1 - 10 of 7,039 Medical Necessity Reviewer jobs

  • 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...

    25 days ago from Maxim Facility Nursing
  • Director Clinical Programs Health Plan


    Baylor Scott & White Health

    - Temple, TX

    operations/management team and outside Medical Management vendor - including ... and establish consistent policies around medical necessity Ensure Medicare/Medicaid...

    3 days ago from Scott & White Healthcare
  • LPN Clinical Reviewer



    - Puyallup, WA

    referral management activities. o Assesses medical necessity by screening available ... o Contacts beneficiary and / or provider to obtain or clarify medical information as neces...

    23 hours ago from Aerotek CE
  • Clinical Reviewer (FIELD)

    One Call Care Management

    - Jacksonville, FL

    Description: Clinical Reviewer (FIELD) JOB SUMMARY Perform Clinical Reviews of patients' ... to determine progress and medical necessity, and make a recommendation...

    15 days ago from One Call Care Management
  • Licensed Practical Nurse- Clinical Reviewer


    Aerotek Scientific

    - Phoenix, AZ

    Conducts Medical / Surgical medical necessity reviews ... management activities. Assesses medical necessity by screening available information...

    2 hours ago from Aerotek Scientific
  • 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,...

    4 days ago from Maxim Allied Health
  • Case Mgr Utilization Review


    HCA Healthcare

    - Walterboro, SC

    focuses on appropriateness of clinical care, medical necessity, admission status and level ... acute level of care criteria that determines medical appropriateness of hospital admission...

    1 day ago from HCA Healthcare
  • Manager Care Coordination Social Worker, Full Time

    Mercy General Hospital

    - Sacramento, CA

    clinical social work and best practice in medical necessity determination and ... communication skills, especially with medical staff. Working knowledge of finance...

    24 days ago from Mercy General Hospital
  • Nurse Practitioner - RNNP

    Maxim Facility Nursing

    - San Diego, CA

    General Position Requirements: Provide medical leadership, oversight, and management ... EOE/AAE Related Keywords: medical, medical care, health, health care, r.n., rn, registered...

    24 days ago from Maxim Facility Nursing
  • Charge RN- ER Department (06437-57805)

    Conroe Regional Medical Center

    - Conroe, TX

    may include but not limited to PEPP, medical necessity, lab compliance, billing, and coding). 13. If an ethics and compliance issue is identified takes appropriate action to...

    14 days ago from Conroe Regional Medical Center
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