Clinical Reviewer

About the RoleWe are seeking a skilled Nurse Reviewer to join our team at Gainwell Technologies LLC. As a key member of our clinical review team, you will play a critical role in ensuring the quality and accuracy of medical records.Key ResponsibilitiesReview and interpret medical records to determine appropriateness and reasonableness of care, applying...

About the RoleWe are seeking a skilled Nurse Reviewer to join our team at Gainwell Technologies LLC. As a key member of our clinical review team, you will play a critical role in ensuring the quality and accuracy of medical records.Key ResponsibilitiesReview and interpret medical records to determine appropriateness and reasonableness of care, applying...

About the RoleWe are seeking a skilled Nurse Reviewer to join our team at Gainwell Technologies LLC. As a key member of our healthcare team, you will be responsible for performing clinical reviews to determine the appropriateness and reasonableness of medical care. This role requires a strong understanding of clinical criteria, coverage policies, and...

About NexusNexus is a leading national independent clinical review and utilization management organization.We focus on building long-term, value-added relationships with our clients by providing access to quality, outcome-focused clinical expertise and innovative solutions.Our highly efficient administrative workflows and processes enable our physician...

About the RoleWe are seeking a highly skilled Nurse Reviewer, Appeals and Hearings to join our team at Gainwell Technologies LLC. As a key member of our team, you will be responsible for coordinating and performing all appeal-related duties, including analyzing and responding to appeals from providers, reviewing documentation to ensure all aspects of the...

About the RoleWe are seeking a highly skilled Nurse Reviewer, Appeals and Hearings to join our team at Gainwell Technologies LLC. As a key member of our team, you will be responsible for coordinating and performing all appeal-related duties, including analyzing and responding to appeals from providers, reviewing documentation to ensure all aspects of the...

About the RoleWe are seeking a highly skilled Nurse Reviewer, Appeals and Hearings to join our team at Gainwell Technologies LLC. As a key member of our team, you will be responsible for coordinating and performing all appeal-related duties, including analyzing and responding to appeals from providers, reviewing documentation to ensure all aspects of the...

Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Clinical Care Specialist. In this role, you will provide expert clinical care to patients with wound and ostomy needs, utilizing your knowledge and skills to promote optimal patient outcomes.Key ResponsibilitiesProvide clinical expertise in wound and ostomy care, considering...

Job SummaryCVS Health is seeking a skilled Clinical Utilization Specialist to join our team. As a Clinical Utilization Specialist, you will play a critical role in assessing the appropriateness of treatment plans and applying evidence-based standards and practice guidelines to ensure optimal patient care.Key ResponsibilitiesUtilize clinical experience and...

Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Clinical Care Specialist in Wound and Ostomy Care. This is an exciting opportunity to work with a talented group of healthcare professionals who share a passion for delivering exceptional patient care.Key ResponsibilitiesProvide clinical expertise in wound and ostomy care to...

Job SummaryCVS Health is seeking a skilled Clinical Utilization Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our members receive the most appropriate and effective care possible.Key ResponsibilitiesUtilize clinical expertise to assess the appropriateness of treatment plans and apply...

Job SummaryCVS Health is seeking a skilled Clinical Utilization Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our members receive the most appropriate and effective care possible.Key ResponsibilitiesUtilize clinical expertise to assess the appropriateness of treatment plans and apply...

Job SummaryWe are seeking a highly skilled and experienced Registered Nurse - RN Clinical Manager to join our team at Adoration Home Health and Hospice. As a Clinical Manager, you will be responsible for overseeing the clinical operations of our home health and hospice services, ensuring the highest quality of care for our patients and their families.Key...

Job SummaryThe Medical Social Worker LCSW at North Mississippi Health Services plays a pivotal role by coordinating assessment of psychosocial factors, providing direct case work, evaluating patient/family response to treatment, and communicating with patients, staff, and physicians.Key ResponsibilitiesAssessment and Intervention: Coordinate clinical...

Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Clinical Nurse Specialist in Wound and Ostomy Care. This is an exciting opportunity to work with a dynamic team of healthcare professionals who are dedicated to providing exceptional patient care.Key ResponsibilitiesProvide clinical expertise in wound and ostomy care to...

Job SummaryWe are seeking a highly skilled Registered Nurse to join our team at Henry Ford Allegiance Hospital. As a Clinical Expert in Wound and Ostomy Care, you will provide exceptional patient care and promote a culture of excellence in our Comprehensive Clinical Care department.Key ResponsibilitiesProvide Clinical Expertise: Utilize your advanced...

Job Title: Clinical Document Improvement Specialist RNTact Staff is seeking a skilled Clinical Document Improvement Specialist RN to join our team in Jackson, Mississippi.Job Summary:We are looking for a highly motivated and experienced RN to work as a Clinical Document Improvement Specialist. The ideal candidate will have a strong background in case...

Job Title: Clinical Document Improvement Specialist RNTact Staff is seeking a skilled Clinical Document Improvement Specialist RN to join our team for a travel nursing assignment in Jackson, Mississippi.Job Description & RequirementsSpecialty: Clinical Document Improvement SpecialistDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hoursEmployment...

Key ResponsibilitiesMedical History Review: Study patients' medical history, test results, and treatment plans to identify trends and patterns.Monitoring and Recording: Track routine heart rate, blood pressure, and pulse oximetry measurements, and record data from specialized medical technologies and equipment.Data Analysis and Interpretation: Monitor,...

Job Title: Travel Clinical Social WorkerJob Specialty: Utilization Review - Case ManagementJob Duration: 13 weeksShift: 8-Hour Days, Monday to Friday, 8:00 AM - 4:30 PMGuaranteed Hours: 40 hours per weekExperience: Minimum 2 years in Acute Care ManagementLicense: LMSW or LCSWCertifications: BLS, SW Case ManagerKey Responsibilities:Cover all inpatient units...