Bergen Regional Medical Center - Paramus, NJ

Monitors patient’s progress against BRMC-approved medical necessity guidelines, and evidence-based pathways/protocols....

Estimated: $60,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Alliant Health Solutions - Atlanta, GA

The Review Nurse will process provider telephone inquiries and fax/web submittal requests for hospital stays and medical necessity reviews;...

Estimated: $52,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

Alliant Health Solutions - Atlanta, GA

Medical review addresses the necessity and the appropriateness of the admission or continued placement utilizing the established criteria....

Estimated: $49,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

MRIoA - Salt Lake City, UT

Medical Review Institute of America (MRIoA) provides medical review services to insurance companies across the United States....

Estimated: $56,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

UnitedHealth Group - Dallas, TX

Required (e.g., medical necessity)Determine where appeal or grievance should be reviewed / handled or. Route to other departments as appropriateObtain relevant...

3d

UnitedHealth Group - Houston, TX

Required (e.g., medical necessity)Determine where appeal or grievance should be reviewed / handled or. Route to other departments as appropriateObtain relevant...

3d

UnitedHealth Group - Brentwood, TN

Required (e.g., medical necessity)Determine where appeal or grievance should be reviewed / handled or. Route to other departments as appropriateObtain relevant...

3d

UnitedHealth Group - Minneapolis, MN

Required (e.g., medical necessity)Determine where appeal or grievance should be reviewed / handled or. Route to other departments as appropriateObtain relevant...

3d

UnitedHealth Group - Denver, CO

Required (e.g., medical necessity)Determine where appeal or grievance should be reviewed / handled or. Route to other departments as appropriateObtain relevant...

3d

Telligen - Boise, ID

In this role you will perform medical necessity reviews, including appeals and peer to peer conference calls. Physician Reviewer (1099 Consultant) - Orthopedic....

Estimated: $89,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

7d

Blue Cross Blue Shield of Massachusetts - Quincy, MA

The Clinical Reviewer uses clinical skills, principals of managed care, nationally recognized medical necessity criteria, company medical policies, and...

Estimated: $68,000 - $86,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Keystone Peer Review - Scarborough, ME

Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care;...

Estimated: $52,000 - $73,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

County of Contra Costa, California - Martinez, CA

Medical Office Professional; Assist with determining if requested services are within the member's scope of benefits, if prior authorization is required, and if...

$43,000 - $55,000 a yearToday

eQHealth Solutions - Tampa, FL

Provide physician peer review (second level) medical necessity determination decisions based on sound medical and clinical judgment, with background knowledge...

Estimated: $110,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

AmeriHealth Caritas - Doral, FL

Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews....

Estimated: $49,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

TriWest Healthcare Alliance - Phoenix, AZ

O Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical...

Estimated: $41,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Keystone Peer Review - Scarborough, ME

Knowledge of the organization of medical records, medical terminology, and disease process required. Accountabilities Reviews and interprets patient records and...

Estimated: $48,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Anthem, Inc. - Westchester, IL

Determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review....

Estimated: $73,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Keystone Peer Review - Tampa, FL

Clinical Reviewers - HWDRG. Knowledge of the organization of medical records, medical terminology, and disease process required....

Estimated: $52,000 - $66,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Health Care District of Palm Beach County - Palm Springs, FL

Retrospective Review of medical records for medical necessity/severity of. Interpret, and verify medical information;...

Estimated: $53,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

KePRO - United States

Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care;...

Estimated: $58,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The US Oncology Network - Norfolk, VA

Clinical Insurance Reviewer - Radiation Oncology. Reviews, processes and audits the medical necessity for each patient's Radiation Therapy Services and...

Estimated: $40,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The US Oncology Network - Norfolk, VA

Reviews, processes and audits the medical necessity for each patient's Radiation Therapy Services and documentation of regimen relative to pathway adherence....

Estimated: $44,000 - $55,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

CarePoint Health - Jersey City, NJ

Review medical policies to indicate a clinical bases for medical necessity. Correctly obtains accurate diagnosis and procedure codes based on the medical...

Estimated: $42,000 - $58,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

Med-Scribe, Inc. - Rochester, NY

In this role you will be reviewing medical records and making determinations concerning medical necessity and meeting coverage criteria....

$27 an hourSponsored

Integrated Resources, Inc - Harrisburg, PA

Is responsible for completing medical necessity reviews. Clinical Care Reviewer*. Job Summary (Clinical Care Reviewer)*....

Estimated: $45,000 - $64,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored