Remote Physician Medical Reviewer Jobs

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  • Remote Medical Quality Assurance Reviewer - Nationwide

    A healthcare company needs applicants for an opening for a Remote Medical Quality Assurance Reviewer....Candidates will be responsible for the following: Completing quality reviews and participating in clinical quality improvement programs Executing quality control testing of electronic medical records system Navigating technical applications &ndash

  • Remote Safety Medical Reviewer Associate Director - Nationwide

    A clinical stage biotechnology company is searching for a person to fill their position for a Remote Safety Medical Reviewer Associate Director....DO or NP with 2+ years of experience in Drug Safety and PV Thorough knowledge of current US, Global, and ICH safety reporting regulations and guidelines Worked with a drug safety database (ARGUS experience helpful) and have had responsibility for medical

  • Remote Medical Reviewer V - Nationwide

    An information technology company is searching for a person to fill their position for a Remote Medical Reviewer V....in medical or surgical nursing At least two (2) years of formal management experience At least four (4) years of medical record audit experience

  • Remote Inpatient Audit Acute Care Physician Medical Director - Nationwide

    Medical Director, Inpatient/Audit | Acute Care Physician (REMOTE) CAROUSEL_PARAGRAPH United States Clinical Full Time Day 2389 Job Description Overview Versalus Health, a Company, provides data-driven solutions combined with clinical...As a Medical Director for Versalus Health , you'll have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to Versalus Health's client hospitals.

  • Remote Registered Nurse Medical Reviewer III - Nationwide

    An information technology company is seeking a Remote Registered Nurse Medical Reviewer III..../surgical setting At least 2 years of medical record audit experience Familiarity with Medicaid and/or CHIP program Critical thinking and analytical skills

  • Remote Medical Director Denials Management Acute Care Physician - Nationwide

    Medical Director Denials Management (VH) Acute Care Physician (REMOTE) CAROUSEL_PARAGRAPH United States Clinical Full Time Day 2388 Job Description Overview Versalus Health, a Company, provides data-driven solutions combined with...Keywords: Physician, MD; DO; non-clinical; Physician Advisor; Utilization Management; Utilization Review; Case Management; CDI

  • Telecommute Licensed Practical Nurse Reviewer - Nationwide

    In this position, as an LPN Reviewer, you will perform prospective reviews (prior authorization) and retrospective reviews according to established criteria and protocols to determine the medical appropriateness of the clinical requests from providers...You will work closely with Medical Directors and other Company staff to ensure appropriate cost-effective care by applying your clinical knowledge and critical thinking skills to assess the medical necessity of therapy and procedure requests.

  • Telecommute Supervising Physician - Nationwide

    Supervising Physician (Contract) Palo Alto; Remote also OK / Operations / Contract / Remote Company is seeking a Supervising Physician (Contractor) with a passion for patient advocacy and improving the way people access healthcare today....Company Staff Services to manage the peer-review process of APPs Act as a supervising/collaborating physician to our APPs Escalate any concerns to Head of APP's or Head of Company Staff Services Review provider charts and provide feedback regarding

  • Remote Registered Nurse Clinical Reviewer II - Nationwide

    A non-profit health insurance company has an open position for a Remote Registered Nurse Clinical Reviewer II....Candidates will be responsible for the following: Assisting the audit and investigative teams in the development of clinical and coding-based audit tools Conducting claim reviews against medical records to determine claim accuracy for claims payment

  • Remote Diagnosis Related Groups Nurse Reviewer - Nationwide

    DRG Nurse Reviewer locations Remote Full time Posted Today JR101537 Position Overview: The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews...as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc Based on the evidence presented in the medical records, determine, and record the appropriate (revised)

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