Average salary: $165,660 /yearly
More statsSearch Results: 24,310 vacancies
As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. Conducting clinical level review, determining physician level assignment, managing case staging between external physician...
Suggested
Hourly pay
Flexible hours
...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
...the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene... ...clinical license.**
**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical...
Suggested
Hourly pay
Holiday work
Remote job
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
...experiences that have shown to be recognize us as a financial leader.
We are looking for a talented AVP of Financial Due Diligence Review Manager that has a strong background in assessing and managing third-party relationships to ensure a banks financial position, risk...
Suggested
Interim role
Bank staff
JOB TITLE (#25009): Maternal Nurse Reviewer / Contract - Metropolitan Area
Minimum of 4 years clinical practice experience in a facility or community-based setting
Greenlife Healthcare Staffing is currently seeking a Maternal Nurse Reviewer to fill an opening with a...
Suggested
Holiday work
Permanent employment
Full time
Contract work
Private practice
...Description: : Position Purpose:
Provide case management and clinical services to employees within their regulated scope of practice.... ...1-3 years relevant experience in case management, utilization review and/or quality assurance
Experience in acute episodic care, wellness...
Suggested
Permanent employment
Full time
Contract work
Temporary work
For contractors
Local area
Remote job
Monday to Friday
Job Description: Position Purpose:
Provide case management and clinical services to employees within their regulated scope of practice.... ...1-3 years relevant experience in case management, utilization review and/or quality assurance
• Experience in acute episodic care,...
Suggested
Permanent employment
Full time
Temporary work
For contractors
Local area
Remote job
Monday to Friday
JOB TITLE (#24992): Dental Hygienist Reviewer / Contract - Upstate, NY
Minimum of 2 years experience in the provision of clinical services or in quality improvement/utilization reviews
Greenlife Healthcare Staffing is currently seeking a Dental Hygienist Reviewer to...
Suggested
Permanent employment
Contract work
Part time
Private practice
...be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of... ...conflicting, or incomplete documentation.
Works closely with Clinical Documentation Improvement (CDI) to identify areas of documentation...
Suggested
Full time
Work experience placement
...HEDIS Reviewer
990 Stewart Ave, Garden City, NY 11530, USA
Req #879
Monday, April 29, 2024
Centers Plan for Healthy Living'... ...are not limited to coordination of outreach efforts to secure clinical documentation from Providers, reviewing and abstracting data from...
Suggested
...# Home
# Search Jobs
# Job Description
Care Review Clinician
Remote: New York, New York, US
Salary: $45.00 Per... ...cases to Medical Director make appropriate referrals to other clinical programs, collaborate with multidisciplinary teams.
Minimum...
Suggested
Hourly pay
Remote job
...Benefits include:
Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs!... ...Forgiveness Program (PSLF)
Responsibilities:
Quality Review Auditor (QRA) is responsible for ongoing audits of the care...
Suggested
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
Job Description: Position Purpose:
Provide clinical services to employees within regulated scope of practice and disability case management... ...experience of 1-3 years in case management, utilization review and/or quality assurance
• Experience in episodic care, wellness...
Suggested
Permanent employment
Full time
Temporary work
For contractors
Local area
Remote job
Monday to Friday
...treatment program. This position will oversee the provision of clinical services, including clinical assessments, individual counseling... ...and programs the Adolescent Substance Use Program
Oversee the review of all admission paperwork, all active charts on a quarterly...
Suggested
Permanent employment
Internship
Local area
Shift work
Monday to Thursday
...independent initiative and judgment, the Medicaid Eligibility Specialist is responsible for interviewing Medicaid applicants and reviewing their documentation to determine eligibility for Medicaid.
The Office of Constituent Services (OCS) is seeking (1) Eligibility...
Full time
Work experience placement
Shift work
...position is a part of FTI Consulting's Acuity team which includes supporting, coordinating, managing and participating in document reviews at the direction of FTI clients. As part of their role, this position will utilize various platforms including Relativity, Nuix Discovery...
Full time
Remote job
Flexible hours
...insurance plan
Job Description:
Position Purpose:
Provide clinical services to employees within regulated scope of practice and... ...Minimum experience of 1-3 years in case management, utilization review and/or quality assurance
Experience in episodic care, wellness...
Permanent employment
Full time
Contract work
Temporary work
For contractors
Local area
Remote job
Monday to Friday
4 Corner Resources is looking for a Clinical Pharmacist for one of our clients in the healthcare industry. This candidate would be responsible for the review of prior authorizations, medication adherence, developing clinical criteria, and reviewing monthly reports for quality...
Permanent employment
Contract work
Work experience placement
Local area
Remote job
...professional resources, and team support
Assist customers in gathering, organizing, and entering data in federal and state tax returns for review
Schedule customer meetings and follow-up when needed, carefully documenting customer interactions
Requirements
Minimum of...
