Remote PASRR Clinical Reviewer
University of Massachusetts Medical School
- Remote job
The University of Massachusetts Medical School is seeking a Clinical Reviewer - PASRR to evaluate referrals for mental health services. You will work with individuals suspected of serious mental illness seeking admission or residing in nursing facilities. Responsibilities include thorough documentation review, completing evaluations per federal guidelines, and maintaining positive relationships with healthcare providers. A Massachusetts license and expertise in mental health are required. This is a remote position with competitive benefits. #J-18808-Ljbffr University of Massachusetts Medical School
$25.07 per hour
Overview Maximus is hiring a Clinical Reviewer to support the Illinois SALT program. The Clinical... ...Screening and Resident Review (PASRR) Level I screens and completing Level II... ...secure workspace #ClinicalServices #LI-Remote Maximus is an equal opportunity employer...Remote jobContract workTemporary workWork experience placementWork at officeHome officeMonday to Friday- ...meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy better work- life balance on a team... ...Will Be Doing: \n \n \n \n Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable medical...Remote jobWork at office
- ...Are you passionate about using your clinical expertise to support quality healthcare outcomes... ...services? Do you enjoy critically reviewing clinical documentation, applying evidence... ...We're are recruiting for 5 full-time remote/hybrid Clinical Reviewer positions. This...Remote workFull timeWork from homeMonday to Friday
- ...improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in our... ...much more! Position Overview We are seeking a Clinical Utilization Review Nurse (RN) to assess the medical necessity and quality of...Remote workFull timeContract workWork at officeWork from home
- ...Behavioral Health Services Reviewer Are you passionate about improving access to behavioral... ...the community? Do you enjoy using your clinical expertise to evaluate needs, support... ...positioned for success on this team. This is a remote position based in Oregon and travel is...Remote workFull timeContract workWork from home
- ...Title: Clinical Reviewer Location: Remote Work Duration: 03 Month contract (Extension possible) Job Description: The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract...Remote workContract workFlexible hours
$28.37 - $35 per hour
...outcomes through technology, services, and clinical expertise. Our mission is to innovate... ...Acentra Health is looking for a Clinical Reviewer (LPN, LVN, RN) to join our growing team.... ...appropriateness. ***This is a remote position. The selected candidate will typically...Remote workContract workLocal areaMonday to FridayFlexible hours1 day per week- ...standards. The ideal candidate will have clinical experience, strong communication skills,... ...such as performing pre-service clinical reviews and collaborating with healthcare providers... ...competitive salary range and potential for remote work based on departmental needs. #J-1880...Remote work
$115k - $125k
...TapestryHealth is looking for a Nurse Practitioner Clinical Reviewer to oversee Remote Patient Monitoring (RPM), Behavioral Health Integration (BHI), and Chronic Care Management (CCM) reports. This remote role requires at least 5 active NP licenses and certifications,...Remote workMonday to Friday- ...The role requires a NYS RN license and 3+ years of clinical experience. Responsibilities include clinical reviews and collaboration with providers to ensure quality... ...skills. Competitive salary offered based on experience, and potential for remote work. #J-18808-Ljbffr...Remote work
- ...coordinate behavioral health services for members, ensuring adherence to all necessary standards. The role involves performing clinical reviews, collaborating with healthcare providers, and advocating for member needs. Ideal candidates will have at least 3 years of...Remote work
- ...It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Summary: Performs concurrent analytical reviews of clinical and coding data to improving physician documentation for all conditions and treatments from point of entry to discharge...Remote workHourly payFlexible hoursShift workDay shift
- ...physical health services in Town of De Witt, NY. The position demands extensive clinical experience and knowledge of utilization management, with responsibilities including performing clinical reviews and collaborating with providers. Applicants should possess an Associate...Remote work
$52.12k - $78.87k
