1 - 10 of 6,234 Medical Necessity Reviewer jobs

  • Utlilization Review Nurse - Days - PRN

    UT Southwestern Medical Center

    - Dallas, TX

    with physicians and staff regarding medical necessity for admission, continued ... Confers with supervisor and/or Medical Director as appropriate...

    4 days ago from UT Southwestern Medical Center
  • Concurrent Review Case Manager



    - Maryland Heights, MO

    Medicare Advantage HMOs bundle hospital, medical and prescription drug coverage together ... and inpatient admissions for both medical necessity and length of stay. In...

    16 hours ago from Lumeris
  • Revenue Cycle Specialist I HFMG Business Office FT PC#00015004


    Health First

    - Melbourne, FL

    financial integrity of Health First, Inc/HF Medical Management by performing established ... resolve claim issues and discrepancies with medical necessity. Responds to customer...

    3 days ago from Health First
  • Director, Medical Necessity Review


    HCA Healthcare

    - Franklin, TN

    responsible for supporting medical necessity program development within the ... potential performance opportunities and/or medical necessity review issues. * Assess...

    2 days ago from HCA Healthcare
  • Utilization Management/Review RN full time

    Sunbelt Staffing

    - San Antonio, TX

    and inpatient/outpatient treatment plans for medical necessity and efficiency in ... Determines medical necessity of each request by applying appropriate medical criteria to f...

    11 days ago from Sunbelt Staffing
  • Coding Educator

    North Memorial Health Care

    - Golden Valley, MN

    and reimbursement8. Proficiency in medical necessity, claims denials, bundling ... Knowledge of anatomy, physiology and medical terminology necessary to correctly...

    16 days ago from North Memorial Health Care
  • Director Care Coordination

    Saint Francis Memorial Hospital

    - San Francisco, CA

    categories to determine medical necessity, facilitate high quality of care and optimal utilization of available healthcare resources, facilities and services. This position...

    27 days ago from Saint Francis Memorial Hospital
  • Utilization Care Manager - 24hrs


    - Providence, RI

    designee. Conducts surveillance over medical necessity of patient care records. In collaboration with the physician of record and the Utilization Review Committee physician...

    30+ days ago from Lifespan
  • Medical Director, Utilization Review


    Job Juncture

    - Irvine, CA

    clinical and fiscal goals of the medical center. This physician works ... review for cases not meeting medical necessity criteria; Overseeing the review,...

    2 days ago from Job Juncture
  • Nursing Director - Women's Services

    UT Southwestern Medical Center

    - Dallas, TX

    all staff in understanding the importance, necessity, impact and process of change. 4. Supports outcomes measurement and evidence-based practice through participation in programs...

    4 days ago from UT Southwestern Medical Center
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