Remote Infusion Clinical Review Specialist
Soleo Health Inc
- Remote job
Soleo Health is hiring an Infusion Clinical Review Coordinator to support our Specialty Infusion Pharmacy and work Remotely in the USA. This role requires Monday–Friday, 8:30am–5pm MST/PST with experience in denial support, clinical reviews, and appeals for infusions and specialty pharmacy. The position involves researching complex patient cases, utilizing payer criteria to determine medical necessity, and preparing clinical support packs for initial approvals and appeals. #J-18808-Ljbffr Soleo Health Inc
- Soleo Health is seeking an Infusion Clinical Review Coordinator to support our Specialty Infusion Pharmacy and work remotely in the USA. This role focuses on researching and providing timely clinical reviews on complex patient cases to secure approvals and reduce denials...Remote job
- ...Remote Clinical Review SpecialistNew England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region’s only non-profit home infusion... ...has a Remote Clinical Review Specialist opportunity available. This is a remote...Remote workTemporary workLive inLocal areaMonday to Friday
- ...A health accreditation organization is seeking a Part-Time Clinical Review Specialist who will play a key role in supporting accreditation processes... ...and a background in quality assurance. This role is fully remote, allowing candidates from anywhere in the United States to...Remote workPart time
- Sedgwick is seeking a Telecommuter Clinical Specialist to perform standard clinical evaluations on claims requiring additional review based on medical condition and client requirements. You will discuss clinical status with providers and employees, ensure documentation...Remote job
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$76k
...how often (in days) to receive an alert: Create Alert The Clinical Reviewer Specialist is responsible for performing clinical and medical necessity... ...voluntary or legally required benefits. Position is fully remote only in the state of Florida. Must live in State of...Remote workTemporary workLive inImmediate startRelocationFlexible hours- AuraOne, Inc. seeks a Hospitality Expert for remote clinical-review tasks evaluating AI outputs that touch clinical review. You will assess differential reasoning, dosing logic, and guideline adherence. This contractor role requires hands-on clinical experience, license...Remote jobHourly payFor contractors10 hours per week
- AI Trainer Jobs seeks a Member of Technical Staff, Medical Research to remotely review AI outputs in regulated clinical contexts. You will evaluate differential reasoning, dosing logic, and guideline adherence, flag patient-safety issues, and document corrected reasoning...Remote jobHourly payFor contractors10 hours per weekFlexible hours
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...seeking a Registered Nurse (RN) to join our Payer Services division as a Clinical File Review Specialist . This role is ideal for nurses looking to transition away from bedside care into a fully remote, non-patient-facing position focused on clinical analysis and...Remote jobLocal areaWork from homeHome officeFlexible hours- The IMA Group is seeking a Registered Nurse (RN) to join our Payer Services division as a Clinical File Review Specialist. This remote, non-patient-facing role focuses on clinical analysis and documentation, supporting physician reviewers with organized medical records...Remote job
- Elevance Health, Inc. is seeking a Clinical Review Nurse I to review claims for medical necessity and benefit eligibility. The role supports Wellpoint Federal's federal programs, with a virtual-eligible setup and required in-person onboarding as needed. The candidate will...Remote job
- AllMed Medical Management is seeking a Clinical Quality Assurance Coordinator. This 100% remote role supports Pacific Time Zone operations, with a Sunday-Thursday... .... The position focuses on high-quality utilization reviews and adherence to evidence-based guidelines, HIPAA,...Remote job
- Soleo Health is seeking an Infusion Clinical Review Coordinator to support our Specialty Infusion Pharmacy. This role works remotely (USA) with standard Monday-Friday hours 8:30am-5pm MST or PST, focusing on clinical reviews for complex patient cases and denials management...Remote jobMonday to Friday
- Soleo Health is seeking an Infusion Clinical Review Coordinator to support our Specialty Infusion Pharmacy and work remotely in the USA. The role involves researching and providing timely clinical reviews on complex patient cases to secure approvals and reduce denials....Remote job
- ...Job Description Job Description Description: Soleo Health is seeking an Infusion Clinical Review Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA) . Join us in Simplifying Complex Care! Must be able to work Monday-Friday, 8:30am -...Remote workImmediate startMonday to FridayFlexible hours
