Clinical Reviewer

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) · ...

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

+The Clinical Reviewer is responsible for evaluating conversations between patients and our AI system to determine whether the patient's reported condition meets specified clinical criteria. · +Evaluating conversations between patients and our AI system · ...

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

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

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. · ...

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. · ...

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 as ...

Surgical Clinical Reviewer position available in Flushing NY for 3 months with possible extension. Bachelor's degree in healthcare required along with min 5 yrs clinical exp and previous experience w/ American College of Surgeons National Surgical Quality Program. · ...

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 as ...

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 ...

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 ...

Job Overview · The role of the Clinical Review and Quality Assurance RN involves conducting thorough reviews of patient records, working collaboratively with clinical staff to address discrepancies, and ensuring compliance with regulatory standards. This position requires strong ...

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 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. · ...

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 ...

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 ...

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

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. · ...

Acentra Health is looking for a Clinical Reviewer - LPN/LVN or RN (remote U.S.) to join our growing team. · ...

We are looking for a · Clinical Reviewer (MD, DO, MBBS, or equivalent) - Remote · with clinical imaging experience contribute to advanced AI model training by creating diagnostic questions, · reviewing AI outputs and providing structured feedback.Radiology experience and clinica ...