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As a Document Review Attorney, you will be an integral part of the Complaint Review Unit (CRU), responsible for processing cases and ensuring compliance with legal standards. Review and analyze legal documents and evidence pertaining to cases in the CRU.
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As Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review medical records provided and return an independent, professional opinion on the clamants functionality and restrictions or limitations as it relates to an application for disability benefits or the current status of disability.
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Performs review of clinical monitoring visit reports for allocated projects ensuring consistency across protocols and/or regions and escalates any protocol, site, and/or CRA issues or trends noted during the report review process to CTM.
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Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers compensation claims.
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Our client has several document review projects coming up. Consilio is a global leader in legal staffing, eDiscovery, risk management, and legal consulting services. Location: On-site, at the client's office in downtown Richmond, VA.
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If you are a licensed attorney and want to provide REMOTE document review services to a leading U.S. trial firm for several upcoming projects, this opportunity is for you. Document Review Attorneys: WORK FROM HOME.
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We are seeking a diligent and detail-oriented Real Estate Review Appraiser to join our team. 5-7 years of experience in commercial property appraisal review, preferably within a financial institution or private sector setting.
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Manage document review projects from initiation to completion, including staffing, setup, training, IT, security, and addressing client needs. Our company specializes in forensics, eDiscovery, managed review, and consulting, prioritizing exceptional customer service and reliability.
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Review medical information, update records to meet regulations. Proficient in EMR software like eClinicalWorks and My Avatar. Position Objective/Summary: Under the immediate supervision of the Director of Quality Management, the Clinical Documentation Reviewer oversees the healthcare organization's medical recordkeeping practices.
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Reviews planned, in process, or completed health care services to ensure medical necessity and effectiveness according to evidence-based criteria - prospective, concurrent and retrospective review.
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TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Olney, Maryland. Posted job title: Utilization Review Registered Nurse About TRS Healthcare TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for healthcare professionals nationwide and supplying healthcare organizations with comprehensive staffing and placement solutions to meet a wide range of workforce recruitment needs.
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Escalate cases to the Utilization Review Manager and/or Physician Advisor as needed. As a Behavioral Health Utilization Review Clinical Specialist, you will be responsible for assessing the medical necessity for admission to the Behavioral Health Unit (BHU) as well as continued stay, while also ensuring that services are appropriate and properly authorized by payers.
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A utilization review nurse carefully records information regarding patient care on the back end of hospitals and doctor s office visits in hopes of keeping healthcare costs low for both patients and their respective organizations.
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Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues. Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations.
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As part of our Communications Review Team, you will play a pivotal role in administering and analyzing various communication reviews and content to ensure compliance with regulatory expectations and firm policies.
Part-timeRemoteExpandUpdated 11 days ago
Title: chart review in Hermon, ME
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