Clinical Care Reviewer
Des Moines, IA · On-site
Responsible for conducting timely reviews of all requests for services required to meet medical necessity criteria to include reviewing pre-certification for outpatient and inpatient services.
Des Moines, IA · On-site
Responsible for conducting timely reviews of all requests for services required to meet medical necessity criteria to include reviewing pre-certification for outpatient and inpatient services.
Des Moines, IA · On-site
Responsible for conducting timely reviews of all requests for services required to meet medical necessity criteria to include reviewing pre-certification for outpatient and inpatient services.
Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and nursing experience, the nurse reviews ...
Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and nursing experience, the nurse reviews ...
Des Moines, IA · On-site
Clinical Care Reviewer RN Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on ...
New
Des Moines, IA · On-site
Clinical Care Reviewer RN Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on ...
New
Des Moines, IA · On-site
Clinical Care Reviewer UM vTech can help you avoid the daunting task of writing and posting job offers, shifting through resumes and laboring through the lengthy interview process. Our Staffing ...
Des Moines, IA · On-site
Clinical Care Reviewer UM vTech can help you avoid the daunting task of writing and posting job offers, shifting through resumes and laboring through the lengthy interview process. Our Staffing ...
Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information ...
Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information ...
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West Des Moines, IA · On-site
$70K - $85K/yr
Tax Reviewer Location: West Des Moines, IA (In Person) Salary: $70,000-$85,000 per year Job Type: Full-Time Position Overview We are seeking an experienced, highly detail-oriented Tax Reviewer to ...
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West Des Moines, IA · On-site
$70K - $85K/yr
Tax Reviewer Location: West Des Moines, IA (In Person) Salary: $70,000-$85,000 per year Job Type: Full-Time Position Overview We are seeking an experienced, highly detail-oriented Tax Reviewer to ...
$38.46 - $48.08/hr
Tax Reviewer The Tax Reviewer oversees the review of complex tax returns, serves as a subject matter expert on tax matters, and supports strategic tax planning and audits. This role ensures the ...
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$38.46 - $48.08/hr
Tax Reviewer The Tax Reviewer oversees the review of complex tax returns, serves as a subject matter expert on tax matters, and supports strategic tax planning and audits. This role ensures the ...
West Des Moines, IA · On-site
$38.46 - $48.08/hr
Tax Reviewer The Tax Reviewer oversees the review of complex tax returns, serves as a subject matter expert on tax matters, and supports strategic tax planning and audits. This role ensures the ...
West Des Moines, IA · On-site
$38.46 - $48.08/hr
Tax Reviewer The Tax Reviewer oversees the review of complex tax returns, serves as a subject matter expert on tax matters, and supports strategic tax planning and audits. This role ensures the ...
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Des Moines, IA · On-site
Our client seeks a Tax Accountant/Reviewer to work in their office in West Des Moines, Iowa. This is a full-time, direct hire opportunity where you will earn a salary based on your experience. You ...
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Des Moines, IA · On-site
Our client seeks a Tax Accountant/Reviewer to work in their office in West Des Moines, Iowa. This is a full-time, direct hire opportunity where you will earn a salary based on your experience. You ...
Clinical Care Reviewer UM (RN/LPN) Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its ...
New
Clinical Care Reviewer UM (RN/LPN) Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its ...
New
Medicare Appeals Reviewer I (Dispute Resolution Reviewer I) Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and ...
Medicare Appeals Reviewer I (Dispute Resolution Reviewer I) Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and ...
Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. * sing clinical knowledge and nursing experience, the nurse reviews ...
Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. * sing clinical knowledge and nursing experience, the nurse reviews ...
Be Seen First
West Des Moines, IA · On-site
$55K - $65K/yr
Bookkeeper (Reviewer) Role: · Perform Reviews/audits on all Bookkeeping projects · Provide feedback/coaching to bookkeepers after reviews are completed · Provide training to the team on areas ...
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Be Seen First
West Des Moines, IA · On-site
$55K - $65K/yr
Bookkeeper (Reviewer) Role: · Perform Reviews/audits on all Bookkeeping projects · Provide feedback/coaching to bookkeepers after reviews are completed · Provide training to the team on areas ...
West Des Moines, IA · On-site
$95K - $140K/yr
This position will review simple to complex tax returns and projects. We are looking for an experienced Tax Manager that has the skillset to provide coaching, feedback, and ensure accuracy on every ...
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West Des Moines, IA · On-site
$95K - $140K/yr
This position will review simple to complex tax returns and projects. We are looking for an experienced Tax Manager that has the skillset to provide coaching, feedback, and ensure accuracy on every ...
Des Moines, IA · On-site
$95 - $100/hr
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 ...
Des Moines, IA · On-site
$95 - $100/hr
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 ...
Des Moines, IA · On-site
$95 - $96/hr
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 ...
Des Moines, IA · On-site
$95 - $96/hr
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 ...
Des Moines, IA · On-site +1
$90 - $120/hr
Develop and review problem sets, case studies, or scenarios based on real-world medicinal chemistry challenges. * Collaborate asynchronously with other experts to validate findings and share ...
Des Moines, IA · On-site +1
$90 - $120/hr
Develop and review problem sets, case studies, or scenarios based on real-world medicinal chemistry challenges. * Collaborate asynchronously with other experts to validate findings and share ...
