1 - 10 of 6,675

reviewer medical necessity jobs


  • Clinical Care Reviewer Utilization Management

    AmeriHealth Caritas

    - Philadelphia , PA

    Reviewer is responsible for completing medical necessity reviews. Using clinical ... necessary to perform a thorough medical necessity review. It is within the nurse’s...

    19 days ago from AmeriHealth Caritas
  • Clinical Care Reviewer Utilization Management (T)

    AmeriHealth Caritas

    - Charleston , SC

    Reviewer is responsible for completing medical necessity reviews. Using clinical ... necessary to perform a thorough medical necessity review. It is within the nurse’s...

    19 days ago from AmeriHealth Caritas
  • Manager, Care Coordination (Full Time)

    St. John's Regional Medical Center Oxnard

    - Oxnard , CA

    clinical social work and best practice in medical necessity determination and concurrent review. This position will oversee the department in an efficient manner to ensure timely...

    11 days ago from St. John's Regional Medical Center...
  • Director Care Coordination

    Saint Francis Memorial Hospital

    - San Francisco , CA

    categories to determine medical necessity, facilitate high quality of care and optimal utilization of available healthcare resources, facilities and services. This position...

    11 days ago from Saint Francis Memorial Hospital
  • Medical Necessity Review RN

    Kaiser Permanente

    - Portland , OR

    financial liability for out-of plan medical services. Performs special projects, ... Minimum five (5) years of work experience in Medical Necessity Review.- Minimum five (5)...

    6 days ago from Kaiser
  • Clinical Care Reviewer, Utilization Management, Registered Nurse

    AmeriHealth Caritas

    - Philadelphia , PA

    Reviewer is responsible for completing medical necessity reviews. Using clinical ... necessary to perform a thorough medical necessity review. It is within the nurse’s...

    19 days ago from AmeriHealth Caritas
  • Appeals Review Nurse

    Loma Linda University

    - Loma Linda , CA

    documentation such as letter of medical necessity and supporting documents to submit to the insurance company for an appeal on the patient’s behalf. Works collaboratively with...

    21 days ago from Loma Linda University
  • Medical Director

    Premier Laser Spa

    - Greenville , SC

    Job Description As our Medical Director, you’ll be responsible for • Oversight of all ... or other medical necessity • Communication with all personnel regarding medical...

    28 days ago from Premier Laser Spa LLC
  • Director of Care Coordination

    St. Mary's Medical Center San Francisco

    - San Francisco , CA

    social work and best practice in medical necessity determination and concurrent ... considers the population served by the medical center and area clinical integration...

    11 days ago from St. Mary's Medical Center San Francisco
  • Manager Case Management- Days

    HCA Healthcare

    - Austin , TX

    when patients do not meet medical necessity. Oversees and monitors processes to ... among peers and medical staff. EDUCATION AND EXPERIENCE: Required: Bachelor’s...

    5 days ago from HCA Healthcare
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