Clinical Reviewer RN - Miramar, Florida, , United States

+Job Summary · IHCS provides an Integrated Delivery System in the home setting, which includes DME, Respiratory, Home Health and Home Infusion services. · +ResponsibilitiesEnsure that home health care services are administered with quality, cost efficiency, and within compliance. ...

We are seeking a Utilization Management Nurse to join our team. As a Utilization Management Nurse, you will ensure that home health care services are administered with quality and cost efficiency. · ...

This position is responsible for conducting comprehensive audits of clinical documentation, operational processes, and administrative procedures to identify areas of non-compliance, mitigate risks, and drive continuous quality improvement. · The Senior Quality Reviewer will inter ...

We are seeking a Senior Clinical Reviewer to join our team at IHCS. This role is responsible for conducting comprehensive audits of clinical documentation and operational processes to identify areas of non-compliance and drive continuous quality improvement. · ...

This position is responsible for conducting comprehensive audits of clinical documentation, · operational processes and administrative procedures to identify areas of non-compliance, · mitigate risks and drive continuous quality improvement.IHCS provides an Integrated Delivery Sy ...

IHCS provides in-home care services with a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients – 24/7. · Maintain accurate records of all patient related interactions · ...

IHCS provides in-home care services and is seeking a Utilization Management Nurse to ensure quality and cost efficiency. · ...

We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients. · Concurrent review of patient's clinical information for efficiency · Ongoing review of precertification requests for medical necess ...

This position is responsible for conducting comprehensive audits of clinical documentation to identify areas of non-compliance and drive continuous quality improvement. The Senior Quality Reviewer will interpret and apply federal regulations to ensure adherence. · Support complia ...

We're changing lives every day. For both our patients and our team members. · We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.MD or DO in Internal Medicine, Family Medicine, Geriatrics or similar specialty requir ...

We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? · MD or DO in Internal Medicine, Family Medicine, Geriatric ...

Responsible for completing medical necessity reviews using KFHP policies and procedures, reviewing inpatient and outpatient elective procedures requiring prior authorization, inpatient hospital stays, and requesting assessing and appropriately channeling/facilitating discharge pl ...

Urgent Hiring for Remote Clinical Review Nurses. · ...

Urgent Hiring for Remote Clinical Review Nurses to review approximately 20 cases a day for medical necessity and advocate for and protect members from unnecessary hospital admissions. · ...

IHCS provides an Integrated Delivery System in the home setting, which includes DME Respiratory Home Health and Home Infusion services. · Provides leadership direction and oversight to Clinical Care Coordination and Utilization Management staff supporting DME services. · ...

The Behavioral Analyst will provide clinical skills instruction and behavior reduction protocols based upon the principles of Applied Behavior Analysis to children with Autism and related developmental disabilities in the home, community, and school settings. · The Lead Behavior ...

The Senior Financial Analyst will serve as a subject matter expert in coverage analysis and budget analysis and negotiation with industry sponsors. · ...

Ensure that highest standards of data quality and study participant safety are maintained as well as adherence to study protocols CenExel SOPs Site Working Practices ICH GCP Code of Federal Regulations and IRB Guidelines. · ...

Clinical Research Nurse role with Pharmaceutical company based in Hollywood US. · ...

The Clinical Director is responsible for the supervision of all clinical staff, in-service training, documentation oversight, quality of patient care, · and the ongoing general provision of daily clinical services including the implementation of; · (1) current ethical principles ...