Physician / Occupational Medicine / Puerto Rico / Permanent / Board Certified Internal/Occupational Physician Disability Peer Reviewer - Atlanta - Dane Street, LLC

Dane Street wants you to join our dynamic team of expert reviewers In this role you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. · Evaluate medical records provide clinical summaries engage in peer communications and a ...

We're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. · The Utilization Review Specialist is responsible for performing utilization review services in compliance with URAC guidelines, · applicable state regulati ...

The Utilization Review Specialist is responsible for performing utilization review services in compliance with URAC guidelines and applicable state regulations. · ...

Corporate Accountant with a privately-held company. · ...

· Prepares and uploads the monthly net activity for assigned operating companies Ensures data in Adaptive Planning reporting system agrees to accounting system Reconciles GL accounts monthly Researches and resolves any variances identified Reviews peer reconciliations Collaborat ...

MCMC busca un coordinador de calidad clínica motivado para trabajar en equipo con sus compañeros para garantizar la excelencia en las revisiones de pares. · Realiza revisiones de calidad asegurando que cada informe cumpla con los estándares más altos. · Verifica que todas las ins ...

The Utilization Review Specialist is responsible for performing utilization review services in compliance with URAC guidelines, · Perform precertification reviews using accepted medical criteria in accordance with URAC standards and state-mandated timeframesEnsure medical request ...

The Clinical Denials Asst will support the Utilization Management Nurse and RN Appeals Writer in the Care Management Department to prevent clinical denials related to lack of clinical, lack of authorization and untimely notifications. · The purpose of this role is to provide supp ...

Mainfram COBOL JCL CICS DB2 ORACLE Design Develop Review maintain code for Supply Chain Logistics applications Provide inputs for preparing release plan Perform quality check Provide MF technical guidance to team members and manage communication Good analytical skills to help wit ...

The Accreditation Commission for Education in Nursing (ACEN) has added a new position, · Associate Director of Accreditation Services, to join our growing team of professional nursing staff. · ...

As a Utilization Review Specialist at Davies North America, you will be responsible for performing utilization review services in compliance with URAC guidelines and applicable state regulations. You will conduct precertification, concurrent, retrospective, and appeal reviews; co ...

We're looking for a Python engineer who loves translating complex mathematical and actuarial models into high-performance code and optimizing numerical computations.You'll join a newly formed team building a cloud-native product for the insurance industry. · ...

+h2>Job summary · As a vital part of the global Davies Group we help businesses navigate risk optimize operations and spearhead transformation in the insurance and regulated sectors. · + ...

We are looking for a detail-oriented and motivated Clinical Quality Assurance Nurse Auditor to join our team. This role is responsible for evaluating clinical information received from hospital records and ensuring that reports are completed with the highest quality and integrity ...

This role is with Americold Logistics as an Internship Experience (AIE) for 12 weeks full time paid internship in various locations throughout the country to understand the supply chain industry and collaborate with organizational leaders. · ...

Provide laboratory diagnostic immunological virological and/or sequencing support for the Centers for Disease Control and Prevention's (CDC) Coronavirus and Other Respiratory Viruses Division (CORVD) · ...

This is a Contract to Hire position based out of Atlanta, GA. The pay range for this position is $31.25/hr. · ...

We are looking for a motivated and detail-driven Nurse (LPN/LVN/RN) to join our team as a Clinical Quality Assurance Coordinator. · MCMC is on the lookout for someone who will be the guardian of excellence - ensuring every Peer Review case report meets the highest standards of qu ...

Alliant Health Group seeks a Review Nurse to conduct prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members. · Perform reviews of provider prior approval/precertification requests as per PAUM policy and procedures · Evaluate initial clinical inf ...

Skyland Trail seeks Utilization Management Coordinator to monitor service utilization and optimize reimbursement. · Perform reviews, document information, obtain insurance precertification and communicate with MCOs. · ...