- Altru Health (East Grand Forks, MN)
- …participating in restructuring of current and new programs. Performs utilization review when required. Collaborates with Primary Care Provider (PCP) regarding the ... to meet the needs of the department/organization. Certification: Licensed Clinical Social Worker (LCSW) | North Dakota Board of...to Start Date | HR Primary Sources Licensed Independent Clinical Social Worker | Minnesota Board of Social Work… more
- Altru Health (Thief River Falls, MN)
- …diagnosis, symptoms and physician orders and documents per chart and review standards. Coordinates treatment schedules with disciplines using appropriate scheduling ... actions, as evidenced in reporting, staffing consultations and documentation. Provides clinical supervision to OTA in a collaborative manner following state… more
- Kepro (Portland, ME)
- …linchpin for ensuring the accuracy and consistency of the Psychiatric Inpatient Concurrent Review process. This full-time Clinical Reviewer Remote position ... lAcentra seeks a Clinical Reviewer to join our growing...must reside and work in Maine. Job Responsibilities: + Review and interpret patient records against established criteria to… more
- HCA Healthcare (Webster, TX)
- …Lake we support our colleagues in their positions. Join our Team as a(an) RN Clinical Reviewer and access programs to assist with every stage of your career. ... certifications and job skills. Apply today for our RN Clinical Reviewer opening and continue to learn!...Nurse Risk Management Coordinator opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Corpus Christi, 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 ... you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current...including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer - GI- REMOTE **Job Description Summary** Key member of the ... clinical determinations cannot be made by the Initial Clinical Reviewer . + Discusses determinations with requesting...as needed to discuss cases and problems. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Centers Plan for Healthy Living (Margate, FL)
- UM Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #664 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to help… more
- Kepro (AR)
- …vital partner for health solutions in the public sector. Acentra is looking for a Clinical Reviewer - Behavioral Health - PRN (Remote within Arkansas) ** The ... clinical skills to apply to the assessment of services based on review of clinical records. Preferred Qualifications/Experience: + Utilization Review… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Part time **Shift:** Rotating Shift **Description:** **JOB SUMMARY** The Clinical Nurse Reviewer 's chief responsibility is to collect and ... database of all eligible cases for the hospital. The Clinical Nurse Reviewer also works closely with...software (Microsoft Word, Excel, PowerPoint) and web-based applications. + Clinical chart review and abstraction experience required… more
- St. Joseph's Health (Paterson, NJ)
- Bariatric RN Clinical Reviewer - Per diem Job ID2024-25808 LocationPaterson, New Jersey ShiftPer Diem - Nursing Apply Now ... Care". Job Overview: The role of the Bariatric Surgery Clinical Reviewer , RN is to collect and...research or medical records experience not mandatory but preferred. Clinical chart review and abstraction experience not… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** + The MTQIP Clinical Reviewer (MCR) is responsible for collecting, analyzing, and reporting ... Michigan Handicapper's Act, or SJMHS's Return to Work Program_ **The RN Clinical Reviewer Required Education, Experience, and** **Certification/Licensure** + Ten… 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 ... **Administrative* **Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** *Surgical Clinical Reviewer - General Surgery* **Location:** *Connecticut-Hartford-85… 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 ... Concurrent Quality Reviewer of our hospital reviews documentation in the electronic...the computer assisted coding software, recognizing inappropriate application of clinical coding regulations/guidelines, and revising the codes assigned based… 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 ... **Description** **Introduction** **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer PRN you want in your current role? We invest… more
- Hartford HealthCare (Shelton, CT)
- …30 different specialties. *_ Job Description_* The Metabolic and Bariatric Surgical Clinical Reviewer 's (MBSCR) chief responsibility is to collect and submit ... * **Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** *Surgical Clinical Reviewer - Bariatrics * **Location:** *Connecticut-Shelton-2… more
- HCA Healthcare (Kingwood, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) RN Clinical Reviewer you want in your current role? We invest in what matters most ... **Job Summary and Qualifications** We are seeking a RN Clinical Reviewer for our facility to ensure...for our Registered Nurse RN Emergency Department opening. We review all applications. Qualified candidates will be contacted by… more
- RWJBarnabas Health (Newark, NJ)
- …Israel Medical Ctr, 201 LYONS AVENUE, NEWARK, NJ 07112-2027 JobTitle: Clinical Reviewer Location:Newark Beth Israel Req#:0000156276 Status:Full-Time Shift:Day ... Clinical ReviewerReq #:0000156276 Category:Clerical / Administrative Support Status:Full-Time...name:Bariatric Practice Job Overview: The On Site Bariatric Data Reviewer /Administrative Coordinator is primarily responsible for the collection and… more
- Kepro (Harrisburg, PA)
- …being a vital partner for health solutions in the public sector. Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: Utilizes clinical ... Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver… more
- Kepro (Harrisburg, PA)
- …being a vital partner for health solutions in the public sector. Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: Utilizes clinical ... Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver… more
- Chenega Corporation (NM)
- …a **Chenega Professional Services** ' company, is looking for a fully remote ** Clinical Quality Reviewer ** to ensure compliance with the contract, and program ... requirements for Clinical Quality Management (CQM) within TRICARE West Region. To...and URAC standards for consistency. Supports activities of peer review and quality and safety committees. Our company offers… more
