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 · ...

Company Overview: · Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way is our rallying cry at Acentra Health. Think of it a ...

Acentra Health is looking for a Clinical Reviewer to join our growing team. The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements. · ...

· Opportunity Overview: · 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 apply ...

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 ...

Description · Job Summary · The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay revi ...

Description · Job Summary · 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. This role conducts admission and continue ...

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. · ...

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr- If you have questions while submitting an application, please review these frequently asked questions. · Current Employees and Students: · If you are currently employed o ...

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. · ...

+Senior Clinical Research CoordinatorMedicine | Clinical Trials Management Office EarningsThe Senior Clinical Research Coordinator- Float serves as lead resource in the execution of assigned clinical research studies in accordance with approved protocols administered by the Colle ...

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr- If you have questions while submitting an application, please review these frequently asked questions. · Current Employees and Students: · If you are currently employed o ...

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. · ...

This position involves managing clinical research operations in the College of Medicine Center for Clinical Research Management (CCRM). The manager will oversee study teams, recruit staff, develop training materials, and ensure compliance with research regulations. · ...

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. · ...