Description * Position is Eligible for Remote / Work from Home Opportunity * Department: DME Appeals Job Grade: E11 As a... ...Privacy Policy | Noridian (noridiansolutions.com) Job Title Clinical Reviewer (RN) Job Summary The Clinical Reviewer (RN) evaluates...Remote workFor contractorsCasual workWork at officeLocal areaWork from homeFlexible hours- ...focuses on behavioral health and requires a strong background in clinical experience, compliance with standards, and effective... ...and have proficiency in Microsoft Office. This role may involve remote work opportunities depending on departmental needs. #J-18808-Ljbffr...Remote workWork at office
- A healthcare solutions provider is seeking a Remote Pharmacist to conduct VA quality reviews, focusing on clinical assessments without direct patient interaction. Candidates must have a Doctor of Pharmacy (PharmD) and an active pharmacist license in the U.S. Responsibilities...Remote workFlexible hours
- A healthcare consulting firm is seeking Peer Reviewers (MDs/DOs/DDS) for a full-time remote position. The role involves providing clinical expertise for peer reviews of patient care, making informed clinical judgments, and documenting all reviews per instructions. Applicants...Remote workFull time
$109.26k - $194.25k
...MultiCare Health System is seeking a Clinical Reviewer to join a dedicated team that prioritizes care for patients and communities. This remote role involves reviewing documentation to ensure compliance with OASIS data entry for Home Health and provides communications...Remote work$50 - $52 per hour
...Claims Clinical Documentation Reviewer Schedule: 5-10 hours per week. Resource can work any day of the week they are available and any time including weekends if they prefer. Remote position. Equipment is provided by facility. Base pay: $50.00/hr - $52.00/hr....Remote workPart timeWork at officeLong distance10 hours per week- ...einzubringen und weiterzuentwickeln, sowie moderne Arbeitsbedingungen in einem internationalen Umfeld.* Hybrides Arbeiten: Büro und Remote* Flexible Arbeitszeiten* Jobticket* JobRad* 30 Tage Urlaub* Vermögenswirksame Leistung### Why Work With UsAt DQS, you will work on...Remote workWorldwideFlexible hours
- ...FitOn is looking for a licensed Nurse Practitioner to serve as a Clinical Chart Reviewer. This remote role requires conducting patient evaluations and reviewing clinical documentation. The ideal candidate will have a strong focus on ensuring effective and evidence-based...Remote work
- ...Comagine-Health is hiring a Clinical Reviewer based in Washington DC. This full-time remote/hybrid position will assess the medical necessity and quality of healthcare services. Ideal candidates have 3 years of clinical experience and an active RN license. The role involves...Remote workFull time
$73.2k - $122k
...Genetic Counselor The Genetic Counselor is responsible for the following: Laboratory molecular and genetic testing clinical case review activities. Evaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic laboratory requests...Remote workLocal areaWork from homeFlexible hours$68k - $71.03k
...Claims Clinical Documentation Reviewer Division of Fee for Service (DFSM) Job Location Address: 150 North 18th Avenue Phoenix, Arizona 85007. This... ...that affords employees flexibility, autonomy, and trust. Remote work is available within Arizona subject to prior authorization...Remote workFull timePart timeWork at officeLong distance- ...Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged... ...improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in our...Remote workFull timeContract work
- ...Job Description Job Description Job Summary Performs focused clinical reviews of inpatient and outpatient claims to verify that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies accurately reflect the patient's documented...Remote workWork at office
- ...Clinical Documentation Reviewer This is a remote position. Position Overview We are seeking a Clinical Documentation Reviewer to support TUWYN's contract with the VA Medical Center (Bay Pines). This role focuses on clinical documentation review (not improvement or integrity...Remote workContract workPart timeFor contractorsMonday to Friday
$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...Remote workHourly payFull timeWork at officeFlexible hours$40 - $45 per hour
...Pay Range: $40 - $45 per hour based on experience Work Hours : 20 hours per week (Mon - Fri) Location : Remote Summary : The Clinical Reviewer is responsible for conducting clinical reviews of submitted prior authorization (PA) requests and pre-payment...Remote workHourly payPart timeFor contractorsWork at officeLocal area- ...Clinical Quality Reviewer Ensures compliance with the contract, and program requirements for Clinical Quality Management (CQM) within West Region. To ensure quality care is delivered for beneficiaries by identifying, investigating, and evaluating medical records retrospectively...Remote workContract workInterim role
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