Clinical Reviewer - United States

Acentra seeks a Clinical Reviewer to join our growing team. · Active, unrestricted LPN or RN license in the applicable state and/or a Compact State license. · Knowledge of the organization of medical records, medical terminology, and disease process required · ...

The Clinical Bill Review Nurse/Certified Coder is responsible for reviewing medical bills and associated documentation to ensure accuracy, medical necessity, and compliance with workers compensation guidelines. · ...

The Clinical Appeals Reviewer is responsible for processing appeals and ensuring all milestones are met in compliance with regulatory requirements. · Responsibilities: · Process appeals, ensuring compliance with all regulatory milestones · Outreach to appellants or their represen ...

We are looking for Doctors of Physical Therapy (DPT) who have expertise in Physical Therapy to deliver on Cohere's musculoskeletal and orthopedic programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelin ...

We are looking for Doctors of Physical Therapy (DPT) who have expertise in Physical Therapy to deliver on Cohere's musculoskeletal and orthopedic programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelin ...

The Clinical Utilization Review Specialist evaluates hospital services for necessity, appropriateness, and efficiency to ensure compliance with utilization management policies. · ...

+The Remote PRN Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. · + · Associate Degree in Nursing required · Bachelor's Degree in Nu ...

We are building voice AI that conducts health assessments with Medicare patients over the phone. We need an experienced NP to review condition-specific clinical content. · We're looking for someone with active NP or PA license (US Only) and 3+ years active practice experience pos ...

As the Manager of Genetic Counseling Clinical Review you will oversee a team responsible for clinical review of genetic testing orders ensuring accuracy consistency and timely processing. · ...

Clinical Research Aide - PathologyClinical research activities in accordance with Human Subjects Protection regulations. · ...

The Director of Clinical Services manages day-to-day operations of the clinical department, planning implementation evaluation of clinical care systems patient health outcomes attributable to clinical practice. · ...

Clinical Financial Case Management Specialist 2East | Outpatient Care East Infusion PharmacyScope of Position · Use of clinical knowledge for the management of complex James Cancer Center ambulatory medical necessity denials through the appeals process. · ...

The Clinical Research Coordinator-Float coordinates daily clinical research activities in accordance with approved protocols administered by the College of Medicine (COM) Center for Clinical Research Management (CCRM). They assess patient records to identify patients eligible for ...

Clinical research coordinator to perform daily clinical research activities in accordance with approved protocols. · ...

The Utilization Management Manager is responsible for the overall management of the UM department by leading and facilitating review of assigned admissions, · continued stays, utilization practices and discharge planning according to approved clinically valid criteria. · Assigns ...

The Clinical Laboratory provides comprehensive, time sensitive laboratory services to patients with a variety of diagnoses or admission/discharge criteria.The senior clinical laboratory professional performs specialized automated and manual laboratory procedures. · Verifies and r ...

Clinical Research Assistant - Clinical Trials Processing LabClinical Research Assistant assists with the daily administrative activities of the Clinical Trials Processing Laboratory (CTPL). · ...

The Clinical Research Finance & Compliance (CRFC) Department is responsible for the accounting and analysis of key financials for all Oncology clinical trials; especially focusing on Revenue. · The department provides support to the Clinical Trials Office (CTO), Principal Investi ...

Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active New York medical license and Workers Compensation Board Certification to conduct ...

Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrists with an active New York medical license and Workers Compensation Board Certification to conduct Utiliz ...