Average salary: $59,687 /yearly
More statsSearch Results: 475,928 vacancies
...Job Description
Job Description Description: Soleo Health is seeking a Clinical Review Coordinator to support our Home Infusion Specialty Pharmacy Operations Remotely (USA - Eastern Time Zone). Join us in Simplifying Complex Care! RN or LPN license required....
Suggested
Holiday work
Full time
Remote job
Flexible hours
Monday to Friday
...Clinical Review Pharmacist at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make...
Suggested
Holiday work
Local area
Visa sponsorship
Work visa
Weekend work
...Clinical Review RN
5297 W Copans Rd, Margate, FL 33063, USA
Req #460
Monday, April 1, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general...
Suggested
...JOB PURPOSE:
Under the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying with the day-to-day operations of the Clinical Review Department. Responsibilities include reviewing, recommending and providing authorization...
Suggested
Flexible hours
...Benefits include:
Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs!... ...Responsible for direct oversight and management of clinical review processes within Appeals & Grievances Department. Ensures regulatory...
Suggested
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
Overview:
At St. Lukes, our dedicated team of Utilization Reviewer RN's are critical in providing exceptional, patient-centered care. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which ultimately drives...
Suggested
Relocation bonus
Shift work
Day shift
...Clinical Pharmacist Reviewer- REMOTE at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision...
Suggested
Remote job
...Physician Clinical Reviewer-Pulmonology at Evolent Health in Boise, Idaho, United States Job Description Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working...
Suggested
...RN - Grievance and Appeals Clinical Reviewer
5297 W Copans Rd, Margate, FL 33063, USA
Req #461
Monday, April 1, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare...
Suggested
...RN-Utilization Review
Details
* Sign-on bonus: $3,500
* Department: Case Management
* Schedule: Monday-Friday, standard business... ...judgment, strong communication skills - verbal and written, and clinically strong knowledge base.
Direct patient interaction required.
On-...
Suggested
Holiday work
Temporary work
Relief
Local area
Relocation bonus
Weekend work
Monday to Friday
...Physician Clinical Reviewer- (Oncology Preferred) at Evolent Health in Boise, Idaho, United States Job Description Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Evolenteers make...
Suggested
Full time
Part time
Work from home
...the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene... ...of medical care.
+ Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness...
Suggested
Hourly pay
Holiday work
Remote job
Flexible hours
...RN - Initial Clinical Reviewer II at Evolent Health in Boise, Idaho, United States Job Description Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across...
Suggested
...the department.
Researching, organizing and assimilating clinical, safety, and/or toxicology information to support medical safety... ...Assisting in the generation of medical justification content reviews/templates for MSS.
Assisting in the evaluation and establishment...
Suggested
...Summary: The Bariatric Surgical Clinical Reviewers (BSCR) chief responsibility is to collect and submit data to the ACS Bariatric Data Registry Platform. This task is accomplished through high quality data compilation, documentation, and entry of 100 percent of bariatric...
Suggested
...Clinical Coding Reviewer at R1 RCM in Boise, Idaho, United States Job Description As our Clinical (Coding) Reviewer, you will review and interpret medical records to draft appeals of denied and underpaid claims to ensure appropriate coding of removed or revised diagnosis...
...rare diseases and immune disorders.
Summary
The Director, Clinical Safety, will be a product safety lead or part of a product... ...including project-specific training and coaching of team members and review of team output cross-functionally.
- Effectively represent...
...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday - Friday, from 9:30 am -... ...diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers...
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Monday to Friday
...well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Physician Clinical Reviewer, MRx - Oncology - REMOTE
Job Description Summary
Key member of the utilization management team, and provides timely medical...
Remote job
Work experience placement
Internship
Local area
...this and more at UCLA Health.
You will be responsible for data review, abstraction, and data entry of quality measures into our... ...Healthcare-related degree or equivalent years of experience in clinical data abstraction
* Previous quality or patient safety experience...
Hourly pay
