Clinical Review Nurse Specialist

Job Title: Clinical Review NurseMedix Healthcare is seeking a skilled Clinical Review Nurse to join our team in New Hyde Park, NY. As a key member of our quality improvement organization, you will play a crucial role in ensuring the accuracy and appropriateness of medical reviews.Responsibilities:Conduct comprehensive clinical reviews of medical cases,...

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

Clinical Reviewer Job DescriptionIPRO is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will play a critical role in ensuring the accuracy and quality of our review processes.Key Responsibilities:Conduct thorough reviews of medical records to ensure compliance with regulatory requirements.Utilize expertise in electronic...

Job OpportunityWe are seeking a skilled Registered Nurse Clinical Reviewer to join our team at Greenlife Healthcare Staffing.Job SummaryThe successful candidate will conduct thorough reviews of medical records, ensuring accuracy and compliance with regulatory guidelines. This role requires strong analytical and problem-solving skills, as well as excellent...

Job Title: Maternal Nurse ReviewerGreenlife Healthcare Staffing is seeking a skilled Maternal Nurse Reviewer to join our team. As a Maternal Nurse Reviewer, you will be responsible for conducting clinical reviews of medical records and providing technical assistance to program personnel.Responsibilities:Conduct comprehensive reviews of medical records from...

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: Clinical Reviewer - Medical ProfessionalJob Summary:Greenlife Healthcare Staffing is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will be responsible for reviewing medical records and making determinations based on regulatory guidelines. This is a full-time position with a 6-month contract. The ideal candidate...

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 Title: Clinical Nurse SpecialistNorthwell Health is seeking a highly skilled Clinical Nurse Specialist to join our team. As a Clinical Nurse Specialist, you will be responsible for providing expert nursing care to patients with complex medical needs. You will work closely with our interdisciplinary team to develop and implement individualized care plans...

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...

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...

Job SummaryWe are seeking a highly skilled Clinical Nurse Specialist to join our team at Northwell Health. As a key member of our nursing staff, you will be responsible for providing exceptional patient care and contributing to the development of our nursing practice.Key ResponsibilitiesAssess and evaluate patient health status, identifying potential risks...

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 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 Description:We are seeking a skilled Clinical Review Specialist to join our team at US Tech Solutions.The ideal candidate will have a strong background in clinical information and documentation, with experience in reviewing and evaluating clinical records and data.Responsibilities:Review and evaluate clinical documentation to ensure compliance with...

Job Title: Clinical Quality Improvement SpecialistNorthwell Health is seeking a highly skilled Clinical Quality Improvement Specialist to join our team.Job Summary:The Clinical Quality Improvement Specialist will participate in interdisciplinary and process improvement teams to identify potential future uses of information systems and potential improvements...

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: 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...

Job SummaryWe are seeking a skilled RN to join our team at Infojini as a Clinical Chart Review Specialist. In this role, you will utilize your clinical knowledge to review medical charts for accuracy and sequencing of diagnosis.Key ResponsibilitiesReview medical charts for accuracy and sequencing of diagnosisUse clinical knowledge to identify and address any...