- Elevance Health (Norfolk, VA)
- …an impact:** + Utilizes guidelines and review tools to analyze assigned medical records and correspondence to route to appropriate imaging and routing ... more
- University of Utah (Salt Lake City, UT)
- …**Requisition Number** PRN41383B **Job Title** PS Program Assistant **Working Title** Medical Review Coordinator **Job Grade** C **FLSA Code** Nonexempt ... more
- BlueCross BlueShield of North Carolina (NC)
- … medical management related claims, using varied and broad clinical expertise. The Medical Review Analyst acts as a member advocate to promote and coordinate ... more
- Prime Healthcare (Chicago, IL)
- …Responsibilities Coordinates and completes the clinical reviews for all patient medical records while working closely with CMO (Chief ... more
- Bristol Myers Squibb (Madison, NJ)
- …advisors/stakeholders on issues or concerns + Ability to demonstrate leadership within the medical review team to help drive best practices aligned with ... more
- Prime Healthcare (Joliet, IL)
- …Responsibilities Coordinates and completes the clinical reviews for all patient medical records while working closely with CMO (Chief ... more
- The Arora Group (Bethesda, MD)
- …providers in gathering clinical information and may also provide education on the medical review process. + The Contractor performing as the License Practical ... more
- HCA Healthcare (Nashville, TN)
- …geographical market and productivity. **What you will do in this role:** + Conduct medical record review , validate admission status order, conduct a ... more
- Robert Half Office Team (Rancho Cordova, CA)
- …is essential. * Ability to perform Medical Records Analysis and Medical Records Review effectively. * Familiarity with Clinical Data Interchange ... more
- Truman Medical Centers (Kansas City, MO)
- …to data analysis, reporting, and community-based action planning. **What You'll Do** + Review medical records and conduct interviews with families to ... more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …of risk management and regulatory agency requirements/standards. Experience with electronic medical record systems and knowledge of clinical/ medical ... more
- Intermountain Health (Murray, UT)
- …regulatory compliance. Candidate will apply expertise in Applied Behavior Analysis (ABA) to review medical records and treatment plans for individuals with ... more
- Emanate Health (Covina, CA)
- …United States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical ... more
- AbbVie (Mettawa, IL)
- …within Medical Affairs + Health Impact (MHI) organization, including Medical Review , Scientific Platform, CFL (consistent with the FDA-required labeling), ... more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …DUTIES The primary responsibility of the Utilization Review Specialist is to review medical records and prepare clinical appeals (when appropriate) on ... more
- UCLA Health (Los Angeles, CA)
- …including inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health ... more
- Pfizer (New York, NY)
- …All concept/strategy and how it relates to the customers' needs. + Lead the medical review and due diligence when considering external partners and vendors (eg, ... more
- Centene Corporation (Springfield, IL)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... more
- Taiho Oncology (Princeton, NJ)
- …to Medical Information, Medical Communication and IIST teams + Provide medical review on cross functional review committees; serve as subject matter ... more
- The County of Los Angeles (Los Angeles, CA)
- …direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of ... more
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