1. All Jobs
  2. Jobs near you
ReviewBuzz Jobs near you

ReviewBuzzJobs In

Showing 21 - 40 of 100
Nurse Reviewer I Elevance Health  Chicago, IL
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse point in IllinoisShift: 9:30 am - 6 pm CSTThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and approp ... Read more
Apply

Chicago,IL

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse point in IllinoisShift: 9:30 am - 6 pm CSTThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and approp

RN Review Analyst Compu-Vision Consulting Inc.  Chicago, IL
Job Title: RN Review Analyst Job ID: BCR0002603 Location: remote Local to Michigan State Only Word Typing Test: .- 100 words Per Min. Internet Speed Test: RN Review ... Read more
Apply

Chicago,IL

Job Title: RN Review Analyst Job ID: BCR0002603 Location: remote Local to Michigan State Only Word Typing Test: .- 100 words Per Min. Internet Speed Test: RN Review

Registered Nurse RN Clin Documentation Improvement Specialist Adventist Health System  Hinsdale, IL
All the benefits and perks you need for you and your family:* Benefits from Day One for FT/PT positions* Paid Time Off from Day One for FT/PT positions* Student Loan Repayment Program for FT/PT positi ... Read more
Apply

Hinsdale,IL

All the benefits and perks you need for you and your family:* Benefits from Day One for FT/PT positions* Paid Time Off from Day One for FT/PT positions* Student Loan Repayment Program for FT/PT positi

Tax Return Reviewer, Global Mobility Services KPMG  Chicago, IL
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more
Apply

Chicago,IL

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED Department Of The Treasury  Chicago, IL
DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin ... Read more
Apply

Chicago,IL

DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin

Utilization Review Author - Weekend R1 RCM  Chicago, IL
Weekends: Friday, Saturday, Sunday, Monday 9am-7:30pmR1 is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospit ... Read more
Apply

Chicago,IL

Weekends: Friday, Saturday, Sunday, Monday 9am-7:30pmR1 is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospit

Senior Audit Manager - Credit Risk Portfolio Reviews U.S. Bank  Chicago, IL
At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succee ... Read more
Apply

Chicago,IL

At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succee

Full-Time Utilization Management Physician Reviewer Oak Street Health Inc.  Chicago, IL
Role Description:This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria, ... Read more
Apply

Chicago,IL

Role Description:This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria,

Physician Telecommute Medical Review Stream Concentra  Chicago, IL
OverviewAre you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a IL license.* Orthopedic SurgeryAre you passionate about your work/life balan ... Read more
Apply

Chicago,IL

OverviewAre you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a IL license.* Orthopedic SurgeryAre you passionate about your work/life balan

Physician Reviewer - Internal Medicine Dane Street  Chicago, IL
Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity all ... Read more
Apply

Chicago,IL

Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity all

RN - LEAD CARE COORDINATOR - Utilization Review Trinity Health  Maywood, IL
Employment Type:Full timeShift:Description:*** This position is located at the Westmont office***Join our small but mighty team to guide and manage Utilization Review and Management for the Loyola Phy ... Read more
Apply

Maywood,IL

Employment Type:Full timeShift:Description:*** This position is located at the Westmont office***Join our small but mighty team to guide and manage Utilization Review and Management for the Loyola Phy

Physician Telecommute Medical Review Stream Select Medical  Chicago, IL
Are you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a IL license.Orthopedic SurgeryAre you passionate about your work/life balance? We are ... Read more
Apply

Chicago,IL

Are you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a IL license.Orthopedic SurgeryAre you passionate about your work/life balance? We are

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Chicago, IL
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Chicago,IL

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Contract Review Consultant - Remote Careerbuilder  Chicago, IL
About the job Contract Review Consultant - RemoteHoot-Recruit Agency, on behalf of our client, a professional services company that provides advice and solutions to clients in the areas of risk, strat ... Read more
Apply

Chicago,IL

About the job Contract Review Consultant - RemoteHoot-Recruit Agency, on behalf of our client, a professional services company that provides advice and solutions to clients in the areas of risk, strat

