- US Tech Solutions (Canton, MA)
- …possible extension)** Notes: Fully remote, MA license required.** **Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- ... more
- HCA Healthcare (Alexandria, LA)
- **Description** **Rapides Regional Medical Center** **RN Clinical Reviewer ** **Full Time, Days, No Weekends** Do you currently have an opportunity to make a real ... more
- HCA Healthcare (Alexandria, LA)
- **Description** **Rapides Regional Medical Center** **RN Clinical Reviewer ** **PRN** Rapides Regional Medical Center is committed to investing in the latest ... more
- AdventHealth (Daytona Beach, FL)
- …Medical Parkway, Daytona Beach, FL 32117 **The role you'll contribute:** The Bariatric Clinical Reviewer -RN will be responsible to collect and submit accurate, ... more
- Centers Plan for Healthy Living (Margate, FL)
- UM Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #664 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... more
- HCA Healthcare (Houston, TX)
- …apart from any other healthcare provider. We are seeking a(an) Registered Nurse Clinical Reviewer to join our healthcare family. **Benefits** The Woman's ... more
- Hartford HealthCare (Hartford, CT)
- …care and more than 30 different specialties. *_ Job Description_* The Surgical Clinical Reviewer 's (SCR) chief responsibility is to collect and submit reliable ... more
- University of Miami (Hialeah, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... more
- HCA Healthcare (Corpus Christi, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates ... more
- HCA Healthcare (Conroe, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will ... more
- SSM Health (MO)
- …Qualifications:** + CCDS certification + Prior experience as a Second Level Reviewer + Prior experience reviewing PSI (patient safety indicator) or experience with ... more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …benefits, as well as regulatory and NCQA requirements. + Refer to RN or PT Clinical Utilization reviewer for more complex cases as appropriate or when question ... more
- AmeriHealth Caritas (Philadelphia, PA)
- …Discover more about us at www.amerihealthcaritas.com. **About this job:;** **;** The Clinical Appeals Reviewer is responsible for processing appeals and ensuring ... more
- Point32Health (MA)
- …day in service to our members, partners, colleagues and communities. **Job Summary** The Clinical Reviewer is a licensed Registered Nurse that is expected to ... more
- Commonwealth Care Alliance (Boston, MA)
- …monitoring. The RN MDS Reviewer is a member of the Minimum Data Set (MDS) Clinical Review team of the Care Planning Unit. The RN MDS Reviewer supports ... more
- AmeriHealth Caritas (Charleston, SC)
- …and providers to collect all information necessary to perform a thorough medical necessity review . It is within the BH UM Reviewer 's discretion to retain ... more
- SSM Health (MO)
- …mortality reviews. **Required Qualifications:** + 12 months of experience as a Clinical Documentation Specialist + Graduate of accredited school of nursing, PA, NP, ... more
- The Cigna Group (Bloomfield, CT)
- …with the department Director. Responsible to perform prospective, retrospective and concurrent review consistent with eviCore clinical review protocols and ... more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: High-level clinical review of patients admitted to the University Hospital for the purpose of risk identification and referral to clinical ... more
- Elevance Health (Rancho Cordova, CA)
- …or requires physician review or override. + Clearly and concisely documenting clinical review and other case interactions in online database in adherence to ... more