1 - 10 of 6,821 Medical Necessity Reviewer jobs

  • 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
  • Clinical Care Reviewer Utilization Management

    AmeriHealth Caritas

    - Harrisburg, PA

    Reviewer is responsible for completing medical necessity reviews using AHC policies and ... medical health benefit policy and medical management guidelines to authorize...

    14 days ago from AmeriHealth Caritas
  • Experienced or new grad NP wanted!


    Maxim Facility Nursing

    - Cypress, CA

    instructs patients and family members about medical conditions and treatment. Please ... and diagnostic procedures; explain necessity, preparation, nature and anticipated...

    3 days ago from Maxim Facility Nursing
  • "Internal Medicine or Family Medicine - Associate Medical Director, Review Services - Greater Boston Area - Waltham Office - Flexible Working Hours"


    week administrative position. The Associate Medical Director is responsible for providing ... experience performing review of medical necessity and quality of care determinations...

    1 day ago from New England Physician Recruitment Center
  • Surgical Physician Assistant

    Maxim Allied Health

    - St Louis, MO

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

    10 days ago from Maxim Allied Health
  • Physician Advisor, Cobb/Windy Hill Hospitals

    WellStar Health System

    - Marietta, GA

    medical records so that medical necessity for services will be substantiated. • ... Required Minimum Education: • Medical Doctor (MD)/Doctor of Osteopathic Medicine (DO); b...

    9 days ago from WellStar Health System
  • Clinical Care Reviewer Utilization Management (T)

    AmeriHealth Caritas

    - Charleston, SC

    Reviewer is responsible for completing medical necessity reviews. Using clinical ... necessary to perform a thorough medical necessity review. It is within the nurse’s...

    14 days ago from AmeriHealth Caritas
  • Medical Director

    Premier Laser Spa

    - Greenville, SC

    Job Description As our Medical Director, you’ll be responsible for • Oversight of all ... or other medical necessity • Communication with all personnel regarding medical...

    23 days ago from Premier Laser Spa LLC
  • 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)...

    1 day ago from Kaiser
  • 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...

    6 days ago from St. Mary's Medical Center San Francisco
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