Clinical Audit Specialist

Job Overview: Zelis Healthcare is seeking a skilled Nurse Reviewer to join our team. As a Nurse Reviewer, you will be responsible for conducting in-depth claim reviews based on accepted medical guidelines and clinical criteria. This role requires a strong understanding of audit techniques, identification of revenue opportunities, and financial negotiation...

Job SummaryAs a Night Audit Specialist at Magnolia St. Louis Hotel, you will be responsible for providing exceptional guest service and ensuring the accuracy of financial transactions. This role requires a high level of attention to detail and the ability to work independently in a fast-paced environment.Key ResponsibilitiesVerify and process guest payments,...

Job SummaryAs a Night Audit Specialist at StepStone Hospitality Inc., you will be responsible for ensuring the accuracy and integrity of financial transactions and reports. This role requires strong analytical and problem-solving skills, as well as the ability to work independently and effectively communicate with colleagues.Key ResponsibilitiesConduct...

Job Summary:This role is responsible for supporting the attainment of annual regional sales goals through the direct management of Clinical Specialists in assigned regions. The Manager, Clinical Specialists partners with Regional Sales Managers to set successful transition strategies for customer relationships from Sales to the Specialist Team after deal...

About the Role:The Clinical Support Specialist will work as part of a multidisciplinary team to provide support and guidance to individuals experiencing first episode psychosis. This role involves providing non-clinical support and services to help individuals understand their illness and develop skills to manage their condition.Key Responsibilities:Provide...

Job SummaryAs a Clinical Healthcare Specialist with BJC Medical Group, you will play a vital role in delivering high-quality, patient-centered care in our Internal Medicine clinic. This is an excellent opportunity to work with a team of experienced healthcare professionals and make a meaningful impact on the lives of our patients.Key Responsibilities*...

Job SummaryWe are seeking a highly skilled Clinical Nurse Specialist to join our Perioperative Services team at Barnes-Jewish Hospital. As a key member of our team, you will provide expert clinical guidance and support to our staff, patients, and families, promoting evidence-based practice and exceptional patient care.ResponsibilitiesProvide direct care and...

Job Summary:The Clinical Auditor will be responsible for conducting in-depth reviews of medical claims to ensure compliance with accepted medical guidelines and clinical criteria. This role requires a strong understanding of audit techniques, identification of revenue opportunities, and financial negotiation with providers. The ideal candidate will have 3-5...

At Washington University, we are seeking a highly skilled Clinical Nutrition Specialist to join our team. This position provides nutritional care of individuals in health or disease, applying the science and art of human nutrition in selecting and obtaining food.The ideal candidate will have two years' work experience in adult or pediatric dietetics and be...

Job Summary:We are seeking a skilled Clinical Nurse Specialist to join our team at EHR Encore Health Resource. As a Clinical Nurse Specialist, you will have the opportunity to utilize your clinical nursing expertise in a new way outside patient care, while continuing to collaborate with healthcare professionals and advocate for the well-being of patients...

Job SummaryAs a Clinical Assessment Specialist at People's Family of Corporations, you will play a critical role in conducting intake assessments to determine the level of care or service needed for clients. This is a non-supervisory position that works directly with clients and is part of an interdisciplinary team serving clients in clinics and community...

Job SummaryWe're seeking a highly skilled Clinical Documentation Improvement Specialist to join our team at Medix. As a Remote Healthcare Specialist, you will play a crucial role in ensuring patient records are accurate and complete, enabling healthcare providers to make informed decisions and deliver high-quality care. Key ResponsibilitiesConduct...

Job Title:Quality Assurance SpecialistAbout the Role:This is a non-supervisory role, working with the Supervisor of QA Operations at the Thermo Fisher St. Louis site. The Quality Assurance Specialist will be responsible for ensuring compliance with industry standards and regulations in preparation for internal quality audits, client audits, and regulatory...

About Sequel Medical TechnologySequel Medical Technology is a pioneering company developing cutting-edge precision drug delivery devices. As a Clinical Diabetes Specialist, you will collaborate with a Territory Business Leader to successfully launch innovative insulin pumps and future Sequel products. Your primary responsibility is to deliver exceptional...

About the RoleAbbott is a global healthcare leader seeking a highly skilled Clinical Specialist II to join our team. As a Clinical Specialist II, you will play a critical role in providing technical clinical expertise and support to our sales process, working closely with colleagues, current customers, and potential customers.Key ResponsibilitiesProvide...

Job SummaryWe are seeking a highly skilled and motivated Dental Care Specialist to join our team at Affinia Healthcare. As a key member of our dental team, you will be responsible for providing exceptional patient care and conducting dental clinic sessions.Key ResponsibilitiesProvide general dental treatment, including minor dental surgery.Rend care...

Job DescriptionAt Option Care Health, we are seeking a highly skilled Clinical Transition Specialist to join our team. As a Clinical Transition Specialist, you will be responsible for educating patients, their families, and facility staff about our services and products. You will also be responsible for assessing patients, gathering preadmission information,...

Job SummaryThe Clinical Pharmacist - Prior Authorization Specialist will be responsible for managing the selection and utilization of pharmaceuticals and supporting core clinical programs such as DUR, DIS, and formulary management.Key ResponsibilitiesResearches and synthesizes detailed clinical data related to pharmaceuticals.Reviews and approves or denies...

Job Title: Clinical Educator - Behavioral Health SpecialistJob Summary:As a Clinical Educator - Behavioral Health Specialist at SSM Health, you will play a vital role in assessing, planning, implementing, and evaluating educational activities for an assigned service or population. Your expertise will be instrumental in developing and delivering educational...

CALIBRE Systems Inc., an employee-owned Management Consulting and Digital Transformation Company, is seeking a skilled Cybersecurity Specialist to perform assessments of systems and networks within a Government enclave. The ideal candidate will identify vulnerabilities and measure the effectiveness of defense-in-depth architecture against known...