Full-Time Utilization Management Physician Reviewer Oak Street Health  Chicago, IL
DescriptionRole Description: This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (U ... Read more
Apply

Chicago,IL

DescriptionRole Description: This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (U

Physician Reviewer PSG Global Solutions Careers  Chicago, IL
Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Physician Reviewer, working in Insurance industry in Chicago, ... Read more
Apply

Chicago,IL

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Physician Reviewer, working in Insurance industry in Chicago,

Contract Review Consultant StaffWorthy Inc  Chicago, IL
Job SummaryWe are hiring a Contract Review Consultant to provide contract review solutions to meet client needs. The consultant will analyze and provide suggested changes to insurance requirements in ... Read more
Apply

Chicago,IL

Job SummaryWe are hiring a Contract Review Consultant to provide contract review solutions to meet client needs. The consultant will analyze and provide suggested changes to insurance requirements in

Claro, Inpatient Chart Review Specialist Kaufman Hall & Associates LLC  Chicago, IL
Title: Inpatient Chart Review SpecialistThe OrganizationWe help society's foundational institutions-healthcare and higher education-to achieve their full potential in service to others.We are our clie ... Read more
Apply

Chicago,IL

Title: Inpatient Chart Review SpecialistThe OrganizationWe help society's foundational institutions-healthcare and higher education-to achieve their full potential in service to others.We are our clie

Medical Review Coordinator Zenith American  Oak Brook, IL
Title: Medical Review Coordinator Department: PensionFLSA: Non-exempt Hours: 40Union: UFCW 1546 Grade: 23Date Posted: 02/28/2024Position SummaryThe Medical Review coordinator ensures documentation nee ... Read more
Apply

Oak Brook,IL

Title: Medical Review Coordinator Department: PensionFLSA: Non-exempt Hours: 40Union: UFCW 1546 Grade: 23Date Posted: 02/28/2024Position SummaryThe Medical Review coordinator ensures documentation nee

Utilization Review (UR) Specialist Spectrum Billing Solutions  Skokie, IL
Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to ou ... Read more
Apply

Skokie,IL

Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to ou

Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) Acentra Health  Lombard, IL
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more
Apply

Lombard,IL

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

Environmental Health Specialist II - Plan Review DuPage County Health Department  Lombard, IL
Our Environmental Health Services Plan Review Unit has an opening on our team for a Environmental Health Specialist II. In this role, you will be responsible for providing a wide range of services for ... Read more
Apply

Lombard,IL

Our Environmental Health Services Plan Review Unit has an opening on our team for a Environmental Health Specialist II. In this role, you will be responsible for providing a wide range of services for

Internal Medicine or Family Practice Physician Reviewer (Illinois Remote, PRN) Kepro  Lombard, IL
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more
Apply

Lombard,IL

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

Sr Credit Review Manager - Commercial Real Estate Citizens  Chicago, IL
DescriptionSenior Credit Review Manager - Commercial Real EstateThe Senior Credit Review Manager position is a team member in the banks independent Credit Review function. The Credit Review team is an ... Read more
Apply

Chicago,IL

DescriptionSenior Credit Review Manager - Commercial Real EstateThe Senior Credit Review Manager position is a team member in the banks independent Credit Review function. The Credit Review team is an

Consulting Senior Director - Healthcare, Revenue Cycle, CDI Huron Consulting Group  Chicago, IL
The OpportunityHuron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate ... Read more
Apply

Chicago,IL

The OpportunityHuron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate

UR Clinical Review Nurse (RN) - Parttime Children's Healthcare of Atlanta  Atlanta, GA
Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s ... Read more
Apply

Atlanta,GA

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s

Privacy Engineer, Implementation Review Facebook  Atlanta, GA
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more
Apply

Atlanta,GA

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

RN, Targeted Review ($10,000 Sign On Bonus) Kaiser Permanente  Atlanta, GA
Description: Responsible for carrying out precertification and medical necessity reviews on all designated referrals as well as targeted outpatient procedures, services and inpatient admissions. The a ... Read more
Apply

Atlanta,GA

Description: Responsible for carrying out precertification and medical necessity reviews on all designated referrals as well as targeted outpatient procedures, services and inpatient admissions. The a

