Reviewer Jobs in Cincinnati
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Cincinnati Children's Hospital Medical Center-Cincinnati
and coordination of care in a timely and cost-effective manner. Interfaces with physician reviewers to optimize the written communication to members and referring providers.
Compliance
Meet third-party payer standards and requirements. Maintains knowledge...
Rea & Associates-Ohio
research
• Prepares memo supporting research/conclusions and consults with others if appropriate
• Presents issues to Principal-In Charge or concurring reviewer effectively and accurately
• Will be required to organize and conduct effective internal CPE...
workable.com -
Elevance Health-Cincinnati
outpatient services, out of network services, and appropriateness of treatment setting and level of care.
• Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning, and general clinical...
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