Clinical Reviewer - Miami

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 ...

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. · ...

+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 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 ...

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. · ...

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 ...

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 the trusted market leader in Home Health, Durable Medical Equipment, and Home Infusion Services. 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. · ...

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 · ...

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 ...

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 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. · ...

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

Family Practice Physician Opportunity · We are looking for experienced Family Practice Physicians to join our team at Doctors Choice Placement Services Inc. · Determine medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. · ...

The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work remotely.The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and a ...

Gastro Health is seeking a Full-Time Research Assistant to join our team. · We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. · We offer a comprehensive benefits package to our eligible emplo ...

The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work remotely. · They conduct initial, concurrent and retrospective chart reviews for clinical utilization and authoriz ...

The Clinical Documentation Integrity (CDI) Second Level Reviewer performs high-level, complex secondary case reviews to facilitate accurate clinical documentation for measuring physician outcomes.Ensures accuracy and completeness of clinical information used for reporting physici ...

Opening for a Sr. Accountant/Accounting Mgr at Health Clinic Clinic for the local community offering a variety of health dental and wellness services. · Oversight of Staff work and review of entries bank and account reconciliations; · pre-paids bookings; review of discrepancies a ...