• Clinical Documentation

    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
    AdventHealth (03/12/24)
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  • Clinical Documentation Specialist…

    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
    University of Miami (02/29/24)
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  • Clinical Documentation

    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
    Northeast Family Services (04/20/24)
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  • Clinical Reviewer , Inpatient…

    Point32Health (MA)
    …who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Clinical Reviewer , Inpatient RN, is a licensed professional that is ... inpatient settings; acute, subacute, acute rehabilitation, LTAC, CORF and others. The Clinical Reviewer , Inpatient RN is responsible for making the determination… more
    Point32Health (03/15/24)
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  • Behavioral Health Clinical Reviewer

    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
    Kepro (04/20/24)
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  • Surgical Clinical Reviewer

    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
    University of Michigan (04/16/24)
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  • Quality Clinical Reviewer

    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
    Magellan Health Services (04/20/24)
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  • Clinical Documentation

    Signature Healthcare (Louisville, KY)
    …demonstrate sound judgment in the assessment/ review of records. + Conducts clinical documentation audits to determine missing or inaccurate documentation ... . + Creates reports to summarize audit quality review findings with corrective action plan recommendations as applicable. + Serve as a subject matter expert in… more
    Signature Healthcare (04/17/24)
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  • Registered Nurse Clinical Reviewer

    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
    HCA Healthcare (02/02/24)
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  • Clinical Nurse Reviewer - St. Mary…

    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
    Trinity Health (03/27/24)
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  • Behavioral Health UM Clinical

    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
    Kepro (04/13/24)
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  • Physician Clinical Reviewer - GI-…

    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
    Prime Therapeutics (04/18/24)
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  • Metabolic & Bariatric Surgery Clinical

    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
    Bon Secours Mercy Health (03/26/24)
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  • Physician Clinical Reviewer

    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
    Evolent Health (03/01/24)
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  • Surgical Clinical Reviewer

    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
    Hartford HealthCare (03/21/24)
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  • Registered Nurse Clinical Reviewer

    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
    HCA Healthcare (02/02/24)
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  • Manager II, Clinical Documentation

    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
    Memorial Sloan-Kettering Cancer Center (03/06/24)
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  • Bariatric Surgical Clinical Reviewer

    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
    Charter Care Health Partners (04/19/24)
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  • Clinical Director

    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
    Access: Supports For Living (04/20/24)
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  • Nurse Reviewer I

    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 (04/23/24)
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