job Openings

Greater Seattle Area
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... guidelines. nbsp;As a Medical Reviewer, this role reviews and assesses safety information ... Full description
Indianapolis, Indiana
Eli Lilly & Co
... of GPS Medical - Global Medical Review Medical Advisor and Senior Medical Advisor ... the global medical reviewer Medical Advisor or Senior Medical Advisor will ... Full description
Alexandria
Integrity Management Services, Inc.
... be a RN with prior medical review experience. Requirements * Current RN ... experience * Demonstrated proficiency in Medical Review work * Working knowledge of ... Full description
North Chicago, Illinois
Rangam Consultant Inc
Job Description: Reviews safety-related data from clinical ... consistency and accuracy of codingMedical review of safety-related CRFs and ... Full description
Houston, Texas
NCI Information Systems, Inc
... Medical Review policies and procedures. Assesses results of post-pay reviews conducted by Medical Review ... regulations pertaining to Medical Review Makes hiring ... Full description
Durham, US
Blue Cross Blue Shield of North Carolina
... broad clinical expertise. The Medical Review Analyst acts as a member ... for Clinical review of FEP Reconsiderations. • Determines pre- existing, medical necessity, ... Full description
sacramento, white, illinois
Centene Corporation
Description:Position Purpose: Perform retrospective review of large hospital and physician claims for admission appropriateness, coding, length of Full description
Los Angeles, CA
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... seeking to fill a Utilization Review Nurse (LVN or RN) near ... Nurse (LVN or RN) to review and analyze appeals, as well ... Full description
Omaha
Access Talent Today, LLC
... CONTINGENT UPON CONTRACT AWARD_ The Medical Review Manager will possess a ... claims processing organization involving medical and coding reviews of a variety ... Full description
Dallas, Texas
NCI Information Systems, Inc
... Medical Review policies and procedures. Assesses results of post-pay reviews conducted by Medical Review ... regulations pertaining to Medical Review Makes hiring ... Full description
San Diego - CA
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... SUMMARY: Contributes to the overall medical oversight and safety evaluation within ... , Project Management, Regulatory, QA and Medical Affairs. Full description
Nashville
Access Talent Today, LLC
... CONTINGENT UPON CONTRACT AWARD_ The Medical Review Manager will possess a ... claims processing organization involving medical and coding reviews of a variety ... Full description
Westmont, Illinois
Centene Corporation
... claims. Perform retrospective review for medical necessity appeals against medical review criteria to make ... Full description
IL
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Medical Reviewer II Click the Facebook, Google+ ... for performing accurate and timely medical review of Regular Business, State of ... Full description
Columbia
Access Talent Today, LLC
... CONTINGENT UPON CONTRACT AWARD_ The Medical Review Manager will possess a ... claims processing organization involving medical and coding reviews of a variety ... Full description
Sunrise, Florida
... an immediate supervisor or Senior Medical Review Analyst. Knowledge is broader ... litigated claims. Researches, reviews and prepares medical information to present ... Full description
california
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Medical Review Nurse -Sacramento, CARegistered Nurse Requirements:Experience with Utilization Full description
Remote
Integrity Management Services, Inc.
... Medicaid programs, a utilization review firm, or another health ... coverage or medical necessity policies and guidelines * Medical review experience is ... Full description
Bristol, Pennsylvania
Lower Bucks Hospital
... by the Hospital/ Department at Medical Review Coordinator I position for at ... order to be promoted to Medical Review Coordinator II position; the Employee ... Full description
texas
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Medical Review RN 08/30/2017 to 02/28/2017DescriptionResponsible for reviewing retrospective hospitalization, home care and inpatient/outpatient treatment Full description
Kansas City
Providence Medical Center
... completes the clinical reviews for all patient medical records while working ... utilization review teams with regards to admission criteria, medical necessity, ... Full description
Cape Canaveral, Florida
... .  DUTIES AND RESPONSIBILITIES: Performs medical review of incoming charts to determine ... staff members for chart review. Performs medical Quality Assurance (QA) ... Full description
Omaha
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... and reports of completed medical review determinations. the medical reviewer will be in direct ... Full description
Brisbane, California
SightLife
... supporting all other areas of medical review operations to ensure that all ... necessary. · Follows direction of the Medical Review Manager in joint recovery and ... Full description
Franklin
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... and reports of completed medical review determinations. the medical reviewer will be in direct ... Full description
Cape Canaveral, Florida
... . Collaborates with administrative and medical staff (Physicians, Review Nurses, Client Service Administrators ... Full description
Columbia
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... and reports of completed medical review determinations. the medical reviewer will be in direct ... Full description
Dallas, Texas
NCI Information Systems, Inc
... upon completion of the records review. Incorporates leadership and communication ... to UPIC staff on medical terminology, reading medical records, and policy ... Full description
Sacramento
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... description medical review nurse -sacramento, ca registered nurse requirements: experience with utilization review ... Full description
Fargo, ND
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... 11/1/2017 Title Medical Review Examiner City Fargo State ... Essential Functions 1) Review and analyze medical records. Make medical review decisions based upon ... Full description
Fargo, ND
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... 11/13/2017 Title Medical Review Examiner City Fargo State ... Essential Functions 1) Review and analyze medical records. Make medical review decisions based upon ... Full description
Sacramento, CA
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... and review retrospective medical necessity appeals against medical review criteria to ... other clinical functions of medical review. Maintain appropriate records, ... Full description
Sacramento, CA
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... and review retrospective medical necessity appeals against medical review criteria to ... other clinical functions of medical review. Maintain appropriate records, ... Full description
Sacramento, CA
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... and review retrospective medical necessity appeals against medical review criteria ... other clinical functions of medical review. * Maintain appropriate records ... Full description
Sacramento
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... current opening for a rn medical review nurse. for a top ... and pricing and review retrospective medical necessity appeals against medical review criteria to make ... Full description
San Antonio, TX
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job description medical review rn 08/30/2017 to ... to compliance department. reviews, documents, and communicates all medical claims review activities. requirements ... Full description
Southfield, MI
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-Job Description Medical Review and Appeals RN Location: Southfield, ... for this position. Medical Review and Appeals RN: Perform review of inpatient, outpatient ... Full description
Durham, NC
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... seeking a highly motivated Medical Review Analyst to join the ... experience, medical literature, medical records, certificate guidelines, medical policy and ... Full description
texas
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NCI As the Medical Review Supervisor ( Medical Review Supervisor ) supporting AdvanceMed, you will be responsible for the management of the Medical Review Full description
texas
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NCI As the Medical Review Supervisor ( Medical Review Supervisor ) supporting AdvanceMed,you will be responsible for the management of the Medical Review Full description