Clinical Reviewer Job at Health First, Nashville, TN

YWdXNzB6T044S09FY0h0VkFobW1IWlErY1E9PQ==
  • Health First
  • Nashville, TN

Job Description

Healthfirst is seeking a Medical Peer Reviewer to consult on medical necessity in utilization management and ensure compliance with internal and external regulations. The role involves assessing requests for authorization and collaborating with various departments to manage clinical judgements efficiently. The position requires a Licensed M.D. or D.O. with Board Certification. Healthfirst offers a competitive salary range of $122,907 - $188,020 and a comprehensive benefits package including medical, dental, and vision coverage. #J-18808-Ljbffr

Job Tags

Similar Jobs

Jobot

Psychiatric Nurse Practitioner - PMHNP Job at Jobot

 ...recommendations in the EMRProvide compassionate, patientcentered psychiatric careQualificationsActive Connecticut APRN licensePMHNP certification strongly preferredPsychiatric Mental Health Nurse Practitioner experienceHospital, inpatient, consultliaison, adult... 

Grand Sierra Resort and Casino

Graphic & Motion Designer Job at Grand Sierra Resort and Casino

 ...Graphic & Motion DesignerGrand Sierra Resort, voted Best Hotel and Gaming Resort in Reno multiple years in a row, is seeking a talented Graphic & Motion Designer. As a key member of GSR's in house Creative team, you will contribute to everything from large scale campaigns... 

Crescent Hotels & Resorts LLC

Hotel Concierge - Elysee New York Job at Crescent Hotels & Resorts LLC

 ...York is entering a new chapter as an intimate luxury boutique hotel in the heart of Midtown Manhattan. The hotel blends the elegance...  ...is seeking a naturally curious, highly connected, and gracious Concierge to serve as a personal host, trusted advisor, and ambassador of... 

1Huddle

Associate, Internship Team Job at 1Huddle

 ...Associate, Internship Team The company is currently seeking candidates for our development...  ...Staff/Game DesignProduct/QA AssociateMarketingPrimary Duties and Responsibilities -...  ...called forDemonstrate a positive attitudeExperience: No previous professional sales... 

360 Advanced Cybersecurity, LLC

Senior Associate - Cybersecurity & Compliance Government Services Job at 360 Advanced Cybersecurity, LLC

 ...support gap assessments, readiness engagements, and formal assessments across a variety of client environments, including government contractors, technology companies, SaaS providers, and public sector-focused organizations. Senior Associates are expected to contribute...