Clinical Utilization Review Specialist

Job SummaryAlbany Medical Center is seeking a skilled Clinical Utilization Review Specialist to join our team. As a key member of our Care Management department, you will be responsible for ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough reviews of patient records to identify opportunities for improvement...

Job SummaryAlbany Medical Center is seeking a skilled Clinical Utilization Review Specialist to join our team. As a key member of our Care Management department, you will be responsible for ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough reviews of patient records to identify opportunities for improvement...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Albany Medical Center. As a key member of our Care Management department, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough utilization reviews to identify opportunities for improvement in...

Job Title: Utilization Review NurseAlbany Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate care while minimizing unnecessary costs.Key Responsibilities:Conduct thorough reviews of patient records to identify areas...

North Chatham, NY, United States Department/Unit: Care Management/Social WorkWork Shift: Day (United States of America)Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.Salary: $65,062.40 -$107,348.80• Completes Utilization Management and Quality Screening for assigned patients. • Applies MCG criteria to...

North Chatham, NY, United States Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Salary: $65,062.40 -$107,348.80• Completes Utilization Management and Quality Screening for assigned patients. • Applies MCG...

About the RoleVNS Health is seeking a skilled Nurse Utilization Review Specialist to join our team. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Key ResponsibilitiesConduct thorough clinical assessments, including medication reconciliations, post-discharge...

About the RoleVNS Health is seeking a skilled Nurse Utilization Review Specialist to join our team. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Key ResponsibilitiesConduct thorough clinical assessments, including medication reconciliations, post-discharge...

Job Title: Registered Nurse - Utilization ReviewVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. In this role, you will be responsible for conducting clinical assessments, collaborating with healthcare providers, and ensuring compliance with regulatory requirements.Key Responsibilities:Conduct clinical...

About the RoleWe are seeking a highly skilled Care Coordinator/ Utilization Management Specialist to join our team at Hackensack Meridian Health. As a key member of our healthcare team, you will be responsible for coordinating, communicating, and facilitating the clinical progression of patient treatment.Key ResponsibilitiesCoordinate and communicate with...

About the RoleThe Clinical Support Specialist is a vital member of the healthcare team at Novant Health, responsible for providing comprehensive support to the Utilization Review department.Key ResponsibilitiesProvide clerical and operational support to the Utilization Review team, ensuring seamless day-to-day operations.Assist with data entry,...

Job Title: Medical Review Specialist (Dermatology)Location: 100% remoteDuration: 06 MonthsSPECTRAFORCE is seeking a Medical Review Specialist to support the US Immunology Medical Affair teams. As a Medical Review Specialist, you will provide medical oversight for scientific review and approval of promotional and medical materials in compliance with corporate...

Job Title: Medical Review Specialist (Dermatology)Location: Remote OpportunityDuration: 6 MonthsSPECTRAFORCE is seeking a Medical Review Specialist to support our US Immunology Medical Affairs teams.Responsibilities include:Providing medical oversight for scientific review and approval of promotional and medical materials in compliance with corporate...

Job Summary:CommonSpirit Health is seeking a skilled Clinical Documentation Specialist RN to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the accuracy and completeness of patient medical records.Key Responsibilities:Perform chart reviews to ensure accurate and complete clinical documentationCoordinate...

Job Summary:CommonSpirit Health is seeking a skilled Clinical Documentation Specialist RN to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the accuracy and completeness of patient medical records.Key Responsibilities:Perform chart reviews to ensure accurate and complete clinical documentationCoordinate...

Overview: Our Patient Service Specialist works as part of team to complete daily business office functions including billing, collecting, and interacting with patients. Also responsible for answering the telephone, routing and triaging calls relative to patient urgency. Schedules appointments and registers patients. Qualifications: Education: High school...

Job SummaryAlbany Medical Center seeks a skilled Clinical Nurse III to join our team. As a key member of our nursing staff, you will contribute to the creation of a compassionate and caring environment for patients, families, and colleagues.Key ResponsibilitiesImplement physician orders, administer medications, and perform treatments, procedures, and special...

Job SummaryAlbany Medical Center seeks a skilled Clinical Nurse III to join our team. As a key member of our nursing staff, you will contribute to the creation of a compassionate and caring environment for patients, families, and colleagues.Key ResponsibilitiesImplement physician orders, administer medications, start IVs, perform treatments, procedures, and...

Job SummaryAlbany Medical Center seeks a skilled Clinical Nurse III to join our team. As a key member of our nursing staff, you will contribute to the creation of a compassionate and caring environment for patients, families, and colleagues.Key ResponsibilitiesImplement physician orders, administer medications, start IVs, perform treatments, procedures, and...

About the RoleWe are seeking a highly skilled Clinical Informatics Specialist to join our team at Novant Health. As a key member of our Digital Products and Services team, you will play a critical role in delivering exceptional patient care through the effective use of technology.Key ResponsibilitiesLead Clinical Practice Workflow Analysis: Identify and...