Clinical Utilization Review Specialist
Alsana
Alsana is a national leader in eating disorder treatment, offering a holistic, soul-hearted approach to recovery for adults and adolescents of all genders. As a Utilization Review Specialist, you will support utilization management, including medical necessity reviews, clinical documentation, and patient status determination, collaborating with clinical teams and leadership to ensure appropriate levels of care and regulator compliance. #J-18808-Ljbffr
- ...Job Description Job Description Position Summary The PACE Utilization Review Specialist – RN oversees clinical utilization management for participants enrolled in the Program for All-Inclusive Care for the Elderly. The position ensures that services are medically...SuggestedWork at office
- Syneos Health is seeking a Clinical Scientist in Ophthalmology in Santa Monica, CA. You will collaborate with Medical Directors to develop and review medical data, manage study deliverables, and ensure regulatory compliance across the clinical development process. Join...Suggested
- ...Certified Coding Specialist The Certified Coding Specialist protects and recovers the clinic's patient reimbursement by acting as a coding/billing resource for all MWU... ...Essential Duties and Responsibilities: Reviews coding used for Multispecialty Clinics and...Suggested
- ...Clinical Documentation SpecialistThe Clinical Documentation Specialist plays a critical role in ensuring the accuracy and completeness... ...patient medical records. They review and analyze clinical... ...Treats everyone as their customer; utilizes scripting and other tools to ensure...SuggestedWork at office
- ...Clinical Documentation SpecialistThe Clinical Documentation Specialist works independently and is responsible for performing clinical chart reviews and pre-charting on risk adjustable patient populations... ...true acuity of the patient. Utilizes HCC analytics information to...SuggestedWork at office
- ...Job Description Job Description Senior Hospitalist Clinical Reviewer Job Type: Contractor Location: Remote Job Overview We... ...documentation improvement (CDI) . Experience with medical coding, utilization review, or physician audit processes. Experience...Remote jobFor contractors
- Syneos Health is seeking a Clinical/Medical Scientist (Medical Monitoring) for infectious disease HIV trials. You will collaborate with Medical Directors to develop medical plans, perform data reviews, and ensure data integrity and patient safety across study milestones...
- ...Clinical Nurse Reviewer As one of the fastest growing Independent Physician Associations in Southern California, our organization offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people...Work experience placementFlexible hours
- Job Description The Clinical Documentation Specialist (CDS) II is a more experienced CDS, spending at least 75% of their time on independent reviews without supervision, creating queries, and facilitating... ...experience - minimum ~3 years Utilization review, coding or case...
- ...residents of Southern California. ASSIGNMENT SUMMARY The Utilization Specialist at Kheir Clinic plays a critical role in ensuring that patients receive... ..., ensuring that all departments meet their targets. • Review scheduling reports and data analytics to assess current...Local area
- ...anti-aging life center). The Clinical Documentation Improvement (CDI) Specialist is responsible for ensuring the accuracy... ...: Clinical Record Review Perform concurrent and/or retrospective... ...with quality, case management, utilization review, and compliance teams...Full timeWork experience placementLocal areaShift work
- ...information dissemination on prescriptions. You will update client records in the IBHIS system and coordinate with clinics and pharmacies. Responsibilities include reviewing financial information, processing mail and faxes, scanning documents, and maintaining supply logs. #J-18...
