Physician Reviewer

We are currently seeking Board-Certified Physical Medicine and Rehabilitation provider with an active New York medical license and Workers' Compensation Board Certification to conduct Utilization Reviews. · ...

Dane Street is expanding its panel of Physician Reviewers. We are seeking Board-Certified Psychiatrist with an active New York medical license and Workers' Compensation Board Certification to conduct Utilization Reviews. · ...

Dane Street is expanding its panel of Physician Reviewers. We are seeking Board-Certified Orthopedic Surgeons with an active New York medical license and Workers' Compensation Board Certification. · ...

tango is a leader in the home health management industry and is preparing for significant growth Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. · ...

tango is a leader in the home health management industry and is preparing for significant growth Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We are currently looking for a Physician Reviewer to join o ...

Dane Street is expanding its panel of Physician Reviewers for Utilization Reviews in New York. · Review medical records to determine medical necessity · Utilize state-specific workers' compensation guidelines · ...

We are seeking a Physician Reviewer to join our team and contribute to our mission of providing exceptional healthcare services. · ...

++Insight Global is hiring a · fully remote Physician Reviewers for a leading health insurance company. The Physician Reviewer will review requests for care before, during, and after treatment to confirm they follow medical guidelines and company policies. This includes checking ...

This role provides medical necessity reviews for pre?service clinical requests on a remote, weekend?only schedule. The position requires an initial 4?week training period, followed by ongoing weekend coverage for at least two weekend days per month. · Conduct pre?service medical ...

The Review Physician works in close collaboration with Clinical Services Department staff and is responsible for review of all applicable Clinical Assessment, · Clinical Re-assessment, · and additional assessment services when indicated.Reviews documentation associated with clini ...

We are seeking an experienced board-certified Physician Reviewer to evaluate clinical service requests within our organization. · Review and adjudicate clinical service requests using clinical expertise. · Collaborate with case managers to support anticipatory case management. · ...

Dane Street is expanding its panel of Physician Reviewers to conduct Utilization Reviews. · Review medical records to determine the medical necessity of services ...

Dane Street is seeking Board-Certified Orthopedic Spine Surgeons for independent reviews. · Review medical records · Utilize state-specific workers' compensation guidelines · ...

Evaluates clinical service requests made by an organization's members and providers. · Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests · May also provide clinical leadership in other areas of the organization · ...

Dane Street is expanding its panel of physician reviewers. We are seeking Board-Certified General Surgeons with an active Louisiana medical license to conduct independent medical reviews on a flexible, fully remote basis. · This is a non-clinical contract opportunity ideal for ph ...

Dane Street is a leading Independent Review Organization (IRO) offering flexible remote opportunities for board-certified physicians seeking supplemental income through non-traditional clinical work. · ...

We are searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews within a standard Monday - Friday work week. · Reviews all medical records and addresses each question posed by the client utilizing state-mandated or oth ...

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. · The physician reviewer will provide an interpretation of the medical necessity of services provided by other healthcare pro ...

The Physician Reviewer is responsible for evaluating clinical service requests made by BCBSMA members and providers. · ...

+Job summary · The Associate Medical Director serves as a clinical expert responsible for reviewing requests for medical services and rendering coverage determinations in accordance with benefit plans, medical policies, and clinical guidelines. · +QualificationsHold an active, un ...