Medical Reviewer

Location: Remote Contract Length: 12 Months Pay Rate: $40-45/hr including individual healthcare coverageHours: Part-Time (20 hours/week) flexible schedule Responsibilities:Represent Medical in the Material Review Process (to guarantee medical, clinical, and scientific data accuracy, relevance, and objectivity).Provide proactive guidance as needed for brand...

Utilization Review SpecialistESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. *...

Our client, a member owned health insurance company, is seeking a Physician ReviewerLocation: Chicago, ILPosition Type: ContractJob Responsibilities and Requirements:Time Commitment: This position requires a 2-month, full-time (40 hr./week | M-F) commitment to undergo and complete training. After this training, there will be a transition to at least 2...

Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard Monday - Friday work week while maintaining client-mandated turnaround times. We will reach...

Utilization Review Coordinator-RN La Rabida Children’s Hospital is hiring a Utilization Review Coordinator - RN for the Case ManagementDepartment in Chicago, IL. This position works hybrid three (3) days per week! La Rabida offers rewarding job opportunities across a wide array of clinical, administrative, and support service functions. If you’re ready...

Utilization Review Coordinator-RN La Rabida Childrens Hospital is hiring a Utilization Review Coordinator - RN for the Case ManagementDepartment in Chicago, IL. This position works hybrid three (3) days per week! La Rabida offers rewarding job opportunities across a wide array of clinical, administrative, and support service functions. If youre ready to...

Contract Review Consultant (Remote, 6 Months)Do you have a keen eye for detail and expertise in commercial insurance?LHH Recruitment Solutions seeks a Contract Review Consultant to join our client's team as a full-time W2 contractor! In this fully remote role (pay rate range is $40-$55/hour, depending upon experience), you'll analyze contracts, manage client...

Weekly outpatient therapy isn't always enough, and a trip to the ER isn't the only answer. Patients and their families rely on Compass Health Center when in crisis - every day, we help people overcome depression, anxiety, suicidality, obsessions/compulsions, trauma, chronic pain, and other obstacles in order for our patients to live freely. **About This...

Job Title: Quality Improvement SpecialistOverview: Seeking a Quality Improvement Specialist to lead data collection, abstraction, and analysis for HEDIS and Quality projects. Responsibilities include auditing clinical quality improvement projects, analyzing data, and collaborating with providers to enhance quality measures.Key Responsibilities:Interact with...

Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard Monday - Friday work week while maintaining client-mandated turnaround times. We will...

**Location**:Chicago, IL **Hospital**:RUSH University Medical Center **Department**:RML Chemistry **Work Type**:Full Time (Total FTE between 0. 9 and 1. 0) **Shift: Shift 1** **Work Schedule**:8 Hr (7:00:00 AM - 3:30:00 AM) Summary: This position is responsible for performing all assigned laboratory testing and reporting for the testing area. This...

Description Role Description: This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal policies and procedures. Regardless of the final determination, the Physician Reviewer is responsible for...

For the past 20 years, ProPharma has improved the health and wellness of patients by providing advice and expertise that empowers biotech, med device, and pharmaceutical organizations of all sizes to confidently advance scientific breakthroughs and introduce new therapies. As the world’s largest RCO (Research Consulting Organization), ProPharma partners...

Job DescriptionJob DescriptionThe Alliance for Clinical Trials in Oncology Foundation (Foundation) is a foundation created to enhance and expand the ability of the Alliance for Clinical Trials in Oncology (Alliance) to conduct cancer clinical research and address important treatment questions through large-scale clinical trials. Through efforts of the...

The Alliance for Clinical Trials in Oncology Foundation (Foundation) is a foundation created to enhance and expand the ability of the Alliance for Clinical Trials in Oncology (Alliance) to conduct cancer clinical research and address important treatment questions through large-scale clinical trials. Through efforts of the Foundation in support of the...

The Alliance for Clinical Trials in Oncology Foundation (Foundation) is a foundation created to enhance and expand the ability of the Alliance for Clinical Trials in Oncology (Alliance) to conduct cancer clinical research and address important treatment questions through large-scale clinical trials. Through efforts of the Foundation in support of the...

**Job Number**:399202** **Description** **JOB ANNOUNCEMENT** ***MEDICAL ADMINISTRATOR** **OFFICE OF **PUBLIC SAFETY ADMINISTRATION** Medical Section **Number of Vacancies**:1 **Starting Salary: $135,384.00** Under direction, manages the Office of Public Safety Administration’s (OPSA) Medical Services Section, supervising a team of clinical case...

Job DescriptionJob DescriptionJob SummaryThank you for your interest! The Medical Assistant performs all the activities, which enhance patient care and contribute to the organization and efficiency of the practice. The Medical Assistant provides all aspects of clinical care within their realm of clinical competence, as delegated and supervised by the...

From health-care-provider interactions and developing and implementing regulatory strategies with the FDA to providing medical education and collecting data to support efficacy and new product development, CMR is involved.Educates and demonstrates the benefits of key products to HCPs. Provides medical information and coordinates educational workshops, round...

Medical Assistant - ACCESS Ashland - Bilingual (English & Spanish) Required **Who We Are**: If you want to work for a mission-driven organization that’s impacting community health care both on a local and national level, then Access Community Health Network (ACCESS) may be the perfect place for you. As a nationally recognized leader in community health,...