$57.51 - $62.21 per hour
...Clinical Lab ScientistPrimary Location North Hollywood, California Employee Status: Temporary... ...department, without immediate review by the director, consultant, or supervisory... ...methodologies used, appropriateness of test utilization and interpretation of patient results....Full timeTemporary workWork experience placementInternshipLocal areaImmediate startShift workRotating shift$200k
...program office after complete review of the EDRP application.... ...Allied Health Professional The Clinical Laboratory Scientist rotates... ...REAL ID compliant cannot be utilized as an acceptable form of identification... ...Categorical certification or Specialist certification by ASCP or AMT....Permanent employmentFull timePart timeWork experience placementSeasonal workWork at officeRemote workTrial periodRelocation packageMonday to Friday- ...Clinical Laboratory ScientistJob Title: Clinical Laboratory Scientist - Full Time: 3 shifts... ...and procedures and documents their review.Ensure all daily Quality controls (QC) (... ...Standards:Treats everyone as their customer; utilizes scripting and other tools to ensure...Full timePart timeShift workNight shiftWeekend work
$58.75 - $69.21 per hour
...Summary and Responsibilities As our Clinical Lab Scientist, you will be a critical diagnostic... ...Performs approved laboratory procedures utilizing a diverse variety of laboratory... ...information and instrument systems, Documentation review and compliance checking, Compliance with...Internship$22 - $24 per hour
Utilization Management Coordinator - Remote Department: HS - UM Employment Type: Full Time... ...Coordinator is responsible for supporting clinical, management, and client activities,... ...processes such as pre-authorizations, retro reviews, Division of Financial Responsibilities...Remote jobHourly payFull timeWork at officeMonday to Friday- ...Job Summary This associate clinical social worker will provide mental health... ...Facilitates and participates in chart reviews and audits of behavioral health clinicians... ...facilitates outreach initiatives Proactively utilize clinical supervision and/or peer consultation...Temporary workWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shift
- ...management is necessary, during patient care, and clinic visits. Primary responsibilities include... ...in valid and reliable ways. iii. Reviews dietary intake for factors that affect... ...conditions and nutritional risk. iv. Utilizes medical history, laboratory data, drug profile...Local areaMonday to Friday
$24 - $25.5 per hour
...Front Desk Specialist 5205 Melrose Ave. - Hollywood, CA 90038 Overview... ...Welcome patients to the Clinic and make sure that patients... ...and efficient registration Review patient information, input update... ...ways that fully develop and utilize each person's talents and...Hourly pay- ...Constructability Review Specialist Triangle DeCon Services Inc. is a boutique full service real estate advisory firm with a focus on project development and construction management for our valued private developers and public organizations in Southern California. We...Full timeFor contractorsInterim role
- ...psychologist, and other allied specialists to implement positive... ...community visits with caregivers to review program effectiveness.... ...progress. Provide coaching and clinical support. Review data and reports... ...Prevention/CPI training, utilize all aspects of this training...Part timeWork at officeFlexible hoursDay shiftAfternoon shift
$18 - $21 per hour
...Clinical Assistant Pinnacle Fertility is a leader in physician-centric fertility care, supporting high-performing fertility clinics... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....Hourly payFull timeMonday to Friday$100.16k - $218.72k
...more at UCLA Health. You will become a member of our highly successful Clinical Documentation Integrity and Denial Management team, including all modalities. This role involves daily review of high-acuity patient records to identify potential and active payer denials...- ...patients, take appropriate vital signs, review current medications and record in medical... ...as liaison, for administrative and clinical (based on scope of practice) support activities... ...facilities management, patient billing, utilization management, quality management, risk...Full timeWork at officeLocal area
- ...18-2024) for hospital safety from The Leapfrog Group. Clinical Documentation Specialist (CDS) The Clinical Documentation Specialist (CDS) is responsible... ...conducting clinically based concurrent and retrospective reviews of inpatient medical records. These reviews are to...Full timeWork at officeLocal areaShift work
$20.51 - $28.85 per hour
...support students by providing a thorough review of program and expectations throughout... ...~ Addresses student concerns by utilizing interpersonal and problem solving skills... ...partner relationships. ~ Facilitates clinical affiliation agreements and other types of...Full timeWork at officeWorldwideFlexible hoursAfternoon shift$22 - $25 per hour
...practitioner and Community Engagement Specialist with delegated tasks... ...participating in systematic case reviews and consulting with nurse... ...nurse practitioner before taking clinical actions Consistently meet... ...and internal providers Utilize external and internal online...Remote jobFull timeWork experience placementLocal areaWork from homeFlexible hours$23 - $25 per hour
...TITLE: Behavior Intervention Specialist DEPARTMENT: Recuperative Care... ...Specialist (BIS) utilize a behavior analysis method to... ...conducting functional assessments. Review, document and review progress... ...and organizational skills. Clinical expertise in crisis intervention...Hourly payInternship- Job Title Biomedical Specialist - Biomanufacturing Facility Location... ...and microbiological methods, utilizing good aseptic techniques and lab... ...both research and clinical grade cellular products under... ...provides technical oversight, and reviews test data and GMP documents under...
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