1 - 10 of 6,405 Medical Necessity Reviewer jobs

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  • Medical Doctor

    Skin Science of Metairie

    - Metairie, LA

    all medical aspects of the spa. The medical doctor will ensure all treatment ... event of adverse reactions or other medical necessity. Also, communication with all...

    6 days ago from Skin Science of Metairie LLC
  • 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...

    6 days ago from HCA Healthcare
  • Manager, Care Coordination (Full Time)

    St. John's Regional Medical Center Oxnard

    - Oxnard, CA

    clinical social work and best practice in medical necessity determination and concurrent review. This position will oversee the department in an efficient manner to ensure timely...

    8 days ago from St. John's Regional Medical Center...
  • Physician Assistant

    Maxim Allied Health

    - Pittsburgh, PA

    and diagnostic procedures; explain the necessity, preparation, nature and anticipated ... room, licensed practical nurse, medical, surgical, obstetrics, operating, pediatrics,...

    11 days ago from Maxim Allied Health
  • Medical Necessity Review RN

    Kaiser Permanente

    - Portland, OR

    financial liability for out-of plan medical services. Performs special projects, ... Minimum five (5) years of work experience in Medical Necessity Review.- Minimum five (5)...

    28 days ago from Kaiser
  • RN Case Manager Utilization Review

    HCA Healthcare

    - Bountiful, UT

    * Evaluates new ER admissions for medical necessity using approved criteria ... T system, application of the criteria for medical necessity determination and...

    6 days ago from HCA Healthcare
  • Midlevel (Physician Assistant/Nurse Practitioner), GI

    U.S. Department of Veterans Affairs

    - Columbia, SC

    Preceptor. The Preceptor will review medical records and clinical practice of the ... and diagnostic procedures; explain the necessity, preparation, nature and...

    9 days ago from U.S. Department of Veterans Affairs
  • Medical Review Nurse - Permanent Job

    NEW

    Yoh

    - Santa Clara, CA

    based on medical necessity, medical and behavioral health standards of ... Client's policies, Milliman Criteria, UM Medical Policies and Medi-Cal/Medicare...

    1 day ago from Jobg8
  • Director of Care Coordination

    St. Mary's Medical Center San Francisco

    - San Francisco, CA

    social work and best practice in medical necessity determination and concurrent ... considers the population served by the medical center and area clinical integration...

    8 days ago from St. Mary's Medical Center San Francisco
  • New Graduate Psych NP welcome to apply for FT opportunity!

    NEW

    Maxim Facility Nursing

    - Opportunity, NE

    to assist physician in diagnosing medical and surgical problems and prescribing ... and diagnostic procedures; explain necessity, preparation, nature and anticipated...

    3 days ago from Maxim Facility Nursing
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