- GI Alliance is seeking an experienced Clinical Review Specialist.Duties of this position include, but are not limited to, the following:Position... ...Works collaboratively with multiple stakeholders in Infusion Operations to ensure required clinical information is received...Casual workWork at officeAfternoon shift
$105 per hour
...Contract Compensation: $105/hour Location: Remote Role Responsibilities Manage end-to-end prior authorisation workflows for medical and clinical services across multiple payer types. Review clinical documentation to assess medical necessity against...Remote jobContract workSummer workWork at office- Amerita is seeking a Clinical Educator (Part-Time) in the Asheville, NC area to deliver in-person and virtual education for infusion therapies, ensure safe therapy initiation, and support patient transitions. As a clinical educator, you will train patients, caregivers,...Remote jobPart time
- Amerita is seeking a Clinical Educator to educate patients and clinicians on infusion therapies and Amerita services. This remote field role partners with hospital staff to ensure safe discharge planning and therapy initiation across Oklahoma City and surrounding areas...Remote job
- ...pharmacist position will serve as a clinical pharmacist specialist to support solid tumor... ...role within the TCSC Infusion/OR Pharmacy team by providing... ...and OR Pharmacy Services: Review, clarify, and process medication... ...for hybrid or mobile/remote work mode are at the discretion...Remote workFull timeMonday to FridayWeekend workDay shiftAfternoon shift
- ...Clinical Pharmacist Specialist Stormont Vail Health Clinical Pharmacists provide... ...decentralized pharmacist, review, interpret and verify provider... ...and patient care in surgery, Infusion Center, Cancer Center and... ...Position is Patient Facing Remote Work Guidelines...Remote work
$95k - $120k
...Company Amerita Overview The Clinical Educator (CE) plays a critical role in driving... ...growth and therapy adoption for Amerita infusion services. As a licensed clinical... ...Monday-Friday 8:00am-5:00pm This is a remote field sales position requiring travel...Remote workFull timeTemporary workWork at officeLocal areaMonday to FridayShift work$77k - $87k
...Medical Inc., a leader in infusion therapy and pain... ...Summary: Promotes sales of Clinical Procedure products (... ...calls in person and remotely, via virtual channels.... ...orienting, training, and/or reviewing the work of peers.... ...about new Clinical Specialist jobs in Phoenix, AZ ....Remote workFull timePart timeFor contractorsSeasonal workWork at officeRelocationShift work- ...Clinical Denials Specialist Role: Clinical Denial Specialist Schedule: M - F 8 AM - 4:30 PM EST GENERAL SUMMARY: The goal of the Clinical Denial... ...related denials, as assigned. The specialist will review claims and make recommendations for claim resubmission, retro...Remote workContract workLocal area
$56k
...Overview The Clinical Specialist partners with the Territory Manager and Regional Director to provide... ...(Top 30 Strategic Accounts) as reviewed and approved by your manager. Identify... ...Specialist is expected to maintain a productive remote work environment and effectively manage...Remote workWork at officeNight shift- ...The Hughes Center is seeking a talented and dynamic Utilization Review (UR) Coordinator to join our team of dedicated healthcare... ...issues to satisfaction of the customer and facility. Review of clinical patient data with third party reviewers to substantiate the need...Local areaWork from homeMonday to FridayFlexible hoursDay shift
$61.3k - $122.7k
...status to manager. Acts as a clinical interface between the medical... ...minimum of 6 months in Clinical Specialist position. Minimum of 2 years... ...in most recent performance review. Requires an average of 15+ cases... ...United States of America : Remote WORK SHIFT Standard TRAVEL...Remote workShift work$83.1k - $118.56k
...for case development and resolution of clinical cases, such as: Pre-existing Conditions,... ...services. The end to end process requires the Specialist to independently: Research issues... ...Prepare cases for Medical Director Review ensuring that all pertinent information...Remote workContract workTemporary workWork experience placementLocal area- ...Clinical SpecialistWe are the people who give possibilities purposeBD... ....POSITION SCOPEThe Clinical Specialist is a member of the national... ...planning, quarterly business reviews, opportunity strategy sessions... ...fast-paced healthcare industry. Remote or field-based positions will...Remote workWork at officeLocal areaShift workNight shift
- ...Clinical Informatics Specialist What if your deep knowledge of EMR systems, clinical workflows, and healthcare... ...you work best. This is a fully remote, flexible contract role built for... ...own terms What You'll Do Review and evaluate EMR-driven workflows and...Remote workHourly payOngoing contractContract workFreelanceFlexible hours
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