• Altru Health (Crookston, MN)
    …patient, the patient's diagnosis, symptoms and physician orders and documents per chart and review standards. Coordinates treatment schedules with disciplines ... using appropriate scheduling procedures. Monitors program effectiveness and outcomes, initiating programs and development of new programs. Performs pain assessment and takes appropriate action according to standard operating procedure. Obtains and documents… more
    JobGet (11/22/24)
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  • RN Clinical Reviewer

    HCA Healthcare (Corpus Christi, TX)
    …multiple responsibilities including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & ... we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will be contacted by a member… more
    HCA Healthcare (09/24/24)
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  • Registered Nurse Clinical Reviewer PRN

    HCA Healthcare (Corpus Christi, TX)
    …multiple responsibilities including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & ... we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates will be contacted by a member… more
    HCA Healthcare (11/01/24)
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  • Dental Hygienist Reviewer

    Kepro (AR)
    …partner for health solutions in the public sector. Acentra seeks a Dental Hygienist Reviewer to join our growing team. Job Summary: The Dental Hygienist Reviewer ... of dental health policy and preventative treatment plans. The Dental Hygienist Reviewer will complete their work with limited supervision. *Position is remote within… more
    Kepro (11/26/24)
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  • Bariatric RN Clinical Reviewer - Per diem

    St. Joseph's Health (Paterson, NJ)
    …Clinical research or medical records experience not mandatory but preferred. Clinical chart review and abstraction experience not mandatory but preferred. ... Bariatric RN Clinical Reviewer - Per diem Job ID2024-25808 LocationPaterson, New Jersey ShiftPer Diem - Nursing Apply Now… more
    St. Joseph's Health (09/18/24)
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  • RN - Clinical Nurse Reviewer - Trinity…

    Trinity Health (Livonia, MI)
    …computer software (Microsoft Word, Excel, PowerPoint) and web-based applications. + Clinical chart review and abstraction experience required + Database data ... Part time **Shift:** Rotating Shift **Description:** **JOB SUMMARY** The Clinical Nurse Reviewer 's chief responsibility is to collect and submit reliable data on… more
    Trinity Health (09/11/24)
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  • DRG Validator & Appeals Reviewer -Clinical…

    MetroHealth (Cleveland, OH)
    …and more than 20 health centers.** **Summary:** **Performs secondary clinical chart reviews, resolves DRG discrepancies, and educates clinical staff regarding ... of additional comorbid conditions. Conducts concurrent and retrospective medical record review on defined patient populations to identify opportunities to improve… more
    MetroHealth (11/07/24)
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  • RN Clinical Documentation Specialist, First…

    SSM Health (MO)
    …services rendered. The CDI Specialist assesses clinical documentation through extensive review of the medical record, interaction with physicians, nursing staff, ... follow up reviews. Analyze clinical information to identify areas within the chart for potential gaps in physician documentation. Queries physicians on a concurrent… more
    SSM Health (09/05/24)
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  • Chart Retrieval Specialist

    Robert Half Accountemps (Rutland, VT)
    …Upload retrieved paper and electronic medical charts into our secure system for review and analysis. * Conduct fieldwork which includes traveling to provider offices ... within a defined radius. * Utilize various software applications for retrieving and uploading medical records. * Independently manage tasks while maintaining effective communication with healthcare providers and team leads. * Handle customer inquiries and… more
    Robert Half Accountemps (11/14/24)
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  • Utilization Review Specialist, Behavioral…

    Sutter Health (Berkeley, CA)
    …data, following up with appropriate staff/departments. + Conduct retrospective and current chart review to validate documentation when requested by review ... utilization of physician, nursing, and ancillary services. Responsible for concurrent review on specific patients. Develops, coordinates and monitors systems for the… more
    Sutter Health (10/24/24)
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  • Clinical Review Nurse VHS- Woodland Park,…

