- Carle Health (Peoria, IL)
- …50 miles). - External Applicants Only. Under the general supervision of the Manager , Outpatient Community Services will serve as the Licensed Practitioner of the ... Arts (LPHA) authorizing Integrated Assessment and Treatment Plans. Will complete thorough review of each document, provide clinical guidance to team members, and… more
- Elevance Health (Columbus, GA)
- **Psychologist Reviewer ** **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, while ... unless an accommodation is granted as required by law. The **Psychologist Reviewer - Georgia** is responsible for collaborating with providers and Medical Directors… more
- Elevance Health (Indianapolis, IN)
- **Therapist Reviewer ** **Location: Fort Wayne IN.** **This field-based role enables associates to primarily** **operate** **in the field, traveling to client sites ... unless_ _an accommodation_ _is granted as required by law._ The **Therapist Reviewer ** is provides comprehensive support and assistance to the faculty and staff… more
- Bristol Myers Squibb (Summit, NJ)
- …for the incumbent include ensuring accurate and timely maintenance and review of procedures and methods; providing compliance oversight; ensure accurate and ... timely review of manufacturing and laboratory investigations; and identifying any...+ US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to… more
- Chenega Corporation (Rockville, MD)
- …Strategic Business Unit** company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department of Health and Human Services (HHS), ... this aligns closely with the types of cases we review . Clinicians with backgrounds in Internal Medicine, Family Medicine,...project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide… more
- Chenega Corporation (Rockville, MD)
- …Services Strategic Business Unit** company, is looking for a Physician- Contract Medical Reviewer (CMR) to support the Department of Health and Human Services (HHS), ... project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide...MD location. + Professional Background: Relevant experience in claims review , healthcare administration, or related fields. + A minimum… more
- US Tech Solutions (Philadelphia, PA)
- …Description:** + Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record ... Coordination of the medical records identification process, collection activities and review . + Performing and applying structured auditing abstraction criteria to… more
- Elevance Health (Costa Mesa, CA)
- The **Nurse Reviewer ** is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by ... that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (WI)
- The **Therapy Services Reviewer ** is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Elevance Health (Grand Prairie, TX)
- …unless an accommodation is granted as required by law._ The **Psychologist Reviewer ** - **part time** is responsible for collaborating with providers and Medical ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
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