Social Media Community Engagement Manager - App Reviews & Digital Products Jackson Spalding  Atlanta, GA
Social Media Community Engagement Manager ? App Reviews Digital ProductsHybrid - Atlanta Are you looking to join a hungry and humble team of thinkers, creators, a ... Read more
Apply

Atlanta,GA

Social Media Community Engagement Manager ? App Reviews Digital ProductsHybrid - Atlanta Are you looking to join a hungry and humble team of thinkers, creators, a

Tax Return Reviewer, Global Mobility Services KPMG  Atlanta, GA
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more
Apply

Atlanta,GA

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED Department Of The Treasury  Atlanta, GA
DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin ... Read more
Apply

Atlanta,GA

DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin

DRG Nurse Reviewer Zelis  Atlanta, GA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ... Read more
Apply

Atlanta,GA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Atlanta, GA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Atlanta,GA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Psychologist Reviewer - Georgia Elevance Health  Atlanta, GA
DescriptionPosition specific details: The successful candidate must be a licensed psychologist in Georgia and will preferably live in the state.The Psychologist Reviewer - Georgia is responsible for c ... Read more
Apply

Atlanta,GA

DescriptionPosition specific details: The successful candidate must be a licensed psychologist in Georgia and will preferably live in the state.The Psychologist Reviewer - Georgia is responsible for c

Post Payment Review Analyst - Government Careerbuilder  Atlanta, GA
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for ... Read more
Apply

Atlanta,GA

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for

Appraisal Reviewer Lead Clayton Homes  Atlanta, GA
Why Silverton Mortgage:?We are a people first organization that was voted a top place to work by the Atlanta Journal and Constitution and the Financial Services Industry?We believe in giving back and ... Read more
Apply

Atlanta,GA

Why Silverton Mortgage:?We are a people first organization that was voted a top place to work by the Atlanta Journal and Constitution and the Financial Services Industry?We believe in giving back and

Quality Review Manager ExamWorks  Lawrenceville, GA
OverviewWe are seeking passionate and skilled RN's to serve as a Quality Review Manager, reviewing cases and ensuring all necessary information has been provided and is accurate before sending back to ... Read more
Apply

Lawrenceville,GA

OverviewWe are seeking passionate and skilled RN's to serve as a Quality Review Manager, reviewing cases and ensuring all necessary information has been provided and is accurate before sending back to

Building Inspector/Plan Reviewer City of College Park, GA  Atlanta, GA
Salary : $42,002.43 - $53,553.09 AnnuallyLocation : College Park, GAJob Type: Full-TimeJob Number: 7200-002Department: InspectionsOpening Date: 02/23/2024FLSA: Non-ExemptSummary A successful candidate ... Read more
Apply

Atlanta,GA

Salary : $42,002.43 - $53,553.09 AnnuallyLocation : College Park, GAJob Type: Full-TimeJob Number: 7200-002Department: InspectionsOpening Date: 02/23/2024FLSA: Non-ExemptSummary A successful candidate

Quality Review Coordinator Vascular LifeLink  Norcross, GA
We Are LifeLink...Our Vision is to maximize the gift of life while giving hope to donor families and transplant patients. Our Mission is to honor donors and save lives through organ and tissue donatio ... Read more
Apply

Norcross,GA

We Are LifeLink...Our Vision is to maximize the gift of life while giving hope to donor families and transplant patients. Our Mission is to honor donors and save lives through organ and tissue donatio

Travel Nurse RN - Case Manager, Utilization Review - $2,441 per week Hiring Now  Marietta, GA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: RNDu ... Read more
Apply

Marietta,GA

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: RNDu

Document Review Attorney Beacon Hill  Atlanta, GA
To Apply for this Job Click Here Beacon Hill Legal is registering licensed attorneys with document review experience in anticipation of upcoming projects. All candidates must be licensed, and in good ... Read more
Apply

Atlanta,GA

To Apply for this Job Click Here Beacon Hill Legal is registering licensed attorneys with document review experience in anticipation of upcoming projects. All candidates must be licensed, and in good