Davenport, IA · On-site +1
$90 - $120/hr
Develop and review problem sets, case studies, or scenarios based on real-world medicinal chemistry challenges. * Collaborate asynchronously with other experts to validate findings and share ...
Davenport, IA · On-site +1
$90 - $120/hr
Develop and review problem sets, case studies, or scenarios based on real-world medicinal chemistry challenges. * Collaborate asynchronously with other experts to validate findings and share ...
Des Moines, IA · On-site +1
$90 - $120/hr
Develop and review problem sets, case studies, or scenarios based on real-world medicinal chemistry challenges. * Collaborate asynchronously with other experts to validate findings and share ...
Des Moines, IA · On-site +1
$90 - $120/hr
Develop and review problem sets, case studies, or scenarios based on real-world medicinal chemistry challenges. * Collaborate asynchronously with other experts to validate findings and share ...
Davenport, IA · On-site +1
$90 - $120/hr
Develop and review problem sets, case studies, or scenarios based on real-world medicinal chemistry challenges. * Collaborate asynchronously with other experts to validate findings and share ...
Davenport, IA · On-site +1
$90 - $120/hr
Develop and review problem sets, case studies, or scenarios based on real-world medicinal chemistry challenges. * Collaborate asynchronously with other experts to validate findings and share ...
$9.93 - $13.18
1% of jobs
$13.18 - $16.42
13% of jobs
$16.42 - $19.66
4% of jobs
$20.95 is the 25th percentile. Wages below this are outliers.
$19.66 - $22.91
18% of jobs
$22.91 - $26.15
14% of jobs
The median wage is $26.25 / hr.
$26.15 - $29.39
17% of jobs
$29.39 - $32.64
7% of jobs
$33 is the 75th percentile. Wages above this are outliers.
$32.64 - $35.88
12% of jobs
$35.88 - $39.12
8% of jobs
$39.12 - $42.37
5% of jobs
$42.37 - $45.61
1% of jobs
$9
$28
$45
| Aspect | Reviewer | Quality Control Inspector |
|---|---|---|
| Credentials | Typically requires a degree or certification in the relevant field | Often requires technical training or certification in inspection methods |
| Work Environment | Office or remote review settings, analyzing documents or data | Manufacturing, construction, or production sites inspecting products |
| Employer & Industry | Publishing, media, manufacturing, or software companies | Manufacturing, construction, aerospace, or automotive industries |
| Search & Comparison Intent | Understanding review roles, responsibilities, and qualifications | Comparing inspection and quality assurance roles in industry |
While both reviewers and quality control inspectors ensure standards are met, reviewers primarily evaluate documents, data, or content in office settings, focusing on accuracy and compliance. Quality control inspectors physically examine products or processes on-site to identify defects or issues. Their roles overlap in quality assurance but differ in work environment and specific tasks.

Health Care Client
Greetings from Fabergent,
Kindly let me know if you are currently available in the job market
Feel free to browse across through an opening below which matches your profile
Please respond with your updated profile if interested
Clinical Care Reviewer
Interview type: Phone +face 2 face
Location: Des Moines, IA
Duration: 3 months
Required Skills:
3 to 5 years or more experience in a related clinical setting
Active Iowa RN license or LPN
UM Experience / Waiver Knowledge (Home and community based)
Position Qualifications/Requirements:
Education and Training: Associates RN degree required, Bachelor's degree preferred.
Experience:
Two years of experience in managed care quality assurance or utilization review.
RN must have two years of experience in an acute care hospital.
Position Summary:
Responsible for conducting timely reviews of all requests for services required to meet medical necessity criteria to include reviewing pre-certification for outpatient and inpatient services. Applying criteria to inpatient admissions and performing concurrent review functions, identifying discharge planning needs and referral of members to case management.
Principal Accountabilities:
Evaluates clinical information submitted by providers against plan review criteria and benefit guidelines.
Utilizes clinical information to determine if criteria for medical necessity and benefit guidelines are met.
Utilizes professional judgment to determine if additional information is required, then follows through to obtain additional information prior to making a decision.
Documents all pertinent case information and dispositions for approvals and denials. Refers all cases failing to meet interqual medical necessity criteria to Medical Director for review and final determination.
Communicates with providers to initiate/coordinate outpatient services/discharge planning needs for members.
Acts as a liaison to assure services are provided in the least restrictive, most cost effective and clinically appropriate setting.
Works with the Utilization Management Manager, the Medical Director and providers to ensure that complete medical information is available to allow utilization management decisions to be made within
The Plan's standards for decision making.
Identifies potential members who may benefit from case management services and facilitates referral to the program.
Identifies and resolves any problems that could interfere with provider's continuity and coordination of care of members and refers unresolved problems to Manager.
Creates and maintains monthly reports on inpatient activities.
Performs other related duties and projects as assigned.
Adheres to ACFC policies and procedures.
Supports and carries out our Mission & Values.
*
Best Regards,
Tissa George
Mobile: 770-702-0597
FABERGENT INC
MUST have Bachelors or Assosciates degree in Nursing or any other related filed.
Also must have Active Iowa RN license or LPN
All your information will be kept confidential according to EEO guidelines.
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Recruiting and staffing services
51 - 200 Employees
Mahwah, NJ, US
2005