214 total jobs
48 new jobs this week
Review orthopedic surgery cases for medical necessity, providing advisory opinions while maintaining a flexible schedule as an independent consultant.
Review medical records and apply workers’ compensation guidelines to assess treatment requests and appeals, delivering clear, evidence-based medical necessity determinations within required timeframes.
Physician reviewers assess medical records and appeals to determine treatment necessity, applying workers’ compensation guidelines and evidence-based criteria to deliver clear, timely determinations without patient care.
Review medical records and provide objective, evidence-based determinations on treatment necessity, applying workers’ compensation guidelines and completing clear, timely reviews without patient contact.
Conduct non-clinical utilization reviews of medical records, applying workers’ compensation guidelines and clinical criteria to assess treatment necessity and deliver clear, evidence-based determinations.
Conduct objective, evidence-based utilization reviews of treatment requests and appeals, assessing medical necessity and delivering clear determinations using workers’ compensation guidelines and clinical criteria.
Review medical records and provide objective, evidence-based determinations on the medical necessity of treatment requests and appeals, applying workers’ compensation guidelines and completing reviews within required timeframes.
Review orthopedic spine surgery cases to assess the medical necessity of requested or previously denied services, providing advisory opinions through a streamlined process while maintaining an active practice.
Review workers’ compensation treatment disputes for medical necessity, applying California IMR standards and evidence-based guidelines to produce clear written determinations.
Reviews insurance appeals and prospective and retrospective claims, determining medical necessity against client policies and evidence-based standards while delivering clear, documented decisions on time.
As a Versicherungsmediziner:in, you will manage and assess disability cases, medical treatments, and causality evaluations across various sectors, ensuring accurate documentation and communication.
Review medical records for prior authorizations and appeals, determine medical necessity using evidence-based criteria, and deliver clear, timely, compliant decisions for health plan clients.
Conducts Independent Medical Exams and peer reviews, evaluating disability claims and medical services against evidence-based guidelines, documenting clear determinations, and completing cases within required turnaround times.
Conducts Independent Medical Exams and peer reviews, applying Internal Medicine expertise to assess disability claims, evaluate medical records, and deliver clear, evidence-based determinations on time.
Review medical records and disability claims, provide evidence-based determinations with clear supporting rationales, and conduct Independent Medical Exams while meeting client turnaround requirements.
Reviews insurance appeals and prospective and retrospective claims, determining medical necessity against client policies and evidence-based standards while documenting clear, well-supported decisions.
Reviews insurance appeals and prospective and retrospective claims, determining medical necessity against client policies, evidence-based guidelines, and standards of care while delivering clear, documented decisions on time.
Reviews insurance appeals and prospective and retrospective claims, determining medical necessity against client policies and evidence-based guidelines while providing clear, well-supported clinical rationales.
Reviews medical records and applies evidence-based guidelines to assess the medical necessity of proposed or provided care, documenting clear, supported advisory determinations and completing case reviews on time.
Reviews medical records and CPT coding for orthopedic cases, applying client criteria and state-specific fee schedules to produce clear, evidence-based determinations and supporting reports.
Reviews workers’ compensation claims and medical records, assessing the appropriateness of care against evidence-based criteria and regulations, and delivering clear, well-supported determinations on time.
Curate and tag medical insight notes, respond to customer data-change requests, and collaborate with data analysts and quality teams to deliver accurate, high-quality information for life sciences clients.
3% of these listings are open worldwide. The other 97% hire in specific countries:
From 214 listings that state where they hire.
