beBeeCareReview Jobs in United States

Job Summary · A critical position has become available in our clinical department, seeking an experienced Care Review Clinician to join our team. This individual will play a pivotal role in supporting member services review assessment processes. · This is an excellent opportunity ...

Clinical Services Reviewer · This role supports the assessment and review of clinical member services to ensure medical necessity, alignment with established guidelines, policies, and regulations. The Clinical Services Reviewer will contribute to the overall strategy of deliverin ...

Job Opportunity · Working hours: Sunday to Thursday, 8am-5pm EST, covering both Eastern and Central time zones. · Evaluating services for optimal results on behalf of our members. · Analyzing clinical service requests against established guidelines based on evidence. · ...

Job Summary: Support clinical member services review assessment processes. Verify that services are medically necessary and align with established guidelines, insurance policies, and regulations. · Key Responsibilities: · Assess services for members to ensure optimum outcomes and ...

Job Summary: · Molina Healthcare is seeking a Care Review Clinician to support clinical member services review assessment processes. This role involves verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulati ...

Job Overview:The Care Review Clinician Inpatient Review BH provides prior authorization for outpatient and inpatient services for the KY Medicaid behavioral health population. · A strong post-acute level of care experience (Nursing Facilities, Acute Inpatient, Rehabilitation, Lon ...

Job Overview · We are seeking a skilled Clinical Review Specialist to join our team. In this role, you will be responsible for reviewing medical services to ensure they meet established clinical guidelines and regulations. · ...

Job Title: Clinical Prior Authorization Specialist · Description: · This role involves assessing services to ensure optimum outcomes, cost-effectiveness and compliance with state/federal regulations and guidelines. The ideal candidate will have experience in hospital acute care, ...

Care Review Support Specialist · We are seeking an experienced administrative professional to join our team as a Care Review Support Specialist. In this role you will provide critical support in ensuring the smooth operation of our care review processes. · ...

Job Summary · The Clinical Review Specialist will provide prior authorization for outpatient and inpatient services for the behavioral health population. · Evaluates clinical service requests to ensure optimum outcomes, cost-effectiveness, and compliance with regulations. · Analy ...

Job Title · This role provides administrative support to a team responsible for reviewing care and contributes to interdisciplinary efforts that facilitate the delivery of integrated healthcare services across various settings. · Provides telephone, clerical, and data entry assis ...

About the Role: · We are looking for skilled individuals who can review healthcare services to guarantee best results while meeting regulatory requirements · Evaluate patient care needs in accordance with established standards · Assess treatment options and make informed decision ...

About the Role · This position is ideal for an experienced healthcare professional who can analyze complex medical information and make informed decisions about service authorization. If you have strong critical thinking skills and excellent communication abilities, we encourage ...

Job Summary · We seek a Clinician to support assessment processes, verifying services are medically necessary and align with established guidelines. · The ideal candidate will ensure members reach desired outcomes through integrated delivery of care across the continuum. · Clinic ...

Key Responsibilities · The BH Service Reviewer will assess clinical service requests from members or providers to determine the most effective course of treatment. They must evaluate each request based on its alignment with our company's goals and objectives. · This includes: · ...

Job Opportunity: · Molina Healthcare is seeking professionals who can assess services for members to ensure optimum outcomes and compliance with state/federal regulations. · Analyze clinical service requests against evidence-based guidelines. · Determine prior authorization and f ...

Clinical Assessment Professional WantedWe are looking for an experienced RN to provide critical input on our clinical member services review process. ...

Healthcare Review Specialist · This is a challenging role for an experienced healthcare professional to support clinical member services review assessment processes. · We are seeking a skilled and organized individual to assess services for members, ensuring optimum outcomes, cos ...

Medical Service Review Professional · We are seeking a skilled Medical Service Review Professional to support our clinical member services review assessment processes. · Required Skills and Qualifications: · >>> Clinical Assessment · >> Managed Care Experience · >> Prior Author ...

Join Our Team as a Care Review Clinician · We are seeking skilled professionals with expertise in evaluating clinical services. The ideal candidate will have experience working within the healthcare industry, preferably with knowledge of regulations related to this field. · Evalu ...