Cardiologist - Physician Reviewer

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

· Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an active New York medical license and Workers' Compensation Board Certification to conduct Uti ...

HealthHelp - A WNS Company is seeking Board Certified Physicians as Independent Contractors for case review roles. · ...

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 to conduct Utilization Reviews. · This is a fully remote role offering supplemental ...

· Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active New York medical license and Workers' Compensation Board Certification to con ...

Dane Street is expanding its panel of Physician Reviewers to conduct Utilization Reviews for treatment requests and appeals. · ...

· Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Spine Surgeons with an active New York medical license and Workers' Compensation Board Certification t ...

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 ...

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 ...

Performs medical review activities pertaining to delegated pediatric services including medical review of complex, controversial, or experimental medical services. · ...

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. · ...

JOB RESPONSIBILITIES · Medical Review - Performs medical review activities pertaining to delegated pediatric services including medical review of complex, controversial, or experimental medical services. · Quality - Assists Medical Director in improving quality and cost-effective ...

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 clin ...

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

Dane Street is expanding its panel of Physician Reviewers to conduct Utilization Reviews for Workers' Compensation Board Certification. · ...

We are looking for someone who …. · Lead a team of professionals responsible for annotating and validating medical data. · Partner with our AI Engineering teams to train and refine generative AI models incorporating clinical insights to ensure features meet client needs. · Provid ...

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 ...

Ready to help us transform healthcare? Bring your true colors to blue. · The Role · The Physician Reviewer is responsible for evaluating pre & post-service clinical service requests made by BCBSMA members and providers. The Physician Reviewer uses their clinical judgment in conju ...

Ready to help us transform healthcare? Bring your true colors to blue.  · The Role · The Physician Reviewer is responsible for evaluating pre & post-service clinical service requests made by BCBSMA members and providers.  The Physician Reviewer uses their clinical judgment in con ...

Job Summary · We are seeking Physician Reviewers to analyze medical records and determine the application of CPT codes. · Reviews all medical records and addresses each question posed by the client. · ...

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. · ...