Utilization Review Specialist Acadia Healthcare  Riverdale, GA
ESSENTIAL FUNCTIONS:?Act as liaison between managed care organizations and the facility professional clinical staff.?Conduct reviews, in accordance with certification requirements, of insurance plans ... Read more
Apply

Riverdale,GA

ESSENTIAL FUNCTIONS:?Act as liaison between managed care organizations and the facility professional clinical staff.?Conduct reviews, in accordance with certification requirements, of insurance plans

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Atlanta, GA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Atlanta,GA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Credit Investigator Eastern Region AVA Consulting  Alpharetta, GA
Job ID: TYA1305599 Job Title: Credit Investigator Eastern Region style="font- ... Read more
Apply

Alpharetta,GA

Job ID: TYA1305599 Job Title: Credit Investigator Eastern Region style="font-

Reviews Team Leader Midlands Metalheads Radio Limited, Registered  Fayetteville, GA
This unpaid voluntary position comes with some great perks such as a fantastic opportunity to build up your own personal profile, add leadership and writing experience to your CV and steer your journa ... Read more
Apply

Fayetteville,GA

This unpaid voluntary position comes with some great perks such as a fantastic opportunity to build up your own personal profile, add leadership and writing experience to your CV and steer your journa

Credit Specialist Republic National Distributing Company  Atlanta, GA
Republic National Distributing Company (RNDC) is a family-owned business with roots extending before Prohibition that has evolved into one of the nation's largest wine and spirits wholesalers. Our suc ... Read more
Apply

Atlanta,GA

Republic National Distributing Company (RNDC) is a family-owned business with roots extending before Prohibition that has evolved into one of the nation's largest wine and spirits wholesalers. Our suc

Research and Development (R&D) Tax Credit Associate Rdl & Partner  Atlanta, GA
DescriptionWhat You Will Do:As a Research and Development Tax Credit Associate, you will provide clients with insights relating to cash saving, refund, and deduction opportunities resulting from RD-re ... Read more
Apply

Atlanta,GA

DescriptionWhat You Will Do:As a Research and Development Tax Credit Associate, you will provide clients with insights relating to cash saving, refund, and deduction opportunities resulting from RD-re

Schedule Review Lead AECOM  Atlanta, GA
Company DescriptionWork with Us. Change the World.At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming sky ... Read more
Apply

Atlanta,GA

Company DescriptionWork with Us. Change the World.At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming sky

HealthCare Credits Rep (Remote) Fresenius Medical Care  Kennesaw, GA
PURPOSE AND SCOPE:Under general supervision, the Credits Representative identifies, analyzes and resolves credit balances within the assigned portfolio of accounts. The credit representative applies a ... Read more
Apply

Kennesaw,GA

PURPOSE AND SCOPE:Under general supervision, the Credits Representative identifies, analyzes and resolves credit balances within the assigned portfolio of accounts. The credit representative applies a

TransPerfect Staffing Document Review Starting 2/11 - ATL TransPerfect  Atlanta, GA
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 90+ offices has its own individual identi ... Read more
Apply

Atlanta,GA

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 90+ offices has its own individual identi

Utilization Review Nurse Holy Redeemer Health System  Jenkintown, PA
Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c ... Read more
Apply

Jenkintown,PA

Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c

Medical Review Nurse (Hybrid) National Financial Partners Corporation  Woodbury, NJ
Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th ... Read more
Apply

Woodbury,NJ

Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th

Medical Review Nurse (Hybrid) National Financial Partners Corp.  Woodbury, NJ
Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the ... Read more
Apply

Woodbury,NJ

Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the

CLINICAL DOCUMENT IMPROVEMENT SPECIALIST (FT; 40hrs/wk) - Temple Physicians Inc. Temple University Health System  Philadelphia, PA
Serves as the primary resource to the treatment team on all aspects of medical record documentation required to support the accurate classification of patient's severity of illness/medical complexity. ... Read more
Apply

Philadelphia,PA

Serves as the primary resource to the treatment team on all aspects of medical record documentation required to support the accurate classification of patient's severity of illness/medical complexity.

