- Hackensack Meridian Health (Iselin, NJ)
- Clinical Review NurseJFK Merdian Home Care ServIselin, New Jersey Apply (https://homecare-hackensackmeridianhealth.icims.com/jobs/163000/login) + **Requisition ... more
- Equitable (Charlotte, NC)
- Clinical Review Nurse, Disability Claims ( 25000067 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-Remote, UNITED ... more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data ... more
- BrightSpring Health Services (Oklahoma City, OK)
- …nationwide through our growing network of branches and healthcare professionals. The Clinical Review Coordinator will ensure Specialty medication referrals and ... more
- Robert Half Office Team (Rancho Cordova, CA)
- …hospital reimbursement. * Accurately and effectively identify missing documentation through clinical review and communicate with physicians and patient care ... more
- Trinity Health (Livonia, MI)
- …**Shift:** **Description:** Trinity Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D certification which is ... more
- Actalent (Salt Lake City, UT)
- …and collaboration with key facility personnel within the healthcare setting. + Use clinical expertise to review clinical information and clinical ... more
- Actalent (Idaho Falls, ID)
- …using approved medical care guidelines and collaboration with key facility personnel. + Use clinical expertise to review clinical information and criteria to ... more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denials Coding Review Specialist you want with your current employer? We have ... more
- BAYADA Home Health Care (Orlando, FL)
- …company match, direct deposit, and employee assistance program **Responsibilities:** + Review clinical information for appropriateness, congruency, and accuracy ... more
- BAYADA Home Health Care (Orlando, FL)
- …about BAYADA Benefits, click here (https://www.bayada.com/benefits/) . **Responsibilities:** + Review clinical information for appropriateness, congruency, and ... more
- Centene Corporation (Austin, TX)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... more
- Centene Corporation (Getzville, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... more
- Centene Corporation (Sacramento, CA)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... more
- UCLA Health (Santa Monica, CA)
- …for the identification, collection, and entry of quality data for the Clinical Registries, Patient Safety Indicators (PSIs), and Hospital Acquired Conditions (HACs) ... more
- Centene Corporation (Phoenix, AZ)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... more
- Actalent (Minneapolis, MN)
- Description Your main role will be utilizing your clinical skills to complete utilization management reviews (Prior authorizations, Coverage Exceptions, Quantity ... more
- Premera Blue Cross (Mountlake Terrace, WA)
- … Clinical Specialist works closely with non- clinical support staff and the clinical review department to identify and resolve any issues related to policy ... more
- Hackensack Meridian Health (Iselin, NJ)
- … results with staff and develop action plans for improvement. Responsible for clinical review . Implement action plans and complete trending reports. Attends and ... more
- Houston Methodist (Houston, TX)
- …of regulatory and/or important safety related issues. + Perform high quality clinical review of regulatory forms and associated documentation (during internal ... more
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