• Utilization Management Reviewer

    AmeriHealth Caritas (Washington, DC)
    …When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health ... facilitate timely authorizations and optimize patient care + Analyze medical records and clinical data to ensure...experience in managed care preferred. + Proficiency in Electronic Medical Record Systems to efficiently document and… more
    AmeriHealth Caritas (09/01/25)
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  • Lending & Trade Services Quality Reviewer

    Comerica (Farmington Hills, MI)
    …and excel in prioritizing and managing work independently. Position Responsibilities:Quality Review The Quality Reviewer evaluates the credit approval, existing ... Job Description Quality Reviewer , Lending and Trade Services -- Document Preparation...covenants specified in the credit approval to assess and review the documents prepared for accuracy. Performs a thorough… more
    Comerica (09/22/25)
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  • Clinical Care Reviewer (County Care…

    Commonwealth of Pennsylvania (PA)
    …resources. This professional maintains accurate documentation of all data and client records and reviews and evaluates the medical appropriateness of ... Clinical Care Reviewer (County Care Management Manager) (Local Government) -...health services. Enters case data into electronic case file records . Verifies accuracy of information in client case files… more
    Commonwealth of Pennsylvania (09/18/25)
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  • Transportation Plan Reviewer

    Lee County Board of County Commissioners (Fort Myers, FL)
    Transportation Plan Reviewer Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/5007029) Apply  Transportation Plan Reviewer Salary ... Description Lee County is seeking a skilled and detail-oriented Transportation Plan Reviewer to join the Department of Community Development in the Development… more
    Lee County Board of County Commissioners (09/11/25)
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  • Surgical Clinical Reviewer - General…

    Hartford HealthCare (Hartford, CT)
    …community and surgeon offices, especially staff in the surgery, medicine, nursing, medical records , information systems departments, and others whose support is ... of 2 years medical /surgical hospital or office experience in clinical research/ medical records or clinical quality improvement. . Clinical knowledge and… more
    Hartford HealthCare (07/01/25)
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  • Plan Reviewer

    Lee County Board of County Commissioners (Fort Myers, FL)
    Plan Reviewer Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/5081440) Apply  Plan Reviewer Salary $30.77 - $44.77 Hourly Location Fort ... responsible for performing technical and professional work in the review of plans and submittals of underground water and...a valid Florida driver's license with an acceptable driving record is required. Supplemental Information The work hours and… more
    Lee County Board of County Commissioners (09/17/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Savannah, GA)
    …practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. **What you will do in this ... that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (09/19/25)
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  • Physical Therapist Reviewer

    Elevance Health (IN)
    …by law._ The **Physical Therapist Reviewer ** is responsible for performing medical record reviews specific to services billed related to physical therapy ... **Physical Therapist Reviewer ** **Work schedule: M-F 7:30am to 4:30pm EST.**...will make an impact:** + Conducts medical review /claim review of beneficiary health records more
    Elevance Health (09/04/25)
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  • New Admissions Nurse Reviewer

    City of New York (New York, NY)
    …for all foster care agencies within the 5 boroughs 2. Participating in all post medical record review quality monitoring and corrective action processes 3. ... services for children newly admitted to foster care - Review medical records at ACS's...in the following areas: Pediatric/Adolescent nursing Chart review / medical audit/ electronic medical record more
    City of New York (09/19/25)
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  • Sr. Electrical Plan Reviewer (Engineer IV)

    Fairfax County Sheriff's Office (Fairfax, VA)
    …to this position will be required to complete a criminal background, Pre-employment Medical Evaluation and driving record check to the satisfaction of the ... Sr. Electrical Plan Reviewer (Engineer IV) Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/5081548) Apply  Sr. Electrical Plan Reviewer more
    Fairfax County Sheriff's Office (09/21/25)
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