Avalon Healthcare Solutions - United States 3.0

Avalon Healthcare Solutions, headquartered in Tampa, Florida, is a clinical services and information technology company using evidence-based medicine to develop…

Estimated: $47,000 - $63,000 a year

The Medicare Case Manager/Coder provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information Set …

$57,000 - $58,000 a year
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Anthem - Westchester, IL +5 locations3.7

*******************$5,000 Sign-On Bonus********************. The Nurse Reviewer (Associate or Level I) is responsible for conducting pre-authorization, out of…

$32.39 an hour
HMS - New Jersey 3.1

We are seeking a talented individual for a Nurse Reviewer who will be responsible for performing clinical reviews to determine if the medical record…

Estimated: $68,000 - $91,000 a year
Anthem - Woodbridge, VA +6 locations3.7

Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning, and general clinical guidance.

Estimated: $59,000 - $80,000 a year
Tufts Health Plan - Remote 3.8

The Quality Nurse Reviewer has responsibility for ensuring the quality and timeliness of the medical record review process that supports the reporting of HEDIS…

Estimated: $50,000 - $69,000 a year
Circle Link Health - Remote 4.3

The reviewer would be responsible for reading notes taken by our Registered Nurse Care Coaches during check-in phone calls with patients.

$20 an hour
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RepuCare - Indianapolis, IN 3.4

Partnering with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning, and general clinical guidance…

$31 - $33 an hour
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Lucent Health Solutions - Remote 

If the care or service requested is not meeting initial clinical review criteria, then the case is referred to a peer clinical reviewer.

Estimated: $61,000 - $85,000 a year
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Emergent Holdings - Glen Allen, VA 1.8

The Clinical Documentation Improvement Reviewer performs concurrent medical record reviews to ensure that all conditions reported by the provider reflect the…

Estimated: $48,000 - $66,000 a year
ezURs - Remote 

Performs quality assurance of file reviews submitted by physician reviewers. The individual should be interested in non-direct patient care setting.

Estimated: $52,000 - $66,000 a year
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Zelis - Remote 1.9

Maintain professional/consistent communication with internal nurse review team and itemized bill review team and provide appeal feedback as requested by…

Estimated: $40,000 - $57,000 a year
Cohere Health - Florida 

To that end, we build software that is expressly designed to ensure the appropriate plan of care is understood and expeditiously approved, so that patients and…

Estimated: $55,000 - $78,000 a year
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ComplexCare Solutions - New York, NY 3.1

The Collaborating MD provides oversight and guidance to Nurse Practitioners and/or Physician Assistants based on individual state regulations.

Estimated: $100,000 - $130,000 a year
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Adecco - Las Vegas, NV 3.8

Active RN nurse licensure; minimum of 2 years clinical experience. Based on severity or complexity of the enrollees condition, ability to meet commercial review…

Estimated: $54,000 - $74,000 a year
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