- AdventHealth (Tampa, FL)
- …Manager, and in collaboration with physicians, nursing and HIM coders, the Clinical Documentation Quality Auditor Manager strategically facilitates and ... mortality, and complexity of care of the patient. The Clinical Documentation Quality Auditor Manager...compliance to guidelines. . Completes accurate and timely record review to ensure the integrity of documentation … more
- University of Miami (Hialeah, FL)
- …analysts, providers, and other members of the healthcare team to ensure accurate, high- quality clinical documentation to support UHealth initiatives. Adheres ... review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Clinical Documentation Integrity (CDI) Second Level … 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 ... clinical professional to join our team as a Clinical Documentation Reviewer ! The ...clinical professional who will be responsible for the review of clinical documentation throughout… more
- Kepro (IL)
- …to join our growing team. Job Summary: Our Behavioral Health Clinical Reviewer will coordinate program services and review activities associated with the ... Improvement Organization (QIO) contract. The Child/Adolescent Behavioral Health Clinical Reviewer performs eligibility determination, residential treatment… more
- University of Michigan (Ann Arbor, MI)
- …(ACS) NSQIP-Peds database. This is accomplished through high- quality clinical screening, data sampling and compilation, documentation , and abstraction ... Surgical Clinical Reviewer Apply Now **How to...is critical to the success of NSQIP data collection. High- quality data abstraction and ongoing maintenance combines clinical… more
- Magellan Health Services (Boise, ID)
- …supervision. Project management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer Grade 25 Work Experience - ... areas. This is a hybrid role. Conducts reviews of clinical interactions and clinical documentation ...reporting. Interacts with multiple stakeholders internally and externally. Provides clinical reviews of Quality of Care (QOC)… 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
- Trinity Health (Livonia, MI)
- …Michigan-funded Collaborative Quality Initiative (CQI). This is accomplished through high- quality clinical screening, data compilation, documentation and ... with the physician champion and appropriate hospital leadership to identify opportunities for clinical quality improvement and other special projects as may be… 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 ... for health solutions in the public sector. Acentra seeks a Behavioral Health UM Clinical Reviewer (PRN, Remote within Virginia) with an active RN, LCSW, LPC,… 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
- 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
- Evolent Health (Columbus, OH)
- …Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for standard ... the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer , Hematology and Medical Oncology you...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… 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 ... members of the bariatric and general surgery departments to identify opportunities for clinical quality improvement and other special projects as may be… 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 ... you have the career opportunities as a(an) Registered Nurse Clinical Reviewer PRN you want in your...Medical Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- … Documentation Improvement Staff. Responsible for evaluating the overall completeness and quality of Clinical Documentation in acute settings. Works in ... our mission at MSK and around the globe. Please review important announcements about vaccination requirements and our upcoming...You will: + Assess and enhance the completeness and quality of Clinical Documentation in… more
- Charter Care Health Partners (Providence, RI)
- Summary: The Bariatric Surgical Clinical Reviewer 's (BSCR) chief responsibility is to collect and submit data to the ACS Bariatric Data Registry Platform. This ... task is accomplished through high quality data compilation, documentation , and entry of...bariatric and general surgery departments to identify opportunities for clinical quality improvement and other special projects… more
- Access: Supports For Living (Middletown, NY)
- …Ensures the fiscal sustainability of outpatient behavioral health services. + Ensures high quality documentation is provided by clinical staff, which results ... documentation errors, as well and coordination of documentation correction by clinical staff. + Meets...the clinic in committees of the organization, including incident review , corporate compliance and other clinical committees… more
- Elevance Health (Columbus, OH)
- …of the preauthorization determination decision. + Follows-up to obtain additional clinical information. + Ensures proper documentation , provider communication, ... you a check, or ask you for payment as part of consideration for employment. **Nurse Reviewer I** + Job Family: MED > Licensed Nurse + Type: Full time + Date… more
- Elevance Health (Nashville, TN)
- …of the preauthorization determination decision. + Follows-up to obtain additional clinical information. + Ensures proper documentation , provider communication, ... you a check, or ask you for payment as part of consideration for employment. **Nurse Reviewer I** + Job Family: MED > Licensed Nurse + Type: Full time + Date… more
- Elevance Health (Deerfield, IL)
- …of the preauthorization determination decision. + Follows-up to obtain additional clinical information. + Ensures proper documentation , provider communication, ... you a check, or ask you for payment as part of consideration for employment. **Nurse Reviewer I** + Job Family: MED > Licensed Nurse + Type: Full time + Date… more