Conduct utilization reviews to assess the medical necessity, appropriateness, and efficiency of healthcare services. Review..., and available resources. Maintain accurate and timely documentation of utilization reviews, clinical findings, authorizations, and actions...
Dean's Professional Services ⚡ $29 per hour ⚡ Thu, 03 Sep 2026 01:25:13 GMT
utilization management and quality reviews to evaluate medical necessity, patient acuity, and continued need for services. Review... utilization of services. Complete accurate and timely clinical reviews and documentation. Manage multiple cases while meeting...
Job Summary: Responsible for carrying out precertification and medical necessity reviews on all designated referrals..., utilizing established criteria and guidelines, retrospective ED reviews. In addition, they will perform eligibility and benefit...
Kaiser Permanente ⚡⚡ Wed, 02 Sep 2026 06:25:46 GMT
) Position Summary The Clinical Reviewer Specialist is responsible for performing clinical and medical necessity reviews... License required. (Not encumbered only) Key Responsibilities Conduct comprehensive clinical reviews of medical records...
Job Summary: Responsible for carrying out precertification and medical necessity reviews on all designated referrals..., utilizing established criteria and guidelines, retrospective ED reviews. In addition, they will perform eligibility and benefit...
Kaiser Permanente ⚡⚡ Wed, 02 Sep 2026 00:43:44 GMT
Job Summary: Responsible for carrying out precertification and medical necessity reviews on all designated referrals..., utilizing established criteria and guidelines, retrospective ED reviews. In addition, they will perform eligibility and benefit...
Kaiser Permanente ⚡⚡ Tue, 01 Sep 2026 23:31:08 GMT
) Position Summary The Clinical Reviewer Specialist is responsible for performing clinical and medical necessity reviews... License required. (Not encumbered only) Key Responsibilities Conduct comprehensive clinical reviews of medical records...
Job Summary: Responsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME... established criteria and guidelines for coordination of services. Eligibility and benefit reviews will be performed as necessary...
Kaiser Permanente ⚡⚡ Tue, 01 Sep 2026 22:28:57 GMT
Clinical Review Supervisor
(clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically...
CorVel ⚡ $77960 - 120368 per year ⚡ Thu, 03 Sep 2026 04:26:34 GMT