Clinical Reviewer

Clinical Reviewer Job DescriptionAs a Clinical Reviewer at IPRO, you will play a critical role in ensuring the accuracy and appropriateness of medical reviews. Your expertise will be utilized to conduct thorough clinical level reviews, supporting Medical Review Analysts and Physician Consultants in their decision-making processes.Key Responsibilities:Conduct...

Medix Healthcare is seeking a skilled Clinical Review Nurse to join their team in New Hyde Park, NY. As a Clinical Review Nurse, you will be responsible for conducting thorough reviews of medical records to ensure accurate and timely determinations. You will work closely with Medical Review Analysts and Physician Consultants to ensure a seamless process. Key...

Job Title: Clinical Reviewer - Independent Dispute ResolutionJob Summary: Medix is seeking a skilled Registered Nurse to fill the role of Clinical Reviewer - Independent Dispute Resolution. As a key member of our team, you will be responsible for managing the full spectrum of State and Federal Independent Dispute Resolution (IDR) case determinations,...

Job Title: Registered Nurse - Case ReviewerMedix™ is seeking a dedicated and detail-oriented Registered Nurse to join our team as a Case Reviewer. In this role, you will manage the full spectrum of State and Federal Independent Dispute Resolution (IDR) case determinations, conduct clinical reviews, and assist with Prior Authorization and disputed benefits...

Job DescriptionParker Jewish Institute for Health Care and Rehabilitation is seeking a RN-Quality Review Manager to lead our Community Health Services Program. As a licensed clinician with expertise in CHHA and/or Hospice regulations, you will provide clinical and administrative oversight of our quality program, ensuring high-quality care standards.Our...

Job Title: Clinical ReviewerJob Description:We are seeking a skilled Clinical Reviewer to join our team at Greenlife Healthcare Staffing. As a Clinical Reviewer, you will be responsible for conducting utilization reviews up to and including the appeal level. This includes chart screen, completing electronic worksheets, entering the required information, and...

Quality Assurance and Performance ImprovementParker Jewish Institute for Health Care and Rehabilitation is seeking a RN-Quality Review Manager to ensure the comfort, enhance the quality of life, and preserve the dignity of our patients through our Quality Assurance and Performance Improvement measures.This is an excellent clinical leadership opportunity for...

Job Title: Clinical Review SpecialistDane Street is seeking a skilled Clinical Review Specialist to conduct Group Health reviews. This role involves a clinical summary, potential calls to treating providers, and responses to questions posed.Key Responsibilities:Conduct thorough clinical reviews of Group Health casesPrepare and submit high-quality clinical...

Job Summary:Dane Street is seeking a skilled Clinical Review Specialist to conduct Group Health reviews. This role involves a clinical summary, potential calls to treating providers, and responses to questions posed.Key Responsibilities:Conduct thorough clinical reviews of Group Health casesPrepare clinical summaries and potential calls to treating...

Job Title: Clinical Review SpecialistDane Street is seeking a skilled Clinical Review Specialist to conduct Group Health reviews. This role involves a clinical summary, potential calls to treating providers, and responses to questions posed.Key Responsibilities:Conduct thorough clinical reviews of patient casesCommunicate with treating providers to gather...

Key Responsibilities:As a Clinical Review Specialist at Infojini, you will utilize your clinical knowledge to review medical charts for accuracy and sequencing of diagnosis. This involves analyzing Consultation reports, History and Physical reports, Operative reports, Progress reports, and Discharge reports, including complex cases. Required Skills: Epic...

Job Title: Registered Nurse Clinical ReviewerGreenlife Healthcare Staffing is seeking a skilled Registered Nurse Clinical Reviewer to join our team.Job Summary:We are looking for a highly motivated and detail-oriented Registered Nurse Clinical Reviewer to conduct utilization reviews, quality and clinical study data collection reviews, and provide technical...

Job SummaryWe are seeking a highly skilled Clinical Pharmacist to join our team as a UM Reviewer. As a key member of our Utilization Management team, you will be responsible for reviewing and approving medication requests, ensuring compliance with regulatory requirements, and developing clinical criteria and medical policies.Key ResponsibilitiesReview and...

Job SummaryWe are seeking a skilled Medical Office Assistant to join our healthcare team at Northwell Health. As a Medical Office Assistant, you will play a vital role in providing clinical support to our patients and healthcare professionals.Key ResponsibilitiesAdminister para-professional nursing care, including preparing patients for physician visits and...

About the RoleWe are seeking a highly skilled Pharmacist to join our team as a Home Infusion Therapist. As a key member of our Pharmacy team, you will be responsible for providing pharmaceutical care to patients in their homes.ResponsibilitiesEvaluate and monitor drug therapy for home care patients in collaboration with physicians, nurses, and other...

About the RoleWe are seeking a talented Clinical Psychologist to join our team in New Hyde Park, NY. As a key member of our clinical team, you will be responsible for providing high-quality mental health services to our patients.Key ResponsibilitiesProvide individual and group therapy sessions to adult and child populationsConduct comprehensive assessments...

Job SummaryNorthwell Health is seeking a Medical Office Assistant to join our team. As a Medical Office Assistant, you will play a vital role in providing clinical support to our healthcare team.Key ResponsibilitiesAdminister para-professional nursing care, including preparing patients for physicians, administering and recording laboratory tests, and...

Job Title: Physician Reviewer - Clinical Summary SpecialistAbout the Role:Dane Street is seeking skilled Physician Reviewers to conduct Group Health reviews. As a Clinical Summary Specialist, you will be responsible for creating a comprehensive clinical summary, identifying potential calls to treating providers, and responding to questions posed.Key...

Dane Street, a certified "Great Place to Work" company, is seeking a Physician to provide utilization review services for the Group Health Department.This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical appropriateness of services in compliance with state regulations, nationally recognized...

Job OverviewMedReview is seeking a highly motivated and experienced Registered Nurse Auditor to join our Hospital Bill Review Department. As a key member of our team, you will be responsible for performing bill reviews and chart validations to ensure accuracy and accountability in healthcare payment integrity.Key ResponsibilitiesConduct thorough bill reviews...