The Peer Review Coordinator at the American Psychiatric Association is a skilled communicator and customer service representative responsible for ensuring a high-quality peer review process for authors, reviewers, and editors. This role involves facilitating all aspects of peer review within the journal portfolio, solving problems, and enhancing existing procedures. The coordinator will work closely with editors, authors, and reviewers, as well as APA Journals staff, to manage the manuscript submission process and provide technical support.

Peer Review Coordinator

As the Lead Manager, Peer Review at the AICPA, you will serve as a staff liaison for CPAs at each Administering Entity and the CPA on Staff Advisory Task Force of the AICPA Peer Review Board. This role involves assisting the Technical Director and Associate Director on regulatory matters affecting the AICPA Peer Review Program, performing oversight activities including Report Acceptance Body observations, and having a tangible impact on Administering Entities' operational and technical effectiveness.

Remote Lead Manager - Peer Review

Lead Manager, Peer Review

The Onsite Reviewer is responsible for ensuring Ohio Medicaid providers are providing legitimate services, operating within the required Ohio administrative code rules, and conducting site visits using a comprehensive checklist approved by the Ohio Department of Medicaid. This role involves daily travel to various provider locations across Ohio, including overnight stays, and operating independently within a team environment.

Onsite Reviewer - Southwest Cincinnati

Onsite Reviewer

Joule is seeking US Board Certified Medical Doctors, Nurse Practitioners, Physician's Assistants, or Pharmacists licensed in the US for the role of Medical Reviewer. This remote position involves performing medical reviews of short, consumer-facing articles or specific parts of the care journey, adhering to protocols and rubric standards. The role requires recent patient and healthcare experience within the United States.

Medical Reviewer

As a Clinical Reviewer at Acentra Health, you will evaluate medical records against precise criteria to determine the medical necessity and care appropriateness of psychiatric inpatient care. This role involves critical thinking, decisive skills, and adherence to regulatory standards to ensure the accuracy and consistency of the Psychiatric Inpatient Concurrent Review process. This full-time remote position is based in Maine, requiring a Maine LCSW or LCPC license and residing and working within the state.

Clinical Reviewer - Remote within Maine - (LCSW or LCPC)

Clinical Reviewer

As a Psychologist Reviewer at Centene Corporation, you will authorize, direct, and monitor care for behavioral health and substance abuse problems based on clinical information and internal criteria for medical necessity and appropriateness of care. This role involves conducting peer reviews with psychologists and licensed therapists/certified Behavior Analysts for outpatient and/or psychological testing requests, interacting with network practitioners to provide education on best practice models, and facilitating outpatient rounds. The position is remote and requires a PhD in Clinical Psychology, Counseling, Behavior Analysis, or a related field, along with a PSY - Psychologist Unrestricted License (PhD or PsyD) or a Board Certified Behavior Analyst (BCBA-D) upon hire.

Psychologist Reviewer

The Compliance Reviewer at HEALTH AND HUMAN SERVICES COMMISSION performs advanced technical and professional reviews of certification surveys, licensure inspections, and investigations conducted in long-term care facilities to ensure compliance with state/federal requirements and protocols. This role involves transforming qualitative data into quantitative data, assisting with in-depth analysis of program-specific data, and developing work plans, reports, and documentary support for program development and assessment. The position requires knowledge of NFPA codes and standards, principles of documentation, and the ability to work remotely.

Compliance Reviewer

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