Top 778 Medical case reviewer Jobs

ENT Physician Reviewer | NC License
BHM Healthcare Solutions —Remote
- Part-time
- Remote
- 5 years
- BC/BE
- Senior level
- Flexible schedule
Quick Apply
NC Licensed Pain Management Peer Reviewer
BHM Healthcare Solutions —Remote
- Part-time
- Remote
- 5 years
- BC/BE
- Senior level
- Flexible schedule
Quick Apply
14d
Medical Policy Reviewer and Appeals Specialist
Engage Health Solutions —Wilkes-Barre, PA
- $48,851.34 - $95,000.00 a year
- 8 hour shift
- RN License
- Ability to walk for extended periods
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Medical Case Reviewer (Med-School or Emergency Dept Experience Required)
Patriot Care Center —Beverly Hills, CA
- $25 - $28 an hour
- Part-time
- Anatomy knowledge
- Microsoft Outlook
- Medical office experience
- Professional development assistance
- Flexible schedule
Quick Apply
Utilization Management Physician Reviewer
Oak Street Health —Illinois
- $174,070 - $374,920 a year
- Full-time
- Remote
- Medicine
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
Dispute Resolution Reviewer III (Healthcare Professional)
TMF Health Quality Institute —Remote
- Full-time
- Remote
- Writing skills
- Research
- Mid-level
- AD&D insurance
- Disability insurance
Radiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule
Medical Consultant Reviewer - Internist PRN or Part-Time
COMAGINE HEALTH —Washington, DC
- $140 - $148 an hour
- Part-time
- Remote
- Medicine
- Internal Medicine
- Travel
- Paid parental leave
- Health insurance
Quick Apply
Surgical Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- Surgery
- BC/BE
- Flexible schedule
Medical Peer Reviewer
Healthfirst —Remote
- $122,907 - $188,020 a year
- 8 hour shift
- Medicine
- Mid-level
- Communication skills
- Paid holidays
- Health insurance
Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Washington, DC
- Part-time
- Remote
- Surgery
- BC/BE
- Writing skills
- Flexible schedule
Diagnostic Radiology- Medical Record Reviewer
Dane Street, LLC —Minneapolis, MN
- Remote
- BC/BE
- Senior level
- Radiology
Quick Apply
Cardiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule
Nephrology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule
Gastroenterology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- BC/BE
- Writing skills
- English
- Flexible schedule
MEDICAL REVIEWER
Zenith LifeScience —South Plainfield, NJ
- $100,000 - $120,000 a year
- Full-time
- Medicine
- Microsoft Excel
- English
Hematology/Oncology, Physician Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule
Medical Consultant Reviewer- Pediatrician PRN D.C.
COMAGINE HEALTH —Washington, DC
- $140 - $150 an hour
- Part-time
- Remote
- Medicine
- Travel
- Ability to sit for extended periods
- Paid parental leave
- Health insurance
Quick Apply
Clinical Reviewer (Part-time)
Neil Hoosier & Associates, Inc. —Remote
- $40 - $45 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- RN License
Quick Apply
Occupational Medicine -Independent Medical Reviewer
Managed Medical Review Organization —Remote
- Choose your own hours
- Medicine
- 5 years
- Senior level
Quick Apply

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ENT Physician Reviewer | NC License

BHM Healthcare Solutions -
Remote

Quick Apply

Job Details

Part-time | Contract

Benefits

Flexible schedule

Qualifications

Direct patient care
Utilization review
BC/BE
Doctor of Osteopathy
Otolaryngology
Medical License
Documentation review

Full Job Description

STATEMENT OF ROLE & RESPONSIBILITY

POSITION TITLE: ENT Physician Clinical Reviewer

SCOPE OF ROLE & RESPONSIBILITIES

Clinical review of internal and/or external review cases for medical necessity, treatment appropriateness, or administrative compliance.
Thorough review of all submitted information, documentation of determination, clinical rationale, and citation of sources used to support decision within the specified timeframe.
Complete Peer-to-Peer phone calls with providers when scheduled.

QUALIFICATION REQUIREMENTS

Have current, non-restricted licensure or certification as required for clinical practice in a state of the United States.
Have at least five (5) years full-time equivalent experience providing direct clinical care to patients;
Have a scope of licensure or certification and professional experience that typically manages the medical condition, procedure, treatment, or issue and are clinical peers for each case under review.
If an M.D. or D.O. has board certification by a medical specialty board approved by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA); and if a D.P.M., has board certification by the American Board of Podiatric Surgery (ABPS) or the American Board of Podiatric Orthopedics and Primary Podiatric Medicine
If performing External Review, must meet all of the above and have experience providing direct clinical care to patients within the past three (3) years.

Job Types: Part-time, Contract

Benefits:

Flexible schedule

Application Question(s):

Are you a board-certified otolaryngologist?

License/Certification:

NC License (Required)
BC/BE (Required)
Medical License (Required)

Work Location: Remote

Quick Apply

Refine Your Search

medical case reviewer jobs

ENT Physician Reviewer | NC License

NC Licensed Pain Management Peer Reviewer

Medical Policy Reviewer and Appeals Specialist

Medical Case Reviewer (Med-School or Emergency Dept Experience Required)

Utilization Management Physician Reviewer

Dispute Resolution Reviewer III (Healthcare Professional)

Radiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Medical Consultant Reviewer - Internist PRN or Part-Time

Surgical Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Medical Peer Reviewer

Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Diagnostic Radiology- Medical Record Reviewer

Cardiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Nephrology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Gastroenterology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

MEDICAL REVIEWER

Hematology/Oncology, Physician Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Medical Consultant Reviewer- Pediatrician PRN D.C.

Clinical Reviewer (Part-time)

Occupational Medicine -Independent Medical Reviewer

I want to receive the latest job alert for medical case reviewer

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