beBeeClinicalEvaluator Jobs in United States

Evaluate clinical service requests from members and providers to ensure alignment with organizational criteria. · , Utilize clinical judgment to make informed decisions regarding these requests, potentially providing leadership on other areas of the organization as well. Anticipa ...

Job Overview · We are seeking a highly skilled professional to conduct thorough clinical and coding evaluations, ensuring claim payments are accurate. · ...

Key Responsibilities · Evaluate the appropriateness of healthcare services in line with evidence-based guidelines. · Determine eligibility for coverage and benefits based on treatments and procedures. · ...

Conducting detailed clinical reviews is crucial in our industry. · ...

Job Title: Nurse Practitioner for Veteran Compensation and Pension Exams · We are seeking a certified and licensed nurse practitioner to conduct compensation and pension exams for veterans in our clinic part-time. As an NP, you will be responsible for conducting evaluations, incl ...

Job Overview · Accurately record and document patient evaluations, treatments, and outcomes in medical records. · Evaluate the functional status of patients to develop personalized treatment plans that align with clinician goals and meet patient needs. · , ...

Job Description · This role involves assessing clinical service requests to ensure quality and compliance. · Conduct comprehensive evaluations of clinical services, ensuring excellent patient outcomes while complying with regulations. · ...

Job Summary · Evaluate clinical service requests made by members and providers. · ...

Key Responsibilities: · ...

Job Title: Clinical Service Evaluator · This is a 24-month assignment that requires full-time remote work. The ideal candidate will reside in Texas. · ...

Assessments and Evaluations · Are you passionate about contributing to the well-being of America?s heroes? Do you have a strong foundation in clinical assessment and evaluation? · We are seeking Nurse Practitioners or Physician Assistants with exceptional skills in patient assess ...

Remote Physician Reviewer · This role supports the organization's mission to ensure appropriate, high-quality care and efficient utilization of medical services. · Evaluate clinical service requests from members and providers in alignment with organizational guidelines. · Require ...

Job Overview · The Clinical Evaluator conducts behavioral health assessments for Specialty Court participants, developing strong relationships with legal teams and collaborating as needed. · Apply to relevant funding sources for individual treatment needs of each participant. · B ...

Job Overview · Evaluating clinical service requests requires a combination of clinical judgment and adherence to organizational criteria. · Request adjudication ensures alignment with established policies · Clinical leadership is provided in other areas as needed · ...