Behavioral Health Clinical Reviewer

Acentra Health is seeking a dedicated and experienced Clinical Reviewer to join our growing and mission-driven team. · ...

Acentra Health is seeking a dedicated and experienced Clinical Reviewer to join our growing and mission-driven team. · This is a remote work position; however, candidates must reside in the state of California and hold an active California LMFT or LCSW license to be considered.In ...

Clinical Reviewer (Surgeon/SME, Part-Time / Contract) - USA   · Type: Part-time/Contract | Reports to: Program Lead (dotted line)  · Mission: Ensure clinical validity of ontology/guidelines and sign off on golden sets and edge-case adjudications. · Responsibilities  · Approve ont ...

The Clinical Reviewer is responsible for reviewing medical records to identify Medicare Risk Adjusting diagnoses. · Strong clinical understanding and ability to interpret complex medical records · Knowledge of CMS Risk Adjustment models (e.g., HCC, ACO REACH) · ...

The Post-Service Claims Nurse Reviewer is a pivotal role responsible for safeguarding the integrity of our claims process in a post-service, pre-payment environment. · ...

Job summary The Post-Service Claims Nurse Reviewer is a pivotal role responsible for safeguarding the integrity of our claims process in a post-service pre-payment environment In this position you will leverage your deep clinical expertise and business acumen to ensure all claims ...

The Clinical Reviewer receives and reviews prospective patient screening materials (to include admissions screening interview [ASI] and various internal or external records), delivers clinical/programmatic recommendations to department and division team members, collaborates with ...

Jet Health Inc is seeking an experienced Clinical Reviewer to review clinical documentation ensuring compliance with Medicare guidelines company policies and regulatory standards. · Review OASIS assessments Plan of Care and clinical documentation for accuracy consistency and comp ...

We are seeking a Registered Nurse (RN) to perform medical reviews utilizing clinical information provided by physicians and providers. · ...

Clinical Reviewer (Surgeon/SME, Part-Time / Contract) - USA · Type: Part-time/Contract | Reports to: Program Lead (dotted line) · Mission: Ensure clinical validity of ontology/guidelines and sign off on golden sets and edge-case adjudications. · Responsibilities · Approve ontolog ...

Clinical Reviewer opportunity who will be responsible for collecting analyzing and reporting clinical data elements on eligible cases for CMS TJC and multi hospital collaborations to improve Quality & Safety CQI. · ...

We are seeking a Clinical Reviewer to join our growing team. The Clinical · Reviewer utilizes clinical expertise during beneficiary interaction in conjunction with contract requirements, · critical thinking and utilize decision-making skills to assist with communicating medical ...

We are seeking a Clinical Reviewer to join our growing team. · The Clinical Reviewer utilizes clinical expertise during beneficiary interaction in conjunction with contract requirements, · critical thinking and utilize decision-making skills to assist with communicating medical a ...

Jet Health Inc seeks an experienced Home Health Clinical Reviewer to ensure compliance with Medicare guidelines and company policies reviewing clinical documentation. · ...

We are seeking Board-Certified Specialists to join our team as remote independent contractors. You will provide objective recommendations on patient care based on standards of care while working remotely. · ...

Clinical reviewer oportunidad de trabajar en la recopilación, análisis y reporte de datos clínicos para mejorar calidad y seguridad. · ...

Jet Health, Inc is seeking an experienced Home Health Clinical Reviewer to review clinical documentation. This role supports quality improvement efforts by verifying the accuracy of documentation submitted by field clinicians. · ...

Jet Health, Inc is seeking an experienced Home Health Clinical Reviewer.Review OASIS assessments, · validate appropriate ICD-10 coding and ensure documentation supports medical necessity and skilled services. · Review OASIS assessments, · Validate appropriate ICD-10 coding and en ...

Clinical Reviewer opportunity who will be responsible for collecting analyzing and reporting clinical data elements on eligible cases for CMS TJC and multi hospital collaborations to improve Quality & Safety CQI. · Part time benefited position scheduled 40 hours bi weekly. · ...

While working remotely as an independent contractor, you will apply your clinical expertise to provide objective recommendations on patient care based on standards of care. · ...

Overall Purpose · The Clinical Reviewer is responsible for reviewing the medical records to identify Medicare Risk Adjusting diagnoses that have 1) been previously identified, 2) are embedded but not evaluated, and 3) potential clinically inferred. The Clinical reviewer will crea ...