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 Pride Health
$50 - $60 per hour
...We are looking for a Clinical Reviewer to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. Physicians & Advanced Practice Clinicians Physicians of all specialties...SuggestedHourly payFull timeContract workPart timeRemote work- ...Park Nicollet is looking to hire a Diagnosis Accuracy Clinical Reviewer to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day. Position Summary Highly skilled clinician...Suggested
- ...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...SuggestedFull timeContract workPart timeFor contractorsWork at officeLocal areaRemote workNight shift
$28.37 - $32 per hour
...Acentra Health, LLC is seeking a Clinical Reviewer in the United States. The position involves utilizing clinical expertise to assess medical appropriateness during beneficiary interactions while meeting quality assurance standards. Responsibilities include ensuring review...SuggestedHourly pay- ...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...SuggestedFor contractorsRemote workFlexible hours
- ...versatility within the health insurance industry. QUALIFICATIONS REQUIRED QUALIFICATIONS Required Work Experience 2 years of experience in clinical field of practice, health insurance, or other health care related field Required Education Associate’s Degree in general field of...Full timeContract workWork experience placementWork at officeRemote work1 day per week
- ...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 work
$60 per hour
...About the Job RN Clinical Reviewer - Jericho or Albany, NY (#25332) Location: Jericho orAlbany, NY Employment Type: Full-time, Temp-to-hire (5 days a week) Hourly Rate: $60/hr Position Overview: We are seeking a meticulous Clinical Reviewer Registered...Hourly payFull timeTemporary workWork at office- ...Santa Barbara Cottage Hospital is looking for a Program Integrity Clinical Reviewer II who will evaluate medical records for compliance with clinical documentation standards. This role involves conducting claim reviews, presenting findings to Medical Directors, and assisting...
- 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...
- ...Conduct prepayment and post-payment audits of DRG coding and clinical documentation. The ideal candidate will have an extensive background... ...records and generating high-quality recoverable claims by reviewing medical records and other documentation to evaluate the...Live inRemote workWork from homeMonday 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...
$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-...Hourly payFull timeWork at officeRemote workFlexible hours$80.6k - $145k
Syneos Health/inVentiv Health Commercial LLC is looking for a Clinical Data Reviewer for Internal Medicine based in the US, CAN, or UK. The role involves ensuring data readiness, conducting data checks, and generating queries to resolve discrepancies. Candidates should...$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$83.1k - $120.36k
The Clinical Peer Reviewer (Phyiscal Therapy) Utilization Management (UM) plays a critical role in consulting on medical necessity in the context of utilization management and ensuring adherence to internal Healthfirst and external regulations. This role ensures appropriate...Work experience placement$80.6k - $145k
Syneos Health/ inVentiv Health Commercial LLC is looking for a Clinical Data Reviewer specializing in Internal Medicine. This position requires at least 7 years of clinical research experience and expertise in data monitoring and review. Responsibilities include ensuring...Flexible 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$80.6k - $145k
Clinical Data Reviewer - Internal Medicine (US, CAN, UK Only) Syneos Health is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization...Contract workInterim roleRemote workFlexible hours$80.6k - $145k
Syneos Health/ inVentiv Health Commercial LLC is seeking a Clinical Data Reviewer for Internal Medicine. This role is pivotal in ensuring data readiness for clinical studies and involves reviewing patient data to uphold quality standards. The ideal candidate will have...- A healthcare organization seeks a Clinical Peer Reviewer (Physical Therapy) to ensure evidence-based utilization of PT services while adhering to regulations. The role involves reviewing complex cases, collaborating with medical directors, and analyzing PT utilization...
- A healthcare analytics firm is seeking a highly experienced DRG Clinical Physician Reviewer to join its remote clinical review team. This role emphasizes clinical validation and utilization review to ensure accurate DRG assignment and support healthcare quality. Candidates...Remote job
- Syneos Health/ inVentiv Health Commercial LLC seeks a Clinical Data Reviewer specializing in Internal Medicine. The position requires at least 7 years of clinical research experience within the pharmaceutical industry. The reviewer will be responsible for ensuring data...Flexible 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...Hourly payPart timeRemote work$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 to...Hourly payPart timeFixed term contractWork at officeRemote work- ...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...Hourly payRemote workFlexible hours
$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-...Remote jobHourly pay$50 per hour
Greenlife Healthcare Staffing is seeking a qualified nurse to perform utilization reviews and clinical data collection in New York. The ideal candidate will have an active New York State RN license and 1-3 years of experience in acute care. This role offers competitive...Remote jobHourly pay$130k - $135k
...A healthcare organization is seeking a Team Lead in Chronic Care Management to assist the Clinical Manager with chart reviews and onboarding. The role involves providing ongoing education, participating in committees, and ensuring staff resources. Candidates must have...Remote work$60 per hour
Greenlife Healthcare Staffing is seeking a meticulous RN Clinical Reviewer in Jericho or Albany, NY. This full-time, temp-to-hire position offers a competitive rate of $60 per hour and requires a strong OB/maternal health background, along with quality improvement skills...Hourly payFull timeTemporary work
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