Physician Reviewer

Job Opportunity at Dane Street, LLCJob Title: Physician ReviewerJob Summary:Dane Street, LLC is seeking a highly skilled Physician Reviewer to join our team. As a Physician Reviewer, you will utilize your clinical expertise to review insurance appeals, prospective and retrospective claims, and provide an interpretation of the medical necessity of services...

Job SummaryUT Southwestern Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate level of care while minimizing unnecessary hospital stays.Key ResponsibilitiesConduct medical certification reviews for medical necessity...

Job Title: Medical Review SpecialistConcentra is seeking a Medical Review Specialist to join our team. As a Medical Review Specialist, you will be responsible for reviewing medical files and providing recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family...

Job SummaryWe are seeking a highly skilled and experienced Medical Review Specialist to join our team at Concentra Career Choice. As a Medical Review Specialist, you will be responsible for reviewing medical files and providing recommendations for utilization review, chart reviews, medical necessity, appropriateness of care, and return to work, short and...

Job Title: Utilization ReviewrnAt Children's Health, our mission is to Make Life Better for Children for 110 years, and generation to come. We recognize that their health plays a crucial role in achieving this goal.Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience,...

OverviewWe are seeking a skilled and experienced Board Certified Neurologist to join our medical review team as an independent contractor. As a Telehealth Physician Advisor, you will play a crucial role in reviewing health claims and providing medical interpretation and decisions about the appropriateness of services provided by other healthcare...

Job SummaryWe are seeking a Board Certified Neurologist to join our medical review team as a Telehealth Medical Review Physician. This is a flexible, telecommute role that offers the ability to customize your schedule and caseload within a Monday - Friday work week and within business hours.ResponsibilitiesReviews medical files and provides recommendations...

Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Utilization Review Specialist. In this role, you will be responsible for conducting medical certification reviews to determine the medical necessity of acute care services.Key ResponsibilitiesConduct inpatient admission reviews for Medicare and Medicaid beneficiaries, as well...

Job SummaryUT Southwestern Medical Center is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. In this role, you will conduct medical certification reviews for medical necessity for acute care facilities and services, using nationally recognized, evidence-based guidelines approved by medical staff to recommend level of...

Job OverviewThis remote position allows for flexibility in scheduling and managing your caseload while adhering to client-required turnaround times. Reviewers are compensated on a per-case basis as independent contractors.Candidates must be a licensed Orthopedic Surgeon in Texas with experience in testimony, depositions, or counter affidavits. Access to a...

Job SummaryUT Southwestern Medical Center is seeking a skilled Registered Nurse to join our Utilization Review team. As a Utilization Review Registered Nurse, you will play a critical role in ensuring that patients receive the most appropriate level of care, while also promoting efficient use of healthcare resources.Key ResponsibilitiesConduct medical...

Job Title: Utilization Review NurseChildren's Health is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that our patients receive the most appropriate and effective care.Responsibilities:Conduct thorough reviews of patient records to determine medical necessity and...

HEDIS Review Nurse Job DescriptionThis is a contracted position that will involve remote work. As a Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) with an unrestricted license in the state, you will be responsible for annual patient chart inspection/audit. The audits are conducted to ensure that providers (MDs)...

Job SummaryWe are seeking a highly skilled Utilization Review Nurse to join our team at Elite. As a key member of our clinical review team, you will play a critical role in ensuring the medical necessity of treatment requests submitted by providers, requestors, claimants, or carriers.Key ResponsibilitiesMedical Necessity Review: Conduct thorough evaluations...

Job SummaryThe Coding Specialist III, Outpatient is a critical role at University of Texas Southwestern Medical Center, responsible for reviewing and coding outpatient medical records. This position requires expertise in coding guidelines and a strong understanding of electronic medical records. As a subject matter expert, the Coding Specialist III will...

About The Curare Group, Inc.We are a leading healthcare organization dedicated to providing exceptional medical services to our patients. As a Hospitalist Physician, you will play a crucial role in delivering high-quality patient care and contributing to the growth and success of our team.Job SummaryWe are seeking a skilled and compassionate Hospitalist...

Job Title: PhysicianPrism Health North Texas is seeking a highly skilled and compassionate Physician to join our team. As a Physician, you will be responsible for providing quality, evidence-based healthcare to our patients, including screening, physical exams, and medication management.Responsibilities:Provide quality, evidence-based healthcare to patients,...

Job SummaryUTMB Health is seeking a highly skilled Physician III to join our team in the Correctional Managed Care Organization. As a key member of our medical staff, you will work under the direction of the Associate Medical Director to provide high-quality patient care and contribute to the successful operations of our organization.Essential Job...

Family Medicine Physician Opportunity Join PeopleOne Health in Dallas, Texas, as a Family Practice-Without OB Physician. Enjoy a competitive salary range of $220,000 to $240,000 yearly. Our premier physician and advanced practice job board helps you advance your healthcare career. Benefits of Working with PeopleOne Health: • Free Physician and Advanced...

Job SummaryThe Physician Liaison plays a vital role in fostering strong relationships between physicians, healthcare providers, and key stakeholders within the market service area of their assigned hospital. This position serves as a trusted connection, increasing awareness and ease of access to Baylor Scott & White Health services. The Physician Liaison...