Clinical Review Specialist II

Clinical Nurse Specialist II - APHERESIS 40 Hour Work Week Position Overview:At the University of Texas Southwestern Medical Center, the Clinical Nurse Specialist II will engage in therapeutic apheresis, cellular therapy collections, transfusions, and hydration procedures for patients with sickle cell disease. Our therapeutic apheresis program is esteemed as...

Clinical Nurse II The Clinical Nurse II is responsible for delivering comprehensive health evaluations and assessment services, initiating treatments and immunizations according to established protocols, and providing essential education and counseling to patients and healthcare professionals. Key responsibilities include:Gathering medical histories and...

Position OverviewThe Clinical Documentation Integrity Specialist (CDIS) plays a crucial role in the healthcare system by conducting both concurrent and retrospective evaluations of inpatient medical records. This position is essential for ensuring that documentation is not only accurate but also complete, compliant, concise, and consistent.Key...

Job SummaryWe are seeking a highly skilled Utilization Review Nurse to join our team at Elite. As a key member of our clinical review team, you will play a critical role in ensuring the medical necessity of treatment requests submitted by providers, requestors, claimants, or carriers.Key ResponsibilitiesMedical Necessity Review: Conduct thorough evaluations...

Job SummaryCorVel Healthcare Corporation is seeking a highly skilled Medical Bill Review Analyst II to join our team. As a Medical Bill Review Analyst II, you will be responsible for reviewing, auditing, and data-entering medical bills for multiple states and lines of business.Key ResponsibilitiesMedical Bill Review: Conduct thorough reviews of medical bills...

About the RoleJob Title: Clinical Dietitian IILocation: Dallas, TXAramark Healthcare+ is seeking a highly motivated and experienced Clinical Dietitian II to join our healthcare team. In this role, you will have the opportunity to work in a fast-paced, patient-centered environment, providing top-notch care to a diverse patient population.About the...

Position Title: Clinical Nurse Specialist - Resource Team (Admission, Discharge & Transfer)Work Schedule:Days: Monday to FridayShift: 8X5 Mid/Evening (United States of America)Role Overview:The Clinical Nurse Specialist is responsible for delivering exceptional and technical nursing care to assigned patients. This role involves both direct and indirect...

Clinical Nurse IIConduct health evaluations, assessment services, and initiate treatments in accordance with established protocols.Deliver education and counseling to patients and healthcare professionals.Gather medical histories, perform comprehensive physical assessments, and administer necessary treatments.Facilitate educational counseling sessions for...

Job SummaryAramark is seeking a highly motivated and experienced Clinical Dietitian II to join our healthcare team. As a key member of our interdisciplinary team, you will have the opportunity to work in a fast-paced, patient-centered environment, providing top-notch care to a diverse patient population.Key ResponsibilitiesConduct comprehensive nutritional...

Job OverviewThis remote position allows for flexible scheduling and caseload management while adhering to client-required turnaround times. Our reviewers are compensated on a per-case basis as independent contractors.Candidates must be a licensed Orthopedic Surgeon in Texas and possess a TX License, along with experience in testimony, depositions, or counter...

Job OverviewThis remote position allows for flexible scheduling and caseload management while adhering to client-required turnaround times. Reviewers are compensated on a per-case basis as independent contractors.Candidates must be a licensed Orthopedic Surgeon in Texas with experience in testimony, depositions, or counter affidavits. Access to a Texas...

Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Utilization Review Specialist. In this role, you will be responsible for conducting medical certification reviews to determine the medical necessity of acute care services.Key ResponsibilitiesConduct inpatient admission reviews for Medicare and Medicaid beneficiaries, as well...

Job Description:Job Summary:The Texas Department of Aging & Disability Services seeks a highly qualified candidate to fill the position of Quality Monitoring Nurse II for the Quality Monitoring Program (QMP). The QMP helps address conditions in Texas Nursing Facilities (NFs) that could be detrimental to the health, safety, and welfare of residents.Key...

Job Opportunity at Dane Street, LLCJob Title: Physician ReviewerJob Summary:Dane Street, LLC is seeking a highly skilled Physician Reviewer to join our team. As a Physician Reviewer, you will utilize your clinical expertise to review insurance appeals, prospective and retrospective claims, and provide an interpretation of the medical necessity of services...

Front Desk Coordinator II - Medical City, Dallas, TXOverviewAs a vital member of our team at Texas Colon & Rectal Specialists, a division of Texas Oncology, we are seeking a dedicated Front Desk Coordinator II. This role is essential in ensuring the smooth operation of our clinic, located in Dallas, Texas. Our organization is committed to delivering...

Job SummaryWe are seeking a highly skilled Laboratory Assistant II to join our team at Sonic Anatomic Pathology. As a Laboratory Assistant II, you will play a vital role in the patient care process by ensuring laboratory specimens are properly processed, prepared, routed, and stored.Key ResponsibilitiesSpecimen Processing: Perform a vital part of the patient...

Clinical Nurse II OverviewUS Oncology, Inc. is seeking a dedicated Clinic Registered Nurse (RN) II to become a vital part of our healthcare team. This role is essential in delivering high-quality patient care within our organization. The position is full-time, operating Monday through Friday, with hours typically from 8 or 8:30 AM to 5 PM, ensuring a...

About the RoleWe are seeking a highly skilled and experienced Pre-Service Review Coordinator to join our team at UnitedHealth Group. As a key member of our clinical review team, you will play a critical role in ensuring the medical appropriateness of pre-authorization requests.Key ResponsibilitiesReview and determine medical appropriateness of...

Job Summary:Kemper is seeking a highly skilled Auto Damage Review Specialist to join our team. As a key member of our claims department, you will be responsible for reviewing incoming auto damage demands from other carriers or entities to determine if amounts claimed are reasonable and consistent with industry standards.Key Responsibilities:Examine...

Job SummaryDallas County is seeking a skilled Registered Nurse II to join our healthcare team. As a key member of our staff, you will be responsible for providing high-quality patient care and education to patients and other professionals.Key ResponsibilitiesConduct health screenings and assessments to identify patient needs and develop effective treatment...