Clinical Reviewer
$32 - $37 per hourPRIDE Health
Duration: 3 Months with possible ongoing extension Pay Range: $32 to $37/Hour Job Description and Requirements: Bachelor’s degree in healthcare (clinical nursing or medicine) (required). Min 5 yrs clinical exp (required - inpatient preferred). Previous exp w/ American College of Surgeons National Surgical Quality Program (ACS NSQIP) or Metabolic & Bariatric Accreditation & Quality Improvement Program (MBSAQIP). 3 yrs exp as SCR. Strong surgical knowledge base “Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors” #J-18808-Ljbffr
$50 per hour
...Overview RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate: $50/hr Position Overview Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a non-...SuggestedHourly payFull timeWork at officeRemote workFlexible hours- ...Centene Corp. is looking for a Clinical Review Nurse - Prior Authorization to work remotely. This position entails analyzing prior authorization requests to determine medical necessity, working with healthcare providers for timely reviews, and maintaining compliance with...SuggestedRemote workMonday to Friday
- Overview We are seeking a clinically trained physician to provide targeted review and validation of HEOR and real-world evidence (RWE) outputs. This role ensures analyses are interpreted through a real-world clinical lens and are aligned with Medical Affairs and payer strategy...Suggested
- JSR Tech Consulting is seeking a clinically trained physician to provide targeted review and validation of HEOR and real-world evidence outputs in New Jersey. The role involves ensuring analyses are interpreted through a clinical lens and collaborating with Medical Affairs...Suggested
- Nhassociates is looking for a Clinical Reviewer responsible for conducting clinical reviews of prior authorization requests submitted to Medicare. The ideal candidate must be a licensed clinician with a minimum of 5 years in healthcare and strong knowledge of Medicare coverage...SuggestedRemote jobPart time
- ...remote 1099 contractor role, requiring a minimum of 5 state licenses. The responsibilities include reviewing patient data, developing care plans, and communicating with clinical staff to enhance patient outcomes. Candidates must have advanced practice education and strong...Remote jobFor contractorsFlexible hours
- The Cardiovascular Research Foundation is seeking a Clinical Safety Reviewer responsible for reviewing adverse events and ensuring compliance with safety guidelines in clinical trials. The role requires a medical degree or equivalent, excellent communication skills, and...Flexible hours
- All Jobs > Clinical Appeals Reviewer (Licensed Healthcare Professional) Clinical Appeals Reviewer (Licensed Healthcare Professional) • Fully Remote • United States Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical...Full timeContract workPart timeFor contractorsWork at officeLocal areaRemote workNight shift
$70k - $78k
...flexible hybrid work arrangement requiring a minimum of 1-2 pre-determined days per week in our mid-town office. Summary The Clinical Safety Reviewer / Senior Clinical Safety Reviewer is primarily responsible for reviewing adverse event and serious adverse event reports...Temporary workWork at officeFlexible hours2 days per week1 day per week$115k - $125k
TapestryHealth is seeking a Full-time Nurse Practitioner Clinical Reviewer to review Remote Patient Monitoring (RPM), Behavioral Health (BHI), and Chronic Care Management (CCM) reports, ensuring integrity and appropriateness. This remote position requires the nurse practitioner...Remote jobFull timeMonday to Friday- A leading healthcare service provider in the United States is looking for a Clinical Appeals Reviewer. This fully remote position involves reviewing appeal cases and making independent decisions based on medical evidence. Candidates must be licensed healthcare professionals...Remote job
$32 - $37 per hour
...a qualified individual to fill a role that requires a Bachelor's degree in healthcare. Candidates should have at least 5 years of clinical experience, particularly in inpatient settings, and knowledge of the ACS NSQIP or MBSAQIP programs. The position offers a pay range...Hourly pay$50 per hour
...GreenLife Healthcare Staffing is looking for an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50. This role involves conducting utilization reviews and ensuring healthcare documentation compliance for a respected non...Hourly payRemote work- ...Company Description GI Reviewers, LLC (GIR) has been a trusted industry leader since 2012, providing consulting, training, and imaging analysis services to the Clinical Research Organizations (CROs) and Pharmaceutical industries. Originally established to centralize blinded...Contract workRemote workFlexible hours
$50 per hour
