• CHRISTUS Health (Mansura, LA)
    …the services which the health center provides. The NP, in conjunction with the Medical Director, participates in the periodic review of the patient's health ... State Board of Nursing OR Licensed Physician Assistant by the Louisiana State Medical Board or the ability to obtain prior to employment. Excellent written and… more
    JobGet (11/19/24)
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  • Eurofins USA Food Testing (North Platte, NE)
    …staff in making sure that analytical work done under ISO meets requirements. Review and evaluate test data generated within assigned area of responsibility for ... to ensure that the corrective action resolved the problem. Create and review reports. Review applications, conduct interviews, and make hiring decisions… more
    JobGet (11/04/24)
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  • Fire Plan Reviewer

    Lee County Board of County Commissioners (Fort Myers, FL)
    Fire Plan Reviewer Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/4735880) Apply  Fire Plan Reviewer Salary $24.86 - $52.12 Hourly ... + Benefits + Questions Description JOIN OUR TEAM AS A FIRE PLAN REVIEWER ! Lee County Community Development is committed to ensuring the safety and compliance… more
    Lee County Board of County Commissioners (11/21/24)
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  • Itemized Bill Review , Facility…

    Zelis (NJ)
    Position Overview: At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans ... adherence to proper billing guidelines. They will work closely with Expert Claims Review and Concept Development staff to efficiently identify and adhere to policies… more
    Zelis (10/12/24)
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  • Physician Reviewer BH PRU

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …At the request of the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also provides clinical leadership in other areas of ... healthcare? Bring your true colors to blue. The Physician Reviewer is responsible for evaluating clinical service requests made...+ Perform additional tasks as assigned by the Associate Medical Director of the Physician Psychologist Review more
    Blue Cross Blue Shield of Massachusetts (11/13/24)
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  • Clinical Reviewer - Remote within Maine…

    Kepro (Portland, ME)
    Reviewer , you'll harness your expertise to meticulously evaluate medical records against precise criteria, wielding critical thinking and decisive skills ... for ensuring the accuracy and consistency of the Psychiatric Inpatient Concurrent Review process. This full-time Clinical Reviewer Remote position based in… more
    Kepro (11/13/24)
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  • Assistant Project Manager - Utility Design…

    AECOM (Sacramento, CA)
    …Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer ** to be based in **Sacramento or Fresno, CA.** **JOB SUMMARY:** Under ... of Investigation ("ROI") and the Utilities Senior Project Manager, the Utility Design Reviewer contributes alongside a team of Utility Design Reviewers to prepare, … more
    AECOM (10/09/24)
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  • Reviewer I, Medical

    ManpowerGroup (Columbia, SC)
    **Title: Medical Reviewer ** **Location:** **4101 Percival Road Columbia SC 29229 US (Onsite)** **Duration: 03+ Month's Contract** **Shift: Monday to Friday, 8 AM ... Range $20.00 to $23.00/hr.** We are looking for a " Medical Reviewer " to join one of our...one of our Fortune 500 clients. **Job Summary** The Medical Review and Utilization Management Specialist is… more
    ManpowerGroup (10/22/24)
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  • Contract Medical Literature Reviewer

    EBSCO Information Services (Ipswich, MA)
    …hourly rate determined by level of experience, education, and training. As a Medical Literature Reviewer your primary responsibility will be to monitor journals ... a regular basis + Meet or exceed goals to review evidence in a timely manner to help keep...training, and support to ensure your success as a Medical Literature Reviewer . **About You** + Physician… more
    EBSCO Information Services (11/09/24)
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  • RN Clinical Reviewer

    HCA Healthcare (Corpus Christi, TX)
    …career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will be contacted ... have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current role? We invest...an exciting opportunity for you to join Corpus Christi Medical Center Bay Area which is a part of… more
    HCA Healthcare (09/24/24)
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  • Civil Engineer - Plan Reviewer

    Jacobs (Atlanta, GA)
    …design, geometric design of driveways and roadways, utility design, erosion control, and design review . When working as a plan reviewer , you will be responsible ... on challenging design projects and serve as a plan reviewer on behalf of our clients. Design and consulting...interpreting regulatory requirements and have experience with municipal plan review . The candidate should work well in a team… more
    Jacobs (09/19/24)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Nashville, TN)
    …invested over 156,000 hours volunteering in our communities. As a Coding Quality Audit Reviewer with Work from Home you can be a part of an organization that ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...We are looking for an enthusiastic Coding Quality Audit Reviewer to help us reach our goals. Unlock your… more
    HCA Healthcare (11/21/24)
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  • Dental Hygienist Reviewer

    Kepro (AR)
    …partner for health solutions in the public sector. Acentra seeks a Dental Hygienist Reviewer to join our growing team. Job Summary: The Dental Hygienist Reviewer ... of dental health policy and preventative treatment plans. The Dental Hygienist Reviewer will complete their work with limited supervision. *Position is remote within… more
    Kepro (11/26/24)
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  • Medicare Nurse Reviewer

    Medical Mutual of Ohio (OH)
    …Supplement, and individual plans. Under limited supervision, the Medicare Nurse Reviewer applies medical necessity guidelines in making authorization ... Founded in 1934, Medical Mutual is the oldest and one of...services. + Participates with designated external vendors and Assistant Medical Directors, social workers and case managers to determine… more
    Medical Mutual of Ohio (11/20/24)
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  • RN Clinical Reviewer

    HCA Healthcare (Webster, TX)
    …support our colleagues in their positions. Join our Team as a(an) RN Clinical Reviewer and access programs to assist with every stage of your career. **Benefits** ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...and job skills. Apply today for our RN Clinical Reviewer opening and continue to learn! **Job Summary and… more
    HCA Healthcare (10/30/24)
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  • Tax Reviewer

    Robert Half Finance & Accounting (Woodbridge, NJ)
    Description A specialized tax preparation firm in the Woodbridge area seeks a Tax Reviewer to handle the review of individual (1040) tax returns. This ... opportunity is unique because the Tax Reviewer can work flexible hours four days per year...United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… more
    Robert Half Finance & Accounting (10/09/24)
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  • Clinical Reviewer - Behavioral Health - PRN…

    Kepro (AR)
    …complies with relevant Arkansas Medicaid regulations and referring services to the Physician Reviewer for medical necessity determination if warranted. + Acts as ... the public sector. Acentra is looking for a Clinical Reviewer - Behavioral Health - PRN (Remote within Arkansas)...Utilization Review /Utilization Management experience. + Clinical quality review experience with medical records. + … more
    Kepro (11/21/24)
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  • HEDIS Reviewer

    Centers Plan for Healthy Living (Garden City, NY)
    …responsible for supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers Plan for Healthy Living ... HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530,...(PCP) and/or Specialist(s) as indicated by HEDIS measures. + Review assigned medical records in order to… more
    Centers Plan for Healthy Living (11/06/24)
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  • UM Clinical Reviewer

    Centers Plan for Healthy Living (Margate, FL)
    UM Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #664 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to help identify and manage… more
    Centers Plan for Healthy Living (11/06/24)
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  • Physician Clinical Reviewer - GI- Remote

    Prime Therapeutics (Columbus, OH)
    …**Job Description Summary** Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the ... Initial Clinical Reviewers as needed to discuss cases and problems. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD… more
    Prime Therapeutics (09/21/24)
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