Behavioral Health Clinical Reviewer - Oregon

+You could be the one who changes everything for our members as a clinical professional on our Medical Management/Health Services team.++Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal · ...

Job summary · Change everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · QualificationsGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing and 2 – 4 years of related experience. · ...

Are you passionate about improving access to behavioral health services in the community? Do you enjoy using your clinical expertise to evaluate needs, support care decisions, and help individuals receive the right services at the right time? · In this role, you will review clini ...

Participates with the Health Care Team in delivering quality and customer focused health care to patients in a manner that reflects Kaiser Permanentes mission, vision and values. · Clinical Tasks: Prepares patient for actual visit/procedure prior to clinicians exam during rooming ...

Participates with the Health Care Team in delivering quality and customer focused health care to patients. · Clinical Tasks: Prepares and organizes patient office visit for known reason/procedure by ensuring that all appropriate tests... · ...

Participates with the Health Care Team in delivering quality and customer focused health care to patients in a manner that reflects Kaiser Permanentes mission, vision and values. · ...

We have an on-call position and a .50 FTE up to a 1.0 FTE position available. · ...

We have two opportunities to render clinical opinions about medical conditions, procedures and/or treatments under review. We invite our partners and communities to work with us to improve health and redesign the health care delivery system. · Apply clinical judgment, evidenced-b ...

ICM is hiring a Utilization Review Nurse to support our Utilization Review team by evaluating medical necessity requests and reviewing ongoing hospital stays. · Review precertification requests and determine medical necessity using evidence-based guidelines and plan-specific crit ...

· Dane Street wants you to join our dynamic team of expert reviewers In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. · This telework opportunity allows you to customize your schedule as a 1099 independe ...

Dane Street wants you to join our dynamic team of expert reviewers In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. · We are on the lookout for talented professionals in Family Medicine. · ...

· Dane Street wants you to join our dynamic team of expert reviewers In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. · This telework opportunity allows you to customize your schedule as a 1099 independe ...

Dane Street wants you to join our dynamic team of expert reviewers In this role you will have the opportunity to utilize your medical expertise. · ...

Dane Street wants you to join our dynamic team of expert reviewers In this role you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases telework opportunity allows you customize your schedule as a 1099 independent contractor W ...

· Dane Street wants you to join our dynamic team of expert reviewers In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. · This telework opportunity allows you to customize your schedule as a 1099 independe ...

Lead and support healthcare providers in Oregon. · Mentorship and training for physicians and APPs. · Clinical quality initiatives and chart reviews. · ...

· Escalates observed deficiencies and issues to clinical management expeditiously. · Ensures data accuracy through SDR, SDV and CRF review as applicable through on-site and remote monitoring activities. · ...

We're looking for a skilled full-time or part-time General Dentist to practice out of our Gentle Dental Sheridan location in Sheridan, Oregon. · We enhance the quality of our patients' lives by providing accessible oral healthcare, which is paramount to overall health and wellbei ...

CVR is a healthcare company that offers a collaborative, patient-centered environment. They have 110+ locations and provide meaningful careers with no nights, no weekends, and no on-call requirements. · Ensure compliance in all assigned centers that all patient charts are up to d ...

We encourage you to consider becoming a part of our industry changing innovative team of thoughtful leaders. · Implement and lead the FOX Restoring Balance Plus Program · Meet biweekly contract quota expectations · ...