    Hackensack Meridian Health (Little Falls, NJ)
    …for coding, OASIS and Hospice, and other clinical assessment tools as needed. + Review every Medicare and Managed Medicare admission chart to determine that the ... condition and to assure HIS is consistent with coding. Review every admission chart to determine whether the HIS is completed appropriately/accurately per… more
    Hackensack Meridian Health (11/14/24)
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  • Clinical Review Nurse-FT (Ocean County)

    Hackensack Meridian Health (Brick, NJ)
    …for coding, OASIS and Hospice, and other clinical assessment tools as needed. + Review every Medicare and Managed Medicare admission chart to determine that the ... condition and to assure HIS is consistent with coding. Review every admission chart to determine whether the HIS is completed appropriately/accurately per… more
    Hackensack Meridian Health (11/07/24)
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  • Annual Review Administrative Officer…

    Maryland Department of Transportation (Anne Arundel County, MD)
     Annual Review Administrative Officer (Administrative Officer III) Temporary Salary $57,275.00 - $92,108.00 Annually Location Anne Arundel County Job Type Temporary ... embarked on a cruise from the Port of Baltimore; received roadside assistance from CHART Emergency Patrol; reduced your commute time by using one of Maryland's toll… more
    Maryland Department of Transportation (11/20/24)
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  • Utilization Review Nurse Coordinator (40…

    State of Connecticut, Department of Administrative Services (East Hartford, CT)
    Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 241106-5613FP-001 Location East Hartford, CT Date Opened 11/7/2024 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) position, located at North… more
    State of Connecticut, Department of Administrative Services (11/07/24)
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  • Utilization Review Coordinator

    Behavioral Center of Michigan (Warren, MI)
    …data and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical information ... Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex… more
    Behavioral Center of Michigan (10/22/24)
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  • VP, Loan Review (Remote/hybrid eligible:…

    Enterprise Bank & Trust (Scottsdale, AZ)
    …for multiple years, we offer our associates an array of benefits and the opportunity to chart their own career path with us. Join us in the pursuit of our mission to ... **Together, there's no stopping you!** **Job Title:** VP, Loan Review (Remote/hybrid eligible: AZ, KS, TX, MO, NM, NV)...MO, NM, NV) **Job Description:** **Summary:** The VP, Loan Review Officer will serve in a senior examiner role… more
    Enterprise Bank & Trust (11/26/24)
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  • Registered Nurse Clinical Review Lead

    CommonSpirit Health Mountain Region (Durango, CO)
    …leaders who care about your success. Assist with training and coordinating clinical review and quality assurance. Lead and review the appropriateness of clinical ... care and documentation practices related to patients/residents. Review and evaluate quality data to determine areas needing improvement. Review patient… more
    CommonSpirit Health Mountain Region (11/23/24)
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  • Medical Review Coordinator

    University of Utah (Salt Lake City, UT)
    …Number** PRN39526B **Job Title** PS Program Assistant **Working Title** Medical Review Coordinator **Job Grade** C **FLSA Code** Nonexempt **Patient Sensitive Job ... of Recruitment** External Posting **Pay Rate Range** 18.00-21.00 **Close Date** **Priority Review Date** **Job Summary** The Medical Review Coordinator ( MRC… more
    University of Utah (11/12/24)
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  • Bill Review Operations Analyst

    Zelis (Morristown, NJ)
    …support to the Expert Claims Review team, including the itemized bill review , clinical chart review , and document retrieval teams. Responsibilities ... Key Responsibilities: + Manage the screening and distribution processes of Expert Claims Review claims and support the end-to-end workflow audit for Zelis Prepay and… more
    Zelis (10/24/24)
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  • Pharmacy Technician - Sharp Grossmont Specialty…

    Sharp HealthCare (San Diego, CA)
    …with appropriate medical offices to obtain laboratory data or pertinent chart notes for all prior authorization requests.Processes information received, verifying ... Rationale and all supporting documentation are provided to clinical reviewer for final determination.For approvals and denials, documents determinations and… more
    Sharp HealthCare (10/10/24)
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