...A leading healthcare staffing firm is seeking an experienced RN Clinical Reviewer to work remotely. You'll conduct detailed medical-legal reviews and appeals while maintaining high accuracy and integrity. Key qualifications include a New York State RN license and at least...Remote work$45 - $50 per hour
Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies. With a competitive pay of $45 - $50 per...Remote jobHourly pay$36 - $48 per hour
Santa Barbara Cottage Hospital is seeking a Medical Claims Clinical Review Nurse for a remote position. This role involves conducting clinical reviews of medical claims, collaborating with healthcare providers, and ensuring compliance with regulations. The ideal candidate...Remote jobHourly pay- Cigna Health and Life Insurance Company is seeking a Genetic Counselor Clinical Reviewer to join their team remotely. This role involves reviewing laboratory genetic testing cases, authorizing coverage, and advising on genetic testing usage. The ideal candidate will have...Remote job
- ...in a cover letter. In this role, you will be responsible for reviewing pertinent patient data, developing care plans, recommending modifications... ...all curated patient data reports received for accuracy of clinical and demographic information; Review output of clinical care...For contractorsRemote work
- ...PRIME Therapeutics is seeking a Physician Clinical Reviewer – Urology for a remote position. The role involves medical review of service requests and interaction with physicians, ensuring evidence-based decision-making. The ideal candidate must have a DO, MBBS, or MD,...Remote work
- ...role plays a key part in maintaining the accuracy, accessibility, and confidentiality of patient health records while supporting clinical and administrative teams. This is a fully remote position, with a brief orientation conducted either in person (if local) or remotely...Local areaImmediate startRemote workMonday to FridayWeekend workDay shift
- Overview Step into a role where your clinical expertise fuels meaningful change! Fayette County Behavioral Health Administration has an immediate opening for a Clinical Care Reviewer. In this role, you will support individuals in need of psychiatric, behavioral health,...Full timeWork at officeLocal areaImmediate startRemote workMonday to Friday
- A healthcare technology company is looking for a Clinical Reviewer to evaluate AI chatbots. This role requires fluency in English and a medical degree either completed or in progress. You will tackle complex healthcare problems to improve the chatbot's performance, ensuring...Remote jobHourly payFlexible hours
$70 - $80 per hour
Osmosis is seeking a part-time Clinical Content Reviewer for a remote role supporting clinicians. The ideal candidate holds a terminal medical degree (MD or DO) with a specialty in Family Medicine, Radiology, Pathology, Anesthesiology, OB/GYN, or General Surgery. Responsibilities...Remote jobHourly payPart time$70 - $80 per hour
Elsevier Clinical Content Reviewer, Specialty Specific (Part-Time, Fixed Term Contract) Remote (North America) Job Title: Clinical Content Reviewer - PT Fixed Term Contract About the Role: In this role you will work closely with Elsevier Health data and content teams...Hourly payPart timeFixed term contractWork at officeRemote work$80 per hour
Elsevier Clinical Content Reviewer, Specialty Specific (Part-Time, Fixed Term Contract). International (UK, AUS, NZ) Applicants Only Anywhere Position Overview We are developing an innovative educational product designed to support medical educators in teaching medical...Hourly payContract workPart timeFixed term contractInternshipRemote work10 hours per week- ...About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited Independent Review Organization (IRO) that... ...from MMRO’s Medical Director, Associate Medical Director, and Clinical Staff. Contribute ideas for process improvement and quality enhancement...Full timeContract workRemote workFlexible hours
$93.4k - $116.8k
...an experienced RN with a strong background in Quality including quality of care reviews, incident investigation, and regulatory compliance? VNS Health Plans is seeking a seasoned clinical professional to play a critical role in reviewing and resolving major incidents and...Work experience placementFlexible hours- ...ABC Legal Services is seeking an e-Fulfilment Specialist to review and file legal documents using online platforms. This remote role requires being located in Oklahoma and involves participating in training and collaborating with the team to meet common goals. Qualifications...Remote work
- A leading global healthcare company is seeking an experienced Clinical Data Manager/Clinical Data Reviewer for a full-time, remote role. You will support clinical data management processes, ensure data integrity, and collaborate with clients on complex studies. The ideal...Remote jobFull time
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