Clinical Reviewer - Columbia

AHC Home Assistance Adventist Healthcare Home Health seeks to hire an experienced Clinical Reviewer (RN/PT/OT) who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing. · ...

Adventist Healthcare Home Health seeks to hire an experienced Clinical Reviewer (RN/PT/OT) who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing. · We do this by offering:Work life balance through nonrotating shifts · Rec ...

A Clinical Reviewer at Adventist HealthCare reviews clinical information to ensure accuracy and completeness. They oversee coding, care plan effectiveness, and patient care provision. · ...

The Clinical Concurrent Reviewer position exists to support Quality and Performance Improvement at Holy Cross Hospital by assisting staff to implement strategies that identify prioritize measure and improve key clinical processes and outcomes. · Maintain current knowledge of clin ...

The Clinical Concurrent Reviewer position exists to support Quality and Performance Improvement at Holy Cross Hospital by assisting staff to implement strategies that identify, prioritize, measure and improve key clinical processes and outcomes. · Maintain current knowledge of cl ...

Maximus is seeking a Clinical Reviewer (Registered Nurse) to support the Tennessee Appeals area of the contract. · ...

At Commence, we're the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. · ...

Job Details · Clinical Reviewer – Emergency Department · We are seeking an experienced Emergency Department (ED) nurse to join our team as a Clinical Reviewer II In this role, you will support ED clinical documentation integrity through real-time chart reviews, collaboration with ...

The Clinical Review Coordinator conducts all mandatory case review and quality assurance activities as stipulated by contracts and maintains the required timeliness and accuracy within the review process. · ...

The Clinical HEDIS Nurse (Medical Review Specialist) is responsible for supporting the organization's HEDIS and Quality initiatives through medical record retrieval, clinical data abstraction, and quality review processes in alignment with NCQA specifications. · The nurse must ma ...

The Clinical HEDIS Nurse (Medical Review Specialist) is responsible for supporting the organization's HEDIS and Quality initiatives through medical record retrieval, · clinical data abstraction, · and quality review processes in alignment with NCQA specifications.Contact provider ...

Dane Street seeks experienced Registered Nurses (RNs) to support disability case review process. · Perform clinical reviews of disability claims. · ...

We are seeking a Board-Certified Dermatologist licensed in Washington to perform medical record reviews. This is a remote, flexible opportunity ideal for dental specialists looking to apply their expertise in a non-clinical setting. · Why Join Us? · This is the job summary of you ...

Dane Street is seeking experienced Board-Certified Occupational Medicine physicians to join our growing team of expert clinical reviewers. · ...

Summary · Position Summary · The Director of Adult and Family Medicine ("Director") will function as one of the primary adult medical service providers for Mary's Center. The Director's role is to direct and coordinate clinical services, research, and medical educational program ...

Intake Representative – Utilization Review (Washington, DC) · Hourly Pay: $ $5.55 Health & Wellness Benefit · Total Compensation: $30.20 per hour · Employment Type: Full-Time | Non-Exempt · NRI Staffing is partnering with a healthcare client in Washington, DC that is actively hir ...

The Psychiatrist Physician Reviewer conducts medical necessity reviews for behavioral health services across Medicaid, Medicare, · and Exchange lines of business.This role supports high-quality, cost-effective care by applying clinical expertise to utilization management decision ...

We are hiring a Utilization Review Nurse to support our Utilization Review team by evaluating medical necessity requests and reviewing ongoing hospital stays. · ...

About The Job · General Summary of Position · Responsible for evaluating the necessity appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of acute care services based on Medically Necessity criteria the managem ...

NORC at the University of Chicago is seeking a qualified Research Scientist to join the Health Care Evaluation Research Department. · Contribute to growing NORC's portfolio in clinical practice and prescription drug policy and research, specifically clinical and oncology pharmacy ...

The Clinical Research Associate plays a vital role in the Clinical Operations team. Through responsibilities like monitoring studies, reviewing data, and engaging with sites, the CRA will ensure the success of clinical trial operations and management. · ...