Reviewer III, Medical Job at Paladin, Columbia, SC

WGU4YUJVd1VGaEVFMldGa3BiemxucFdUOEE9PQ==
  • Paladin
  • Columbia, SC

Job Description

Medical Review Duties

Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. 70% Performs medical claim reviews for one or more of the following: claims for medica...

Job Tags

Similar Jobs

House Buyers

Part Time Contract Recruiter - 100% Remote Job at House Buyers

 ...company culture includes: competitive pay, great benefits, great people, casual dress, team events, work hard/ play hard environment...  ...a high volume of homes offering a guaranteed, fast, and hassle-free sale to people who want to sell their house without paying a Realtor... 

Insight Global

Telecommunications Technician Job at Insight Global

 ...Insight Global is seeking a Microwave Telecommunications Technician to join our client in a long-term contract opportunity. The primary goal of the Technician is to provide installation and maintenance support for the clients telecommunications infrastructure microwave... 

Trustaff

Travel Nurse RN - Med Surg - $2,192 per week Job at Trustaff

 ...Trustaff is seeking a travel nurse RN Med Surg for a travel nursing job in Corning, Iowa. Job Description & Requirements ~ Specialty: Med Surg ~ Discipline: RN ~ Start Date: 09/02/2025~ Duration: 13 weeks ~36 hours per week ~ Shift: 12 hours, nights... 

Carle Health

Social Worker LSW - Co Responder Social Service Unit Job at Carle Health

 ...critical to an overall healthier, safer community and are aimed at facilitating more stable...  ...of supervision of Licensed Social Workers and Licensed Clinical Social Workers, clinical...  ...citizens to ongoing services and supports. Qualifications License/Certifications... 

International SOS Government Medical Services

Paramedic Job at International SOS Government Medical Services

 ...International SOS Government Medical Services, Inc. is looking for a Paramedic to provide medical coverage at the Blue Grass Chemical Agent-...  ...Languages: ~ Excellent written and oral English. Travel / Rotation Requirements: Some travel may be required....