Clinical Documentation Improvement Specialist Main Line Health, Inc.  Newtown Square, PA
Description:Could you be our next Clinical Documentation Improvement Specialist at Main Line Health?Why work as a Clinical Documentation Improvement Specialist with Main Line Health?* Make an Impact! ... Read more
Apply

Newtown Square,PA

Description:Could you be our next Clinical Documentation Improvement Specialist at Main Line Health?Why work as a Clinical Documentation Improvement Specialist with Main Line Health?* Make an Impact!

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED Department Of The Treasury  Philadelphia, PA
DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin ... Read more
Apply

Philadelphia,PA

DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin

Privacy Engineer, Implementation Review Facebook  Trenton, NJ
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more
Apply

Trenton,NJ

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

Associate Medical Director, Utilization Management Reviewer Cohere Health  Philadelphia, PA
Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou ... Read more
Apply

Philadelphia,PA

Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou

Clinical Reviewer - Remote Maximus  Philadelphia, PA
Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati ... Read more
Apply

Philadelphia,PA

Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati

Utilization Review Business Support Specialist - REMOTE Highmarkhealth  Philadelphia, PA
** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl ... Read more
Apply

Philadelphia,PA

** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl

Civil Engineer/ EIT - Sewer Development Review/Capital Projects The City of Vancouver  Philadelphia, PA
Salary Range7,969.00 - 10,782.00Job SummaryPerform professional engineering, work and/or administration focusing in the review, design, planning, investigation, and construction of sanitary sewer coll ... Read more
Apply

Philadelphia,PA

Salary Range7,969.00 - 10,782.00Job SummaryPerform professional engineering, work and/or administration focusing in the review, design, planning, investigation, and construction of sanitary sewer coll

Physician Reviewer Dane Street, LLC  Philadelphia, PA
Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce ... Read more
Apply

Philadelphia,PA

Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce

Product Security Code Review Engineer Accenture  Philadelphia, PA
We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver ... Read more
Apply

Philadelphia,PA

We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver

Sr/Engineer - Design Review - 90374634 - Philadelphia (Hybrid) Amtrak  Philadelphia, PA
Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess ... Read more
Apply

Philadelphia,PA

Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess

Clinical Documentation Coordinator - Utilization Review Management (Temple Physicians, Inc./40 hours days) Temple University  Philadelphia, PA
Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase re ... Read more
Apply

Philadelphia,PA

Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase re

Desk Reviewer Philadelphia Corporation for Aging  Philadelphia, PA
Company name: Philadelphia Corporation for AgingTitle of position: Desk Reviewer - Long Term Care AssessmentPosition type: Full Time Pay range: $38,500.35-$44,568.97 varies with experience.Location: T ... Read more
Apply

Philadelphia,PA

Company name: Philadelphia Corporation for AgingTitle of position: Desk Reviewer - Long Term Care AssessmentPosition type: Full Time Pay range: $38,500.35-$44,568.97 varies with experience.Location: T

Consumer Credit Review Executive Director JPMorgan Chase  Wilmington, DE
Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi ... Read more
Apply

Wilmington,DE

Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi

Assoc QC Reviewer Thermo Fisher Scientific  King Of Prussia, PA
Job DescriptionThermo Fisher's clinical research business is a leading global contract research organization and world leader in serving science. We are passionate, deliberate, and driven by our missi ... Read more
Apply

King Of Prussia,PA

Job DescriptionThermo Fisher's clinical research business is a leading global contract research organization and world leader in serving science. We are passionate, deliberate, and driven by our missi

Utilization Review Nurse (Workers Compensation) Elite  King Of Prussia, PA
Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th ... Read more
Apply

King Of Prussia,PA

Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th

Quality Specialist BRM Reviewer Careerbuilder  Malvern, PA
Job Description:Description/Comment: "Title: Quality Specialist- BMROVERVIEWCatalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology and co ... Read more
Apply

Malvern,PA

Job Description:Description/Comment: "Title: Quality Specialist- BMROVERVIEWCatalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology and co

Director, Medical Consult and Review Physician Oncology Merck & Co., Inc.  North Wales, PA
Job DescriptionThe Medical Consult and Review Physician (MCRP) previously called Global Medical Information Physician (GMIP) for Oncology provides clinical expertise and advice to internal stakeholder ... Read more
Apply

