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Remote Mid-level Medical Reviewer Jobs

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The Medical Clinical Review Consultant conducts independent evaluations of healthcare claims, assessing medical necessity and quality of care to ensure compliance with Medicaid policies.

Medical ReviewClinical EvaluationsMedical Necessity AssessmentMedicaid Policies

Review orthopedic surgery treatment requests and appeals for medical necessity as an independent consultant, offering flexible scheduling and a streamlined case flow.

Orthopedic SurgeryUtilization ReviewMedical Necessity AssessmentTelemedicine
Dane Street

Diagnostic Radiology- Medical Record Reviewer

📅 Aug 18, 2025
Dane Street🏢 Insurance🤝 B2B

As a Physician Reviewer/Advisor for Independent Medical Exams, you will leverage your clinical expertise to review medical records and assess the medical necessity of services in compliance with established guidelines.

Clinical ExpertiseMedical Necessity ReviewInsurance AppealsEvidence-based Guidelines
Swisselect

Versicherungsmediziner:in

📅 Aug 22, 2024
Swisselect👥 11 - 50 employees🏢 Staffing And Recruiting

As a Versicherungsmediziner:in, you will manage and assess disability cases, medical treatments, and causality evaluations across various sectors, ensuring accurate documentation and communication.

Medical AssessmentDisability EvaluationInsurance RegulationsDocumentation

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