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...Physician Clinical Reviewer- Oncology -REMOTE at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every...
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Internship
...commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to... ...of a patient's ability to pay for health care.
The Charge Review Specialist, Physician Billing is responsible for all revenue...
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...supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered... ...Responsibilities:
The Details
Communicates directly with customer and physician advisor and tracks cases to ensure case is completed and...
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Permanent employment
...Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.
The Utilization Review Physician is the lead clinician for the health plan. Responsible for the...
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...system will quickly have you in front of a live recruiter.
The Opportunity
Description
We're looking for a Physician Reviewer , working in Insurance industry in Chicago, Illinois, United States .
Evaluates clinical service requests made by an...
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...of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine & Rehabilitation physician to process utilization reviews . Worker's Compensation experience is preferred but, not required. This telework opportunity provides the...
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...because this is more than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective...
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Flexible hours
...week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor... ...appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity...
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...Utilization Review RN - Remote at Guidehouse in Boise, Idaho, United States Job Description Job Family : Clinical Appeals Nurse Travel Required... ...requirements. + Identify documents and refer cases to the Physician Advisor for medical review when services do not meet medical...
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...Clinical Pharmacist Reviewer- REMOTE at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people... ...Supports drug utilization review (DUR) efforts by reviewing physician prescribing patterns, consulting with physicians regarding...
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Overview:
Are you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a TX license... ...contractor.
JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions about...
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...Physician Clinical Reviewer-Pulmonology at Evolent Health in Boise, Idaho, United States Job Description Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working...
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...medical necessity decisions are being rendered.
Partner closely with the PAC Medical Director in care planning and goal setting, reviewing discharge plans and length of stay status to ensure optimal outcomes.
Act as a clinical resource for unlicensed Post-Acute Care...
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Weekend work
Afternoon shift
...Experienced Document Review Attorney Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on our...
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Description
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# Job Description
Care Review Clinician (Remote)
Remote: New York, New York, US
Salary: $40.00 Per Hour
Job Code: 347819
End Date: 2024-05-03
Days Left: 11 days, 3 hours left
Apply
~ We are...
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Hourly pay
About the job Contract Review Consultant - Remote
Hoot-Recruit Agency, on behalf of our client, a professional services company that provides advice and solutions to clients in the areas of risk, strategy, and people, is hiring a Contract Review Consultant to...
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Contract work
...more complex issues.
The Preservice Review/Prior Authorization RN will manage the full... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take... ...internal and external Case Managers and Physicians
* Follow all Standard Operating...
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Work experience placement
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...Job Summary
We offer remote work opportunities (AK, AR, AZ, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE,NV, NM, NC,... ...Manager, Retrospective UM. Supervises staff who conduct retrospective review of medical claims for appropriate DRG or non-DR coding and...
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...a vital partner for health solutions in the public sector.
Acentra seeks an Internal Medicine or Family Practice Physician Reviewer (Illinois Remote, PRN) to join our growing team.
Job Summary:
The Internal Medicine or Family Practice Physician Reviewer will provide...
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Relief
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...Utilization Review Authorization Coordinator - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date... ...greater prosperity and stability.As the country's largest physician-led, minority-owned, integrated health care system, our doctors...
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