North Wales,PA

Job DescriptionThe Medical Consult and Review Physician (MCRP) previously called Global Medical Information Physician (GMIP) for Oncology provides clinical expertise and advice to internal stakeholder

RN SPRING RECORDS REVIEW Temporary summer 2024 The College of New Jersey  Trenton, NJ
To enrich education through diversity, The College of New Jersey is an Equal Opportunity Employer. The College has a strong commitment to achieving diversity among faculty and staff, and strongly enco ... Read more
Apply

Trenton,NJ

To enrich education through diversity, The College of New Jersey is an Equal Opportunity Employer. The College has a strong commitment to achieving diversity among faculty and staff, and strongly enco

HEDIS Data Reviewer vTech Solution, Inc.  Newtown Square, PA
Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo ... Read more
Apply

Newtown Square,PA

Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo

(DOE-027-24) School Facilities Project Reviewer (Government Representative 2) New Jersey Department of Education  Trenton, NJ
Notice of VacancyReference Number: DOE-027-24Title: School Facilities Project Reviewer (Government Representative 2)Range/Title Code: X98/55013Salary: To be determinedPosition Number: 012052Issue Date ... Read more
Apply

Trenton,NJ

Notice of VacancyReference Number: DOE-027-24Title: School Facilities Project Reviewer (Government Representative 2)Range/Title Code: X98/55013Salary: To be determinedPosition Number: 012052Issue Date

SVP Process Review Manager Citigroup  Wilmington, DE
The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand ... Read more
Apply

Wilmington,DE

The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand

Remote Medical Review Registered Nurse GCP-Inc  Miami, FL
GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review. ... Read more
Apply

Miami,FL

GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review.

Product Security Code Review Engineer Accenture  Miami, FL
We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver ... Read more
Apply

Miami,FL

We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver

Hospital Reviewer/Utilization Manager DOCTORS HEALTHCARE PLANS, INC.  Miami, FL
Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria. ... Read more
Apply

Miami,FL

Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria.

Utilization Review Case Manager, Non-RN Careerbuilder  Miami, FL
Utilization Review Case Manager, Non-RN page is loadedUtilization Review Case Manager, Non-RNApplylocationsMiami, FLtime typeFull timeposted onPosted 30+ Days Agojob requisition idR100072019Current Em ... Read more
Apply

Miami,FL

Utilization Review Case Manager, Non-RN page is loadedUtilization Review Case Manager, Non-RNApplylocationsMiami, FLtime typeFull timeposted onPosted 30+ Days Agojob requisition idR100072019Current Em

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Miami, FL
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Miami,FL

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Interior Designer Reviews | DLT Interiors Muamat  Miami, FL
Interior Designer Reviews | DLT Interiors - Miami, USA - Free Classifieds - Muamat **Interior Designer Reviews | DLT Interiors - Miami****Post #**: A43614199 **Posted on**: 20 November **Repl ... Read more
Apply

Miami,FL

Interior Designer Reviews | DLT Interiors - Miami, USA - Free Classifieds - Muamat **Interior Designer Reviews | DLT Interiors - Miami****Post #**: A43614199 **Posted on**: 20 November **Repl

Quality Assurance Reviewer Qlarant  Miami, FL
Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We ... Read more
Apply

Miami,FL

Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We

Utilization Review Case Manager, Non-RN The University of Miami  Miami, FL
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more
Apply

Miami,FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to

CREDIT SPECIALIST (FULL TIME) Compass Group  Hollywood, FL
CREDIT SPECIALIST (FULL TIME)Click Here to Apply OnlineJob Description Canteen We are hiring immediately for a full time CREDIT SPECIALIST position.Location: Canteen - 1046 Southwest 113 Avenue, Pembr ... Read more
Apply

Hollywood,FL

CREDIT SPECIALIST (FULL TIME)Click Here to Apply OnlineJob Description Canteen We are hiring immediately for a full time CREDIT SPECIALIST position.Location: Canteen - 1046 Southwest 113 Avenue, Pembr

