Clinical Review Specialist

Job Summary:w3r Consulting is seeking a highly skilled Clinical Review Specialist to join our team. As a Clinical Review Specialist, you will be responsible for conducting thorough reviews of patient care services to ensure medical necessity, appropriate length of stay, and intensity of service.Key Responsibilities:Conduct prospective, concurrent, and...

Job DescriptionAs a Clinical Review Specialist at LanceSoft Inc, you will play a critical role in ensuring the medical necessity of post-acute care services. Your expertise will be utilized to review and validate the appropriateness of care settings and lengths of stay, as well as appeal requests initiated by providers, facilities, and members.Key...

Job Title: Registered Nurse-Review AnalysLocation: Detroit, MIDuration: 10-11 monthsDescription:Job Summary:We are seeking a highly skilled Registered Nurse to join our team as a Clinical Review Specialist. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and...

Job Title: Registered Nurse-Review AnalystJob Summary:We are seeking a highly skilled Registered Nurse to join our team as a Review Analyst. In this role, you will be responsible for conducting medical necessity reviews of post-acute care services to ensure compliance with established medical policy and guidelines.Key Responsibilities:Conduct prospective,...

Job Title: Registered Nurse-Review AnalysLocation: Detroit, MIDuration: 10-11 monthsDescription:We are seeking a highly skilled Registered Nurse to join our team as a Clinical Reviewer. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure...

Strategic Staffing Solutions Job OpportunityWe are seeking a skilled RN Review Analyst to join our team at Strategic Staffing Solutions.About the Role:Work with one of our largest clients located in Detroit, MI.Collaborate with healthcare professionals to ensure high-quality patient care.Analyze clinical data to identify trends and areas for...

Job Title: Registered Nurse-Review AnalystJob Summary:Strategic Staffing Solutions is seeking a Registered Nurse-Review Analyst to join our team. As a key member of our healthcare team, you will be responsible for reviewing precertification admission and concurrent reviews for the appropriateness of the inpatient setting utilizing InterQual...

About the RoleOpTech is seeking a highly skilled Clinical Review Registered Nurse to join our team. As a Clinical Review Registered Nurse, you will play a critical role in ensuring that our clients' UM Program is provider-focused and meets the highest standards of quality and care.Key ResponsibilitiesReview clinical documentation provided by facilities to...

Job Title: Clinical Review AnalystStrategic Staffing Solutions (S3) is seeking a highly skilled Clinical Review Analyst to join our team. As a Clinical Review Analyst, you will play a critical role in ensuring the quality and accuracy of healthcare services.Job Summary:We are looking for a detail-oriented and organized individual to perform prospective,...

Job SummaryWe are seeking a highly skilled Clinical Review Nurse to join our team at LanceSoft. As a key member of our healthcare team, you will be responsible for conducting thorough medical necessity reviews of post-acute care services to ensure that patients receive the most appropriate care.Key ResponsibilitiesConduct prospective, concurrent, and...

Job Title: Registered Nurse - Utilization ReviewAt the Detroit Medical Center, we are seeking a highly skilled Registered Nurse to join our team as a Utilization Review Specialist. This role is responsible for ensuring that patients receive the most appropriate level of care, while also optimizing resource utilization and promoting efficient healthcare...

Job Title: Utilization ReviewerGenex Service LLC is seeking a skilled Utilization Reviewer to join our team. As a Utilization Reviewer, you will play a critical role in ensuring that medical treatment is necessary and appropriate for patients.Responsibilities:Perform utilization review of medical treatment requests to determine medical necessity.Collaborate...

Strategic Staffing Solutions (S3) is a leading provider of staffing solutions.We are currently seeking a highly skilled Registered Nurse Clinical Reviewer to join our team.About the Role:As a Registered Nurse Clinical Reviewer, you will be responsible for:Conducting thorough reviews of patient records to ensure accurate and high-quality care.Collaborating...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient...

Job SummaryWe are seeking a skilled RN Utilization Review Specialist to join our team at the Detroit Medical Center Shared Services. As a key member of our case management team, you will play a critical role in ensuring that patients receive the most appropriate level of care while promoting efficient resource utilization.Key ResponsibilitiesFacilitate...

Clinical Specialist - Crisis ServicesUnder the general supervision of the Site Director, the Clinical Specialist - Crisis Services will provide therapeutic support, crisis intervention, clinical assessments, and evidence-based therapeutic interventions to individuals experiencing acute mental health crises.Key Responsibilities:Conduct electronic case reviews...

Strategic Staffing Solutions: A Leader in Healthcare StaffingWe are seeking a skilled RN Review Analyst to join our dynamic team in Detroit, MI.About the RoleAs a RN Review Analyst, you will be responsible for reviewing and analyzing medical records to ensure accuracy and quality.You will work closely with our healthcare team to identify areas for...

Job SummaryThe Detroit Medical Center is seeking a skilled Registered Nurse to fill the role of Utilization Review Specialist. This position is responsible for ensuring that patients receive the most appropriate level of care, while also promoting efficient resource utilization.Key ResponsibilitiesConduct thorough medical necessity reviews to determine the...

Job Title: Registered Nurse - Utilization ReviewAt the Detroit Medical Center, we are seeking a highly skilled Registered Nurse to join our team as a Utilization Review Specialist. This role is responsible for ensuring that patients receive the most appropriate level of care, while also optimizing resource utilization and promoting efficient healthcare...

Clinical Specialist - Crisis ServicesUnder the general supervision of the Site Director, the Clinical Specialist - Crisis Services will provide therapeutic support, crisis intervention, clinical assessments, and evidence-based therapeutic interventions to individuals experiencing acute mental health crises.Key Responsibilities:Conduct electronic case reviews...