Clinical Review Nurse I

Job Description:The Clinical Review Specialist role at Sonder Health Plans is to ensure that healthcare services are administered with quality, cost efficiency, and within compliance.By continuously reviewing and auditing member treatment records, the Clinical Review Specialist will ensure members do not receive unnecessary procedures, ineffective treatment,...

Job SummaryPiedmont Healthcare Corporate is seeking a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals process, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key ResponsibilitiesConduct detailed reviews of...

Job Summary:Piedmont is seeking a highly skilled Clinical Appeals Specialist to join our team. As a Clinical Appeals Specialist, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key Responsibilities:Conduct detailed reviews of patient medical...

About the Role:Piedmont Healthcare Corporate is seeking a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals process, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key Responsibilities:Conduct detailed...

CLINICAL NURSE SPECIALISTPosition Overview:A dedicated Clinical Nurse Specialist is sought to provide exceptional care for individuals with developmental disabilities and/or mental health challenges within FEHE Enterprises, Inc.Key Responsibilities:Deliver specialized nursing care as required.Administer medications in accordance with physician...

Job Description:The Utilization Review Nurse's role is to ensure that health care services are administered with quality, cost efficiency, and within compliance. By continuously reviewing and auditing member treatment records, the utilization review nurse will ensure members do not receive unnecessary procedures, ineffective treatment, or experience...

CLINICAL NURSE SPECIALISTPosition Overview:A dedicated Clinical Nurse Specialist is sought to provide exceptional care for individuals with developmental disabilities and/or mental health challenges within our organization.Key Responsibilities:Deliver specialized nursing care tailored to individual needs.Administer medications and ensure accurate...

Job SummaryWe are seeking a highly experienced and skilled Nurse Director to lead our Medical Surgical Unit. As a key member of our leadership team, you will be responsible for driving excellence in patient care, team collaboration, and operational efficiency.Key ResponsibilitiesLead a team of Medical Surgical RNs in providing high-quality patient...

Job SummaryPiedmont Healthcare Corporate is seeking a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals process, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key ResponsibilitiesConduct detailed reviews of...

Job SummaryPiedmont Healthcare Corporate is seeking a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals process, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key ResponsibilitiesConduct detailed reviews of...

Job Summary:Piedmont is seeking a highly skilled Clinical Appeals Specialist to join our team. As a Clinical Appeals Specialist, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key Responsibilities:Conduct detailed reviews of patient medical...

About the Role:Piedmont Healthcare Corporate is seeking a highly skilled Clinical Appeals Specialist to join our team. As a Clinical Appeals Specialist, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key Responsibilities:Conduct detailed...

About the Role:Piedmont Healthcare Corporate is seeking a highly skilled Clinical Appeals Specialist to join our team. As a key member of our appeals process, you will be responsible for reviewing and analyzing clinical information from patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key...

Overview:The Medical Laboratory Technician I is responsible for conducting clinical tests across various sections such as general laboratory, Blood Bank, and Microbiology. This role encompasses all tasks essential for delivering precise and timely results, including quality assurance, performance enhancement, proficiency evaluations, and routine maintenance...

Job Description**Job Summary:**We are seeking a highly skilled Clinical Logistics Nurse to join our team at Core Clinical Management LLC. As a Clinical Logistics Nurse, you will play a critical role in improving the quality and efficiency of care for hospitalized patients.Key Responsibilities:Process Improvement: Collaborate with Medical Directors to develop...

Job Summary:Emerald Health Services is seeking a skilled Travel Nurse to join our team in a challenging Emergency Room I - Clinical Decision Unit role. As a Travel Nurse, you will be responsible for providing high-quality patient care in a fast-paced environment.Key Responsibilities:Examine patients upon arrival and perform triage tasks to assess their...

Position Overview:As a Clinical Staff Coordination Specialist, you will play a pivotal role in managing and overseeing the operations of the clinical department.Key Responsibilities:Facilitate the coordination of information systems and educational initiatives within the clinical department.Ensure compliance with Board of Nursing standards.Collaborate with...

JOB PURPOSE:Conduct thorough evaluations, analyses, and extraction of clinical data from patient medical records, while composing effective narratives for Medicare and Medicaid appeals documentation and briefs concerning denied cases at all levels of the governmental appeals process. Maintain an up-to-date knowledge base of medical coding, federal and state...

PRIMARY RESPONSIBILITIES:Thorough examination, assessment, and extraction of clinical data from patient medical records, along with the composition ofeffective narratives for Medicare and Medicaid appeals documentation and briefs supporting denied casesunder review at all stages of the governmental appeals process. Keeping up-to-date withmedical coding,...

PRIMARY RESPONSIBILITIES:Thorough examination, assessment, and extraction of clinical data from patient medical records, along with the composition ofpersuasive narratives for Medicare and Medicaid appeals documentation and briefs related to denied casesunder review at all levels of the governmental appeals framework; ensuring up-to-date knowledge ofmedical...