- Kepro (IL)
- …to join our growing team. Job Summary: Our Behavioral Health Clinical Reviewer will coordinate program services and review activities associated with the ... Quality Improvement Organization (QIO) contract. The Child/Adolescent Behavioral Health Clinical Reviewer performs eligibility determination, residential treatment… more
- University of Michigan (Ann Arbor, MI)
- Surgical Clinical Reviewer Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... for exempt status. **What You'll Do** The Pediatric Surgical Clinical Reviewer (SCR) is the primary individual...variables throughout the care continuum; according to definitions + Review of patient medical record to collect clinical… more
- Centers Plan for Healthy Living (Margate, FL)
- RN - Grievance and Appeals Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #461 Monday, April 1, 2024 Centers Plan for Healthy Living's goal is to ... plans they need for healthy living. JOB SUMMARY: The Grievance & Appeal Clinical Reviewer performs complex medical necessity reviewed on Initial Adverse… more
- Northeast Family Services (Chicago, IL)
- Northeast Family Services of Illinois is hiring fora Clinical Documentation Reviewer ! We are an established and growing agency specializing in providing therapy ... clinical professional to join our team as a Clinical Documentation Reviewer ! The Clinical ...clinical professional who will be responsible for the review of clinical documentation throughout NFS, ensuring… more
- HCA Healthcare (Corpus Christi, TX)
- …Corpus Christi Medical Center Bay Area! **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position encompasses multiple responsibilities ... passionate about delivering patient-centered care?** Submit your application for Registered Nurse Clinical Reviewer position and spend more time at the bedside… more
- Kepro (Richmond, VA)
- …UM Clinical Reviewer (RN, LCSW,LPC, and/or LBA) will use clinical expertise to review medical records against appropriate criteria in conjunction with ... the public sector. Acentra seeks a Behavioral Health UM Clinical Reviewer (PRN, Remote within Virginia) with...located within the State of Virginia. Job Responsibilities: + Review and interpret patient records and compare against criteria… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Rotating Shift **Description:** HMS collaborative reviewer The Clinical Nurse Reviewer 's chief responsibility is to ... the HMS database of all eligible cases for the hospital. The Clinical Nurse Reviewer also works closely with the physician champion and appropriate hospital… 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
- University of Miami (Hialeah, FL)
- … this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Clinical Documentation Integrity (CDI) Second Level ... case reviews to facilitate and obtain appropriate provider documentation for clinical conditions or procedures to reflect severity of illness, expected risk… more
- Centers Plan for Healthy Living (Margate, FL)
- UM Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #664 Monday, April 1, 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
- Evolent Health (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer , Hematology and Medical Oncology you will be a key member of ... **What You Will Be Doing:** + Serve as the Clinical Reviewer in Hem/ONC and other Imaging...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Bon Secours Mercy Health (Lorain, OH)
- …are recognized for clinical and operational excellence. **Metabolic & Bariatric Surgery Clinical Reviewer - Mercy Health Physicians - PRN** **Person hired in ... expected to attend meetings and obtain certification!** The Metabolic and Bariatric Surgery Clinical Reviewer (MBSCR) key responsibility is to collect and submit… more
- Kepro (Tallahassee, FL)
- …Our culture is fueled by passion and driven by purpose. Position Summary The Clinical Reviewer is integral to our team, conducting Preadmission Screening and ... Resident Review (PASRR) assessments for individuals who require nursing facility-level...and active collaboration with the treatment team. As a Clinical Reviewer , your expert analysis will confirm… 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
- Milford Regional Medical Center (Milford, MA)
- …to provide direct patient care to Metabolic and Bariatric patients. The MBS Clinical Reviewer is required to fulfill case abstractions duties, complete ongoing ... and reports from the MBS committee and other appropriate personnel. The MBS Clinical Reviewer must work closely with both clinical and administrative staff.… more
- Liberty Healthcare Corporation (Fayetteville, TN)
- …Liberty Healthcare Corporation is hiring Licensed Practical Nurses for anticipated new PASSR I Clinical Reviewer positions. As a Clinical Reviewer with ... individual needs. Your work will involve using the Preadmission Screening and Resident Review (PASRR) Level I tool to evaluate people for serious mental illness and… more
- Liberty Healthcare Corporation (Nashville, TN)
- …Corporation is hiring licensed behavioral health professionals for new PASSR Clinical Reviewer positions. Flexible part-time and traditional full-time schedules ... are available. As a Reviewer with Liberty Healthcare, you will help ensure that...work specifically involves using the Preadmission Screening and Resident Review (PASRR) tool to evaluate people for serious mental… more
- Kepro (Los Angeles, CA)
- …partner for health solutions in the public sector. Acentra seeks aUtilization Clinical Reviewer - LCSW/LMFT/LPCC/LCPC (Remote within California) to join our ... Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver… more
- Magellan Health Services (Boise, ID)
- …Project management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer Grade 25 Work Experience - Required Clinical ... MFT) or a provisional license. - 3+ years of clinical experience - Will substitute 5 or more years...experience - Will substitute 5 or more years of clinical experience along with an Associates degree and RN… more