beBeeClinicalReview Jobs in United States

The role of Clinical Review and Workflow Optimization Specialist is a key position within our internal medicine team. · Key Responsibilities: · Solicit, review, and interpret lab, diagnostic, and radiology results for accurate patient care · Analyze data to document interpretatio ...

This esteemed opportunity exists for an exceptional individual seeking to excel as a member of our dynamic healthcare team. The Clinical Review and Workflow Optimization Specialist will be pivotal in enhancing our clinical processes. · Detailed Job Description: · , Main Responsib ...

You must interact with providers professionally and have strong communication skills. Additionally, excellent analytical skills are necessary to interpret data effectively. · ...

Job Opportunity: Clinical Review Specialist · About the Role: · We are seeking an experienced Physician to fill a clinical reviewer position. As part of our team, you will provide expert medical opinions to ensure patients receive high-quality, evidence-based care. · ...

About the Role: · In this role, you will be responsible for reviewing service requests for initial and continued coverage of ABA treatment. · You will apply clinical and benefit plan criteria to determine whether treatment is medically necessary. · If treatment is not deemed medi ...

Perform timely initial and continued stay reviews using established guidelines (MCG, CMS criteria). · Document clinical findings and level of care determinations in the EMR and UR tracking systems. · ...

Clinical Reviewer Position · In this challenging role, you will be responsible for reviewing and processing independent review requests from external agencies. · ...

Clinical expertise in utilizing established guidelines for decision-making and ensuring regulatory compliance; · Strong communication skills for effective collaboration with healthcare professionals and clear documentation; · ...

Job Title: Clinical Review Coordinator · Job Summary: · The Department of Case Management at SUNY Downstate Health Sciences University is seeking a full-time TH Utilization Review & Quality Assurance Senior Coordinator / Utilization Review Nurse. · ...

Job Description · We are seeking a Lead Clinical Review Nurse to serve as a team lead for nursing staff who collaborate with cross-functional teams and healthcare providers to promote quality audits and education. · ...

Are you ready to take on a new challenge as an Oncology Clinical Review Nurse? · ...

Job Title · We are seeking a skilled Clinical Review Specialist, with expertise in behavioral health, to join our team. As a Clinical Review Specialist, you will play a critical role in ensuring that our services meet the highest standards of quality and safety. · ...

About the Role · This is an exciting opportunity for experienced professionals looking to advance their careers in clinical review. As Lead Clinical Review Nurse, you will be responsible for leading nursing staff in conducting retrospective reviews to ensure compliance with appli ...

Clinical Review Nurse Job Description · We are seeking a skilled Clinical Review Nurse to join our team. As a Clinical Review Nurse, you will play a crucial role in reviewing healthcare claims and making determinations regarding the validity of claims and levels of payment. · ...

We are seeking a skilled and dedicated professional to join our team in this critical role. · ...