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In this role, the Clinical Reviewer will be responsible for reviewing assessments submitted by hospitals and nursing facilities to determine medical necessity. Description & Requirements Maximus is currently looking for a Clinical Reviewer to support the IN PASRR (Preadmission Screening and Resident Review) program.
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We are searching for an experienced Seasonal Tax Reviewer to join our team on a 100% remote basis. What You Will Be DoingAs a Seasonal Tax Reviewer, you will be responsible for reviewing and preparing tax returns for a variety of clients.
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Job Description :Nurse Reviewer ILocation: Within 50 miles of a pulse point in the following states:CaliforniaNevadaWashingtonIdahoShift: Tuesday - Saturday from 9:30 am - 6:00 pm PST A proud member of the Elevance Health family of companies, Carelon Post Acute Solutions, formerly myNEXUS, is the leader in health resource optimization, focused on transforming how healthcare is delivered and promoting the advancement of care for the people we serve.
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Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. 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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This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services.
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to review and submission of home health documents to support the quality and billing practices for the care that has been ordered.
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Prepare plan, profile, grading, surface design for water, storm, wastewater piping, and roadways design from concept to final, ensuring reviewer comments received are corrected and addressed. Experience and familiarity with municipal, urban development and water resources disciplines and/or an education background in these areas.
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Portuguese Document Reviewer. Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer, engineer, reviewer, and analyst sees themselves as an extension of the projects' team.
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Vacancies will be filled in the following specialty areas: Small Business/Self Employed, Field Examination
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As a Local Community Reviewer, you will share your experience with LGBTQ+ support services in your community to help InReach App users find the help they need. Join us as an InReach Local Community Reviewer to help build a more inclusive and representative platform for the diverse LGBTQ+ community where everyone’s voice is heard.
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Completes tasks and organizes file to minimize rework by reviewer. Monitors tax law and client factual developments on a regular basis, daily or weekly but at least bi-weekly. Additional offerings include BDO Flex, Group Legal insurance, Pet insurance and Long-Term Care Insurance.
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State of the art system to make it easier for the physician reviewer to receive and complete requested files. ezURS.com Inc., has an ongoing need for Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation, and auto liability cases.
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The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.
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The Clinical Care Reviewer UM will use his/her professional judgment to evaluate the request and ensure that services are appropriately approved, recognize care coordination opportunities and refer those cases to Population Health as needed.
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Our commitment to delivering precise, dependable, and punctual premium audit results is unwavering.
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reviewer job in Las Vegas, NV
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