Clinical Review Specialist

Job Title: Clinical Review SpecialistAcentra Health is seeking a skilled Clinical Review Specialist to join our team. As a Clinical Review Specialist, you will play a critical role in reviewing medical records, preparing cases for physician review, and performing related activities to ensure timely, accurate, and efficient results.Job Responsibilities:Review...

Job Summary:Acentra Health is seeking a skilled Clinical Review Specialist to join our team. As a Clinical Review Specialist, you will be responsible for reviewing medical records, preparing cases for physician review, and performing related activities in a timely, accurate, and efficient manner.Key Responsibilities:Perform non-physician review activities...

Job SummaryAcentra Health is seeking a skilled Clinical Review Specialist to join our team. The successful candidate will be responsible for reviewing medical records, preparing cases for physician review, and performing related activities in a timely, accurate, and efficient manner.Key ResponsibilitiesPerform non-physician review activities within specified...

Job Summary:The Clinical Review Specialist will be responsible for reviewing medical records, preparing cases for physician review, and performing related activities in a timely, accurate, and efficient manner. This position will prepare reports and other documentation for medical necessity reviews, with a focus on State and managed care contractor (MCC)...

About UsNewport Healthcare is a leading provider of behavioral healthcare services, dedicated to delivering high-quality care to individuals and families affected by mental health conditions. Our team of experts is committed to providing compassionate and evidence-based treatment, and we're seeking a skilled Utilization Review Specialist to join our...

Job Title: Utilization Review Intake Support SpecialistLucent Health Solutions LLC is seeking a highly skilled Utilization Review Intake Support Specialist to join our team in Nashville, Tennessee. As a key member of our Utilization Review team, you will play a critical role in supporting the multidisciplinary care team in reviewing and authorizing medical...

Job Title: Utilization Review Intake Support SpecialistAbout Lucent Health Solutions LLCLucent Health Solutions LLC is a leading provider of healthcare solutions, combining top-tier claims management with a compassionate, human-focused, data-driven care management approach. Our goal is to help self-insured employers provide care management that enables...

Job Title: Coding Quality Review SpecialistWe are seeking a highly skilled Coding Quality Review Specialist to join our team at ReqOverflow. As a Coding Quality Review Specialist, you will play a critical role in ensuring the accuracy and consistency of coding practices across our Health Information Management Service Center (HSC) operations.Key...

About UsNewport Healthcare is a leading provider of behavioral healthcare services, dedicated to delivering high-quality care to individuals and families affected by mental health conditions. Our team of experts is committed to transforming lives through evidence-based treatment and compassionate support.Job SummaryWe are seeking a skilled Utilization Review...

Clinical Reviewer RN Job Description **Key Responsibilities:** Manage a complex caseload of service requests and make determinations of medical necessity. Collaborate with Medical Directors on denial requests and ensure compliance with established processes. Facilitate communication between Precertification staff and providers regarding policy...

About the RoleNewport Healthcare is a leading provider of behavioral healthcare services, dedicated to delivering high-quality care to young people and their families. We are seeking a skilled Clinical Utilization Specialist to join our team, responsible for managing an active caseload of clients and ensuring seamless communication with insurance companies,...

About UsNewport Healthcare is a leading provider of behavioral healthcare services, dedicated to delivering high-quality care to young people and their families. Our team of experts is committed to transforming lives through evidence-based treatment and support.Job SummaryWe are seeking a highly skilled Clinical Utilization Specialist to join our team. As a...

Job Title: Clinical Technology SpecialistForTec Medical is seeking a highly skilled Clinical Technology Specialist to join our team. As a Clinical Technology Specialist, you will be responsible for delivering innovative surgical technologies to hospitals and healthcare professionals, providing technical support and guidance to surgeons and staff, and...

Job Title: Clinical Chemistry/Special Chemistry Technical SpecialistJob Summary:We are seeking a highly skilled and experienced Technical Specialist to join our Clinical Chemistry and Special Chemistry department on the day shift at our busy and high-volume level one trauma hospital.Key Responsibilities:Manage and administer laboratory operations, ensuring...

About UsNewport Healthcare is a leading provider of behavioral healthcare services, dedicated to delivering high-quality care to young people and their families. Our team of experts is committed to transforming lives through evidence-based treatment and compassionate support.Job SummaryWe are seeking a skilled Utilization Review Specialist to join our team....

Job Title: Clinical Nurse SpecialistWe are seeking a highly skilled Clinical Nurse Specialist to join our team at Healthcare Staffing Plus. As a Clinical Nurse Specialist, you will be responsible for providing high-quality patient care and leading the development of clinical practice guidelines.Responsibilities:Develop and implement clinical practice...

Job SummaryWe are seeking a highly skilled Clinical Pharmacist Specialist to join our team at Ascension Saint Thomas West. As a key member of our pharmacy team, you will play a critical role in ensuring the safe and effective use of medications in our transplant patients.ResponsibilitiesReview and assess medication orders to identify potential and actual...

About the RoleWe are seeking a highly skilled Clinical Specialist to join our team at Medtronic. As a Clinical Specialist, you will play a critical role in providing direct clinical support for our Endoscopy Product Portfolio.Key ResponsibilitiesImplement and train customers and potential customers on clinical indications and applications of our...

Job OverviewPosition: Clinical Nurse SpecialistReports To: Clinical Operations ManagerFLSA Status: Non-ExemptRole Summary: The Clinical Nurse Specialist is accountable for delivering comprehensive nursing care to patients, guided by the directives of a physician or physician extender.Key Responsibilities:• Proficient understanding of medical practices and...

Position Overview:The Clinical Nutrition Specialist is tasked with overseeing the comprehensive nutritional care of residents within our facility. This role involves managing the dietary needs of individuals in various care settings, including short-term rehabilitation, long-term care, hospice, and those requiring enteral feeding.Key Responsibilities:Conduct...