Clinical reviewer jobs
UM Clinical Reviewer
Centers Plan for Healthy Living - MargateCenters Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living. One of the
1 day ago, source: adzuna
Clinical Reviewer
Independent Health Association - CheektowagaFIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and inclusion.
2 days ago, source: adzuna
Clinical Reviewer
Independent Health - CheektowagaFIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and inclusion.
2 days ago, source: Careerjet
Clinical Reviewer
KEPRO - West EndCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
2 days ago, source: adzuna
Quality Clinical Reviewer
Magellan Health - BoiseLooking for candidates with: - Bachelors level clinician (RN) or Masters level clinician (LCSW, LPC, LMHC, MFT) or a provisional license.
2 days ago, source: adzuna
Physician Clinical Reviewer-Neurology
Evolent Health - Schneiders PrairieYour Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions.
2 days ago, source: adzuna
RN Registered Nurse Clinical Reviewer MTQIP
Trinity Health - Saint JosephEmployment Type: Full time Shift: Day Shift Description: The MTQIP Clinical Reviewer (MCR) is responsible... Michigan Handicapper’s Act, or SJMHS’s Return to Work Program The RN Clinical Reviewer Required Education, Experience...
Today, source: Careerjet
Utilization Clinical Reviewer - Remote in California (LCSW, LMFT, LPCC or LCPC)
Acentra Health - AnaheimJob Description Job Description Acentra seeks a Utilization Clinical Reviewer to join our growing team in California. Job Summary As a Utilization Clinical Reviewer, you'll harness your expertise to evaluate medical records against precise criteria,
18 days ago, source: adzuna
Nurse Reviewer - Clinical Review Unit
Hawaii Medical Service Association - KapoleiJob Description: Utilize medical necessity criteria from established medical policies and clinical practice... guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical...
1 day ago, source: Careerjet
Clinical Reviewer Outpatient Registered Nurse (Medicare Advantage and SCO)
US Tech Solutions - CantonJob Summary The Clinical Reviewer is a licensed professional –a Registered Nurse preferred– that is expected... for services. The Clinical Reviewer is responsible for making the determination of medical necessity and, therefore, benefit...
1 day ago, source: Careerjet