Provider Contestment Reviewer Sentara Healthcare  Miami, FL
City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or G ... Read more
Apply

Miami,FL

City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or G

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED Department Of The Treasury  Miami, FL
DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin ... Read more
Apply

Miami,FL

DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin

Utilization Review Case Manager, Non-RN University of Miami  Miami, FL
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Work ... Read more
Apply

Miami,FL

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Work

Clinical Documentation Specialist - Second Level Reviewer - Remote University of Miami Miller School of Medicine  Hialeah, FL
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more
Apply

Hialeah,FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to

CLAIMS AND CREDIT ASSOCIATE Best Candidates LLC  Miami, FL
Best Candidates LLC - We are seeking a CLAIMS AND CREDIT, who As a Claims and Credit Associate, you will be responsible for assisting in the management of claims processing and credit control within o ... Read more
Apply

Miami,FL

Best Candidates LLC - We are seeking a CLAIMS AND CREDIT, who As a Claims and Credit Associate, you will be responsible for assisting in the management of claims processing and credit control within o

Tax Manager Reviewer Arch Staffing & Consulting  Miami, FL
Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi ... Read more
Apply

Miami,FL

Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Miami, FL
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Miami,FL

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Bilingual Document Review / Executive Support Analyst Lenmar Consulting Inc  Miami, FL
Title: Document Review / Executive Support AnalystLocation: Coral Gables, FLRemote/Hybrid/Onsite: HybridPosition Type: ContractDuration: 8 Months +Rate: $33.00/hr-$35.00/hrResponsibilitiesAdministrati ... Read more
Apply

Miami,FL

Title: Document Review / Executive Support AnalystLocation: Coral Gables, FLRemote/Hybrid/Onsite: HybridPosition Type: ContractDuration: 8 Months +Rate: $33.00/hr-$35.00/hrResponsibilitiesAdministrati

Real Estate Credit Associate/VP Selby Jennings  Miami, FL
Real Estate Credit AssociateMiami, FLCompany OverviewOur client is a rapidly growing real estate credit fund that invests in a wide variety of real estate products. With a proven track record acquirin ... Read more
Apply

Miami,FL

Real Estate Credit AssociateMiami, FLCompany OverviewOur client is a rapidly growing real estate credit fund that invests in a wide variety of real estate products. With a proven track record acquirin

Hebrew Document Review Attorney Contact Government Services, LLC  Hollywood, FL
Hebrew Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Fluency in Hebrew Familiarity with document review workflows Examples: Privilege ... Read more
Apply

Hollywood,FL

Hebrew Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Fluency in Hebrew Familiarity with document review workflows Examples: Privilege

Transfer Credit Specialist Ultimate Staffing  Miami, FL
Ultimate Staffing is seeking a Transfer Credit Specialist for a reputable University, to evaluate and process transfer credits efficiently. This role involves evaluating course equivalencies, maintain ... Read more
Apply

Miami,FL

Ultimate Staffing is seeking a Transfer Credit Specialist for a reputable University, to evaluate and process transfer credits efficiently. This role involves evaluating course equivalencies, maintain

Registered Nurse Utilization Review, Case Management, Per Diem, 8A-4:30P Baptist Health South Florida  Miami, FL
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient pati ... Read more
Apply

Miami,FL

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient pati

Structural Engineer - Plan Review CSG Talent  Miami, FL
Structural Engineer - TIC We are seeking an experienced and licensed Structural Engineer with a Florida P.E. license for immediate hire. The successful candidate will demonstrate technical proficiency ... Read more
Apply

Miami,FL

Structural Engineer - TIC We are seeking an experienced and licensed Structural Engineer with a Florida P.E. license for immediate hire. The successful candidate will demonstrate technical proficiency

Director of Incident Response Review TransPerfect  Miami, FL
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident ... Read more
Apply

Miami,FL

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident

Nurse Reviewer I Elevance Health  Miami, FL
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
Apply

Miami,FL

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Director of Specialty Bill Review Services - Remote Rising Medical Solutions  Miami, FL
As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic ... Read more
Apply

Miami,FL

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic

'
You Might Like
Learn more about RevenueStripe...