- Lee County Board of County Commissioners (Fort Myers, FL)
- Fire Plan Reviewer Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/4735880) Apply Fire Plan Reviewer Salary $24.86 - $52.12 Hourly ... + Benefits + Questions Description JOIN OUR TEAM AS A FIRE PLAN REVIEWER ! Lee County Community Development is committed to ensuring the safety and compliance… more
- Point32Health (MA)
- …The Clinical Reviewer is responsible for making the determination of medical necessity and, therefore, benefit coverage for Commercial members. The Clinical ... to our members, partners, colleagues and communities. **Job Summary** The Clinical Reviewer is a licensed Registered Nurse that is expected to function independently… more
- Commonwealth Care Alliance (Boston, MA)
- …and care management services. **Desired Knowledge, Skills & Abilities:** + Experience with medical records review preferred + Knowledge of MDS strongly preferred ... members and ongoing tracking and monitoring. The RN MDS Reviewer is a member of the Minimum Data Set...a member of the Minimum Data Set (MDS) Clinical Review team of the Care Planning Unit. The RN… more
- ManpowerGroup (Columbia, SC)
- …Medical , you will be part of the Utilization Management department supporting the medical review team. The ideal candidate will have strong analytical skills, ... a leader in the healthcare industry, is seeking a Reviewer III, Medical to join their team....2 years of clinical experience plus 1 year in utilization/ medical review , quality assurance, or home health,… more
- AmeriHealth Caritas (Charleston, SC)
- …to collect all information necessary to perform a thorough medical necessity review . It is within the BH UM Reviewer 's discretion to retain requests ... Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer is responsible for completing medical necessity reviews. ;Using… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …At the request of the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also provides clinical leadership in other areas of ... healthcare? Bring your true colors to blue. The Physician Reviewer is responsible for evaluating clinical service requests made...+ Perform additional tasks as assigned by the Associate Medical Director of the Physician Psychologist Review … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …appropriate. At the request of the Senior Medical Director of the Physician Review Unit (PRU), the reviewer also provides clinical leadership in other areas ... help us transform healthcare? Bring your true colors to blue. The physician reviewer is responsible for evaluating pre & post-service clinical service requests made… more
- Apex Health Solutions (Houston, TX)
- …as a contact and resource person to Health Solutions' members for the utilization review (UR) of healthcare services. The UM Reviewer will be responsible for ... writing. They will also coordinate pending cases for a review determination with Health Solutions Medical Director,...issues arise. To support care management initiatives, the UM Reviewer should also identify enrollees in need of case/disease… more
- State of Colorado (Denver, CO)
- Administrative Reviewer Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4814082) Apply Administrative Reviewer Salary $70,140.00 - ... 01143 01/30/2025 Department Colorado Department of Human Services Division Administrative Review Division Opening Date 01/30/2025 Closing Date 2/16/2025 11:59 PM… more
- AECOM (Sacramento, CA)
- …Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer ** to be based in **Sacramento or Fresno, CA.** **JOB SUMMARY:** Under ... of Investigation ("ROI") and the Utilities Senior Project Manager, the Utility Design Reviewer contributes alongside a team of Utility Design Reviewers to prepare, … more