Clinical Nurse Reviewer

Job Summary:TriWest Healthcare Alliance is seeking a skilled Clinical Utilization Reviewer to join our team. As a Clinical Utilization Reviewer, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key Responsibilities:Review and make decisions about the appropriateness and level of beneficiary care being...

Job Title: Mobile Research NurseJob Type: Contract, PRN, Per diemHourly Rate: $50/hr onsite and travel timeWork Location: RemoteWe are seeking a skilled and compassionate nurse with a passion for clinical research to join our dynamic team as a Mobile Research Nurse. As a key member of our team, you will play a crucial role in ensuring the successful...

Mobile Research NurseWe are seeking a skilled and compassionate nurse with a passion for clinical research to join our dynamic team as a Mobile Research Nurse. This role plays a crucial part in ensuring the successful execution of research studies, providing high-quality clinical care to patients/participants, and adhering to study protocols with utmost...

Job SummaryThis Clinical Nurse Practitioner role is a vital part of Adelante Healthcare's team-based primary care medical home model. The successful candidate will assist patients and their families through the healthcare system by acting as a health educator and patient advocate.The ideal candidate will work collaboratively with the clinical team to develop...

Clinical Appeals SpecialistJob Summary:CVS Health is seeking a highly skilled Clinical Appeals Specialist to join our team. As a Clinical Appeals Specialist, you will be responsible for administering review and resolution of clinical complaints and appeals.Key Responsibilities:Interpret data obtained from clinical records to apply appropriate clinical...

Aveanna Healthcare LLC Job OpportunityWe are seeking a highly skilled and experienced RN Case Manager to join our clinical team in Phoenix, AZ.This role provides the opportunity to develop and provide professional guidance to our field staff, while also monitoring our clinical excellence.You will have autonomy and flexibility in scheduling, as well as the...

Job DescriptionJob SummaryWe are seeking a highly skilled Clinical Research Nurse to join our team at Phoenix Children's Hospital. The successful candidate will be responsible for providing clinical care to research subjects, coordinating research studies, and ensuring compliance with regulatory requirements.Key ResponsibilitiesProvides Clinical CarePerforms...

Key ResponsibilitiesThe Barrow Aneurysm and Arteriovenous Malformation Research Center (BAARC) is a world-renowned institution in advancing the technologies, techniques, and treatment options for aneurysms and AVMs.As a Clinical Research Nurse, you will assist at the forefront of this effort by helping build the infrastructure, educating, and obtaining...

Job SummaryUnitedHealth Group is seeking a skilled Clinical Nurse Specialist to join our team. As a key member of our healthcare team, you will play a critical role in reviewing and interpreting medical records to ensure high-quality care for our patients.Key Responsibilities:Review and interpret medical records to identify missing information and request...

Job SummaryTriWest Healthcare Alliance is seeking a highly skilled and experienced Supervisor to lead our Diagnosis-Related Group (DRG) validation process and coding staff. As a key member of our team, you will be responsible for ensuring contractual compliance and overseeing the retrospective review of medical claims for appropriate DRG or non-DR coding and...

Job SummaryWe are seeking a highly skilled Clinical Research Nurse to join our Neurosurgery team at St. Joseph's Hospital and Medical Center. As a key member of our team, you will be responsible for managing and coordinating all facets of assigned clinical protocols, ensuring protocol and regulatory compliance.ResponsibilitiesManage and coordinate clinical...

Job Title: Senior Medical Record Review AssociateJob Summary:At Dawson, we are seeking a highly skilled Senior Medical Record Review Associate to join our Medical Record Review team. As a Senior Medical Record Review Associate, you will be responsible for reviewing and documenting medical records based on program protocols, providing customized reports that...

About the RoleWe are seeking a highly skilled Clinical Research Nurse to join our Neurosurgery team at St. Joseph's Hospital and Medical Center. As a key member of our team, you will be responsible for managing and coordinating all facets of assigned clinical protocols from IRB preparation through query and data seal, ensuring protocol and regulatory...

Wellspring Nurse Source is seeking a travel nurse RN for a pediatric intensive care position in Phoenix, Arizona. Job Details Specialty: PICU - Pediatric Intensive Care Discipline: RN Employment Type: Travel Wellspring Nurse Source is a nurse-owned and operated company that provides travel nursing opportunities for RNs. We are committed to helping our...

Wellspring Nurse Source is seeking a travel nurse RN for a pediatric emergency room position in Phoenix, Arizona. Job Description & Requirements Specialty: Pediatrics ER Discipline: RN Employment Type: Travel Wellspring Nurse Source is a nurse-owned and operated company that is committed to helping you find your best job at the best rate. We are seeking a...

About the RoleWe are seeking a skilled Clinical Research Nurse to join our Neurosurgery team at St. Joseph's Hospital and Medical Center. As a key member of our team, you will be responsible for managing and coordinating all facets of assigned clinical protocols from IRB preparation through query and data seal, ensuring protocol and regulatory...

Job SummaryThis position provides and coordinates clinical care for research subjects at Phoenix Children's Hospital. The Clinical Research Nurse will play a central role in ensuring participant safety, maintaining informed consent, and implementing study protocols. The successful candidate will engage in study procedures, including administration of...

Job SummaryAveanna Healthcare is seeking a highly skilled RN Case Manager to join our clinical team in Phoenix, AZ. This role provides the opportunity to develop and provide professional guidance to our field staff, while monitoring our clinical excellence.This position offers autonomy and flexibility in scheduling, as well as the support and collaboration...

Job SummaryBanner Health is seeking a highly skilled Senior VP of Clinical Advancement to lead our efforts in improving the effectiveness and efficiency of care delivery through technology. This role will collaborate with physicians, nurses, clinicians, and IT partners to explore and implement new digital tools that make work easier and improve quality.Key...

Job SummaryWe are seeking a highly skilled and experienced Supervisor to lead our DRG Coding and Validation team. The successful candidate will be responsible for supervising the DRG validation process and coding staff to ensure contractual compliance.Key ResponsibilitiesSupervise retrospective coding validation reviews of medical claims and associated...