Medical Reviewer - Chicago

This position involves reviewing and analyzing referrals and supporting documentation to determine medical necessity of services. The job requires composing approval and denial letters as needed. · Review urgent referrals and Plan renewals to determine Medical Necessity · ...

The Medical Review Coordinator coordinates and reviews all medical records as assigned to caseload. · ...

This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations. · ...

This Medical Review Specialist role reviews and analyzes referrals and supporting documentation to determine medical necessity of medical and dental services. · Responds to inquiries sent to the department by other departments and from vendors. · Determines medical necessity on i ...

Review and analyze referrals and supporting documentation to determine medical necessity of medical and dental services. Compose approval and denial letters as deemed appropriate. · ...

The Medical Director provides physician support to Enterprise Clinical Services operations responsible for initial clinical review of service requests. · Conduct coverage reviews based on individual member plan benefits and national policies. · , ...

The Medical Device Safety Reviewer supports post-market safety surveillance activities for medical devices. This role focuses on evaluating adverse event reports and conducting medical safety assessments to ensure timely and accurate safety reporting. · Evaluate seriousness of ad ...

We are seeking an experienced Product Owner to lead and enhance medical bill review solutions. · Drive product roadmap execution for medical bill review and related capabilities · Translate market, client, and operational needs into product requirements and user stories · ...

The Med Reviewer has a key role within the designated Therapeutic Area.Working under the leadership of the Scientific Director, this leader supports the development and execution of the therapeutic area medical strategy, · specifically as it pertains to the specific asset or indi ...

We're seeking candidates who are looking for meaningful work, who want to invest in their growth, and contribute to a company built on timeless virtues and best business practices. · ...

Guarantee Trust Life Insurance Company is currently seeking a Medical Review Nurse to join our team. · We're seeking candidates who are looking for meaningful work, who want to invest in their growth and contribute to a company built on timeless virtues and best business practice ...

Guarantee Trust Life Insurance Company (GTL) is seeking a Medical Review Nurse to join their team in Glenview, IL. The ideal candidate will have a solid clinical nursing background and prior insurance experience. · Evaluate claims for Hospital Indemnity, Medicare Supplement, Long ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. · Lensa part ...

We are looking for a general practitioner family medicine internal medicine or occupational medicine physician to fill a medical review officer position. · 100% Administrative StartDate ASAP · ...

As a Civilian Physician with Spectrum Healthcare Resources (SHR), you will play a vital role in supporting the mission of the United States Military Entrance Processing Command (USMEPCOM). This position is located at Chicago MEPS site but may require occasional travel to other lo ...

We provide health services to underserved communities in Southland Chicago. Our approach addresses the whole person by assessing physical, spiritual, emotional and financial needs. · ...

Job Summary · Play a vital role in ensuring that only qualified applicants join the U.S. Armed Forces. · Support enlistment process by guiding applicants through medical evaluations. · Schedule: Monday-Friday during standard MEPS hours. · Duties include conducting medical reviews ...

As part of TRS Healthcare’s team you will work as an Operating Room Registered Nurse. Your role will be to deliver exceptional care to patients undergoing surgical procedures within the operating room environment. · Responsibilities: · Patient assessment before surgery starts wit ...

Ethos Medical Staffing is seeking a travel nurse for a Cardiac Cath Lab job in Chicago. · Perform ongoing assessments including observation, physical examination and patient response to procedural intervention. · ...

Saint Mary of Nazareth in Chicago is seeking an experienced Neurologist to join our patient-centered team. · Conduct comprehensive reviews of medical records. · Analyze and interpret medical data to identify neurological conditions. · Provide expert opinions and recommendations b ...