FULL_TIME

FEED

OTHER

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. The goal of Iowa PASRR is to protect vulnerable populations by confirming nursing facility placement is appropriate, identifying specialized services, and promoting opportunities for individuals to live in the least restrictive and most supportive environment possible.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Clinical Reviewer (Remote)

equestftpin

UNKNOWN

Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert.

HOUR

Evolent

Physician Reviewer-Radiology (Full-Time)

IRecruitee

Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an “excluded person” by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert.

Otolaryngologist-Physician Reviewer-Radiology (Full-Time)

Endocrinology-Physician Reviewer-Radiology (Full-Time)

YEAR

Contributors may: Evaluate clinical EHR vignettes paired with a question, a proposed answer, and a distractor "trap" answer across diagnosis and treatment tasks, spanning cardiovascular, nervous, hematologic, respiratory, digestive, urinary, reproductive, musculoskeletal, and integumentary systems; Score the clinical reasoning quality of benchmark items: vignette accuracy and completeness, whether the vignette gives the answer away, answer correctness and gradeability, and trap quality; Check whether the reasoning chain reaches the answer from vignette facts alone, correct reasoning traces, and write short rationales. Practising or retired physicians welcome; Broad, multi-system diagnostic and treatment experience (internal, family, emergency, or hospital medicine); Strong clinical reasoning: differential diagnosis, next-step management, and application of evidence-based guidelines; Prior experience in medical AI evaluation, clinical content or exam-question review, or medical annotation/QA (a plus); Strong written English (C1+).

Mindrift

Physician Reviewer (MD/DO) - Medical AI Evaluation

Workable

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Actalent Inc

QC Reviewer

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While each project involves unique tasks, contributors may: Evaluate clinical EHR vignettes paired with a question, a proposed answer, and a distractor “trap” answer across diagnosis and treatment tasks, spanning cardiovascular, nervous, hematologic, respiratory, digestive, urinary, reproductive, musculoskeletal, and integumentary systems; Score the clinical reasoning quality of benchmark items: vignette accuracy and completeness, whether the vignette gives the answer away, answer correctness and gradeability, and trap quality; Check whether the reasoning chain reaches the answer from vignette facts alone, correct reasoning traces, and write short rationales; Work within three independent blind reads, followed by physician adjudication. Ideally, contributors will have: Medical degree (MD or DO) and an active, unrestricted US medical license (verified with the issuing medical board); Board certification or completed residency training, with recent direct patient care (attending-level preferred); Broad, multi-system diagnostic and treatment experience (internal, family, emergency, or hospital medicine); Strong clinical reasoning: differential diagnosis, next-step management, and application of evidence-based guidelines; Prior experience in medical AI evaluation, clinical content or exam-question review, or medical annotation/QA (a plus); Strong written English (C1+).

Physician Reviewer (Md/Do) - Medical AI Evaluation

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UpToDate editors work closely with outside authors, section editors, editors-in-chief, and peer reviewers to ensure the material is accurate and free of bias. In the remaining 10 to 20% time, most Physician Editors remain involved in patient care activities, using their clinical experience to help ensure the content of the program is maximally useful at the point of care.

At Wolters Kluwer, we excel at creating content solutions for use in a professional context in the fields of health, corporate services, finance, tax, accounting, law, regulation, and education. We are professionals serving professionals and are committed to delivering essential content, software, and services to help our customers make their most critical business decisions. Utilizing the latest in information technology, we ensure that our customers have the solutions they need, when they need them, and in the media best suited to their requirements. When we achieve this, we deliver on our goal of being the market leader in content in context. Partners in Innovation Wolters Kluwer professionals are continuously engaged in an ongoing exchange of expertise and ideas with our customers about their work. This partnership in innovation is at the heart of meeting our commitment to the lawyers, doctors, nurses, tax advisors, teachers, and business executives we serve. Knowledge of their professional workflows and the ability to apply emerging technologies to make them more efficient and productive are at the heart of this partnership. Leading Positions and Brands Strong market positions are very important to our business strategies at Wolters Kluwer, and we value the leading positions we hold in most of our markets. Across all of our markets, we own strong, enduring brands in North America such as Adis International, Aspen Publishers, Bankers Systems, CCH, ClineGuide, CT Corporation, Kluwer, Facts & Comparisons, IFI Claims, Lippincott Williams & Wilkins, Loislaw, Medi-Span, Ovid Technologiesand Skolar. These brands have promised and delivered high quality information for decades, and we are committed to continuing to do everything necessary to earn, retain, and expand leadership positions in our selected markets.

Wolters Kluwer N.V.

Principal Clinical Content- Physician - UpToDate, Physician Editor, Adult Rheumatology

Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. What You Will Be Doing: Serve as the Physician match reviewer in Radiation Oncology and imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert.

Radiation Oncology Field Medical Director

Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.

Field Medical Director, Vascular Surgeon

Approximately 1,780 MCW physicians and approximately 905 advanced practice providers care for more than 484,000 patients of all ages annually at Froedtert Hospital, Zablocki VA Medical Center, Children's Wisconsin, and many other hospitals and clinics throughout eastern Wisconsin, representing more than 5.1 million patient visits annually. The BRC occupies 95,000 ft2 and is staffed by 30-40 animal health technicians, 3 veterinarians (BRC Director and 2 Staff Veterinarians), 3 surgical team members (veterinary technicians), 3 Animal Husbandry Supervisors, a Veterinary Technical Services Supervisor, and an administrative team.

Medical College of Wisconsin

Assistant Professor, Staff Veterinarian - Biomedical Resource Center, Office of Research

Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.

Guidehealth

Utilization Management Registered Nurse (RN) - Remote

Job Summary: The RN Second-Level CDI & Quality Reviewer is a senior-level clinical documentation professional responsible for performing in-depth, concurrent and retrospective reviews of medical records to ensure accurate documentation that supports correct Diagnosis-Related Group (DRG) assignment and other quality-based outcomes. In addition to validating query appropriateness and documentation practices, this role analyzes Patient Safety Indicators (PSIs), Hospital-Acquired Conditions (HACs), and other publicly reported hospital quality metrics.

Clinical Reviewer Jobs in Wisconsin

Clinical Reviewer (Remote) Maximus

Physician Reviewer-Radiology (Full-Time) Evolent

Otolaryngologist-Physician Reviewer-Radiology (Full-Time) Evolent

Endocrinology-Physician Reviewer-Radiology (Full-Time) Evolent

Physician Reviewer (MD/DO) - Medical AI Evaluation Mindrift

QC Reviewer Actalent Inc

Physician Reviewer (Md/Do) - Medical AI Evaluation Mindrift

Principal Clinical Content- Physician - UpToDate, Physician Editor, Adult Rheumatology Wolters Kluwer N.V.

Radiation Oncology Field Medical Director Evolent

Field Medical Director, Vascular Surgeon Evolent

Assistant Professor, Staff Veterinarian - Biomedical Resource Center, Office of Research Medical College of Wisconsin

Utilization Management Registered Nurse (RN) - Remote Guidehealth

RN CLIN DOCUMENT SPEC QUALITY- ENTERPRISE QUALITY CDI/UR/DM Froedtert & The Medical College of Wisconsin

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