- CVS Health (Franklin, TN)
- …policyholders and beneficiaries to ensure accurate and timely handling of the medical review process. Contributes to the efficient and accurate handling ... team processes, and effective communication skills. **A Brief Overview** Performs medical records ordering and review , verifies policy coverage, evaluate… more
- Centene Corporation (Salem, OR)
- …management, cost containment, and medical quality improvement activities + Performs medical review activities pertaining to utilization review , quality ... medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. + Supports effective implementation… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review , quality ... medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for… more
- Sandia National Laboratories (Livermore, CA)
- …performing medical examinations for commercial drivers + Current certification as Medical Review Officer for reviewing drug testing results + Working ... of onsite work and working from home) + Generous vacation, strong medical and other benefits, competitive 401k, learning opportunities, relocation assistance and… more
- Centene Corporation (Raleigh, NC)
- …management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review , quality ... medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for… more
- Centene Corporation (Raleigh, NC)
- …management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review , quality ... medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for… more
- HCA Healthcare (Manchester, NH)
- …membership or clinical privileges, as directed by facility leaders. Catholic Medical Center 6. Performance Improvement/Peer Review /Patient Safety Coordinate with ... external peer reviews. Complete a summary of FPPE, OPPE, and peer review results for evaluation by medical staff leaders as part of the R-RFC process as noted in… more
- The County of Los Angeles (Los Angeles, CA)
- …staff training is needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to ... OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator, CCS.** -OR- OPTION II: Two (2) years of… 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 ... of procedures for and the effective conduct of the system to review patients' medical charts to ascertain the medical necessity for services and… more
- RWJBarnabas Health (Long Branch, NJ)
- …Long Branch, NJReq #:0000197806 Category:Laboratory Status:Full-Time Shift:Day Facility:Monmouth Medical Center Department:Institutional Review Board Pay ... Avenue, Long Branch, NJ 07740 Job Title: Assistant Director Location: Monmouth Medical Center Department: Institutional Review Board Req#: 0000197806 Status:… more