Clinical Reviewer

Job SummaryWe are seeking a skilled Clinical Review Nurse to join our team at Independent Health. As a Utilization Review Nurse, you will play a critical role in determining the medical necessity of requested services.Key Responsibilities Perform clinical reviews to determine medical necessity of requested services Obtain clinical information and utilize...

Unlock Your PotentialWe're seeking a skilled Utilization Review Nurse to join our team at Independent Health. As a Utilization Review Nurse, you will play a critical role in ensuring that our members receive the necessary care and services to achieve optimal health outcomes.About the RoleThe Utilization Review Nurse will be responsible for performing...

Job SummaryWe are seeking a highly skilled Clinical Reviewer to join our team at Independent Health Association. As a Clinical Reviewer, you will play a critical role in ensuring the quality and accuracy of medical records and coverage determinations.Key ResponsibilitiesInvestigate and research clinical appeals, complaints, and grievances to ensure coverage...

Job SummaryWe are seeking a highly skilled Utilization Review Nurse to join our team at Travelers Insurance. As a Utilization Review Nurse, you will play a critical role in ensuring that medical treatment is necessary and reasonable for workers' compensation claims.Key ResponsibilitiesConduct in-house utilization review to determine medical necessity for...

Job SummaryAs a Clinical Laboratory Technologist at Catholic Health System, you will play a critical role in implementing the section's objectives, ensuring quality control, and maintaining effective communication. Key Responsibilities:•⁠ ⁠Implement the section's objectives, quality control, and communication. •⁠ ⁠Familiarize yourself with...

Job Summary:As a Clinical Laboratory Technologist Micro, you will play a vital role in the implementation of the section's objectives, quality control, and communication in our clinical microbiology laboratory. Your primary responsibility will be to ensure the accurate identification and analysis of microorganisms in clinical specimens. You will also be...

Job Summary:AltaStaff is hiring a Clinical Assessment Specialist to review consumer assessments for long term care services and supports in New York State. The ideal candidate will have 2+ years of practicing experience as a Nurse Practitioner and excellent clinical and communication skills.Responsibilities:Review and make recommendations on consumer...

Quality Clinical Documentation SpecialistAt Kaleida Health, we are seeking a highly skilled Clinical Documentation Specialist to join our team. As a key member of our clinical documentation team, you will play a critical role in ensuring the accuracy and completeness of patient records.Key Responsibilities:Conduct concurrent analytical reviews of clinical...

Job SummaryThe Ambulatory Clinical Documentation Improvement Specialist plays a crucial role in ensuring the accuracy and completeness of clinical documentation in our ambulatory settings. This position is responsible for reviewing and improving the quality of clinical documentation to support revenue capture and compliance.Key ResponsibilitiesAssist...

Job SummaryClinical care delivery and performance management in the market in collaborative partnership with the Market Operations Leader is the responsibility of the Medical Director. This role involves support and oversight of clinical care delivered by field-based clinical practitioners, data-driven and KPI-directed clinical performance management, direct...

Job Summary:As a Clinical Laboratory Technologist, you will play a critical role in the implementation of the section's objectives, quality control, and communication. This position requires a strong understanding of clinical microbiology laboratory concepts, theories, and procedures, including microorganisms, their habitats, and their significance in...

Building Blocks is a multi-service developmental and educational organization founded on the principle of helping children and adults reach their greatest potential.We are seeking a skilled Speech-Language Pathologist to oversee the work of Clinical Fellows as they work with a pediatric caseload. This role involves providing supervision, guidance, and...

Job SummaryThe Senior Director Clinical Operations is a key leadership position at Kaleida Health, responsible for the development and implementation of strategic plans to drive financial and operational excellence in our Procedure Labs and Specialty Clinics. This role requires a strong leader who can manage the operations of the Site, encompassing strategic...

We are seeking a skilled Clinical Care Specialist to join our team at Optum Home & Community Care. As a Clinical Care Specialist, you will provide annual clinical assessments to patients in the comfort of their homes, helping to identify and reduce health risks and coordinate follow-up care to improve health and well-being.This is a unique opportunity to...

Clinical Research Budget/Compliance Specialist Role SummaryThis position is responsible for conducting Medicare Coverage Analysis (MCA) for Roswell Park clinical research studies to ensure compliance with Medicare regulations. The successful candidate will develop a comprehensive clinical research study budget that encompasses all aspects of the research...

Job Summary:We are seeking a highly skilled and experienced Psychiatrist to join our team as a Senior Clinical Psychiatric Administrator. As a key member of our psychiatric staff, you will be responsible for providing clinical and administrative oversight to medical staff, including psychiatrists, physicians, pediatricians, psychiatric nurse practitioners,...

Job Title: Clinical AudiologistJob Description:Company OverviewStaffing Proxy is proud to partner with The Audiology Center, a renowned audiology practice in Buffalo, New York, to find a highly skilled Clinical Audiologist to join their team.About the RoleWe are seeking a dedicated and compassionate Audiologist to provide exceptional audiological care to...

Job DescriptionAre you a seasoned Registered Nurse with a passion for shaping the future of healthcare?As a Clinical Resource Manager, you will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in-person, on-site, face-to-face outreach, with patients to introduce the Post-Acute program. You will gather patient...

At Neighborhood Health Center, we're dedicated to providing high-quality care to diverse individuals and families. As a Registered Dietitian, you'll play a vital role in our mission to promote health equity and wellness.Key Responsibilities:Conduct comprehensive nutrition assessments using evidence-based methods, taking a holistic approach to patient...

Job SummaryThe Nursing Clinical and Simulation Coordinator is a full-time faculty member responsible for planning, coordinating, and overseeing the simulation program. This role requires collaboration with Nursing faculty and staff to ensure student learning needs and program goals are met. The Simulation Coordinator will report to the Executive Dean for...