DRG Clinical Review Manager

About the RoleWe offer a competitive salary range of $74,421.00 – $114,904.00 per year, based on experience and qualifications. Our comprehensive benefits package includes medical, dental, vision, and 401K plans, as well as paid time off and opportunities for career advancement.

Job DescriptionThe Clinical Audit Supervisor will be responsible for supervising daily activities of DRG Clinical Auditors, completing audits as needed, and maintaining the overall quality of diagnosis and procedure codes verified by clinical review nurses. Key skills and qualifications include knowledge of ICD-10-CM and PCS codes, experience with claims...

Job OverviewCORVEL HEALTHCARE CORPORATION is seeking a highly skilled Clinical Audit Supervisor to join our team. As a key member of our healthcare team, you will be responsible for supervising clinical auditors and ensuring the quality of diagnosis and procedure codes verified by the clinical review nurses.About the RoleThis is a remote position that...

ResponsibilitiesDisplay knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocate on behalf of the patient to secure coverage for needed services.Complete pre and re-certifications for inpatient and outpatient services.Report appropriate denial and authorization information to designated...

Aveanna Healthcare is a leading provider of home health services to medically fragile children and adults. We are seeking a highly skilled Clinical Supervisor to join our team.Salary: $68,000 per year, plus monthly bonus potential and on-call pay.About the RoleThe Clinical Supervisor will be responsible for managing a caseload of medically fragile patients...

About UsWelcome to WellBridge Fort Worth, part of Lifepoint Behavioral Health. We are a nationally known healthcare organization with a diversified delivery network of facilities from coast to coast.We specialize in compassionate behavioral health services, including crisis stabilization, inpatient care, and outpatient treatment for acute mental health and...

We are seeking an experienced Clinical Operations Manager to join our team at Cook Children's in Fort Worth, Texas. As a key member of the management team, you will be responsible for assisting the Medical Director in the clinical operations of the UCC.About the Role:You will assist in developing annual and long-term goals and objectives with administration...

Job SummaryFresenius Medical Care North America seeks a highly skilled Clinical Nurse Manager to join our team. This position offers an exciting opportunity to lead and develop clinical nursing staff, ensuring exceptional patient care and promoting a positive work environment.About the RoleThe Clinical Nurse Manager will oversee the daily operations of our...

OverviewCorVel Healthcare Corporation is a leading provider of risk management solutions, and we are seeking an experienced Clinical Audit Supervisor to join our team. As a key member of our clinical review team, you will play a crucial role in ensuring the accuracy and integrity of our coding practices.

Adecco US, Inc. is assisting a Fortune 8 company in recruiting for a Clinical Pharmacist in the Fort Worth area.We offer a competitive hourly wage ranging from $55 to $60, depending on experience, education, and geographic location.Job DescriptionConduct comprehensive clinical reviews of pharmacotherapy for each patient, ensuring treatment plans align with...

Pediatric Clinical Trials Manager\We are seeking an experienced Clinical Trials Manager to oversee our pediatric clinical trials program. The ideal candidate will have a strong background in clinical research management, with experience managing multiple studies and coordinating with investigators, sponsors, and regulatory agencies.\This role requires...

OverviewThe Travelers Companies is a leading property casualty insurer that has maintained its reputation as one of the best in the industry for over 160 years.We are seeking a highly skilled Medical Case Manager to join our team. This role will be responsible for providing office-based telephonic and/or in-person medical case management supporting Concierge...

**Source One Technical Solutions**: A consulting services company seeking a skilled Clinical Trial Documentation Specialist to work as a consultant for a global medical device client in the Fort Worth, TX area (hybrid work schedule).**Job Title:** Technical Documentation Specialist II (Contractor)**Salary Range:** $37.86 - $41.43 per hour (W-2)The initial...

About the Role:The Clinical Authorization Specialist will play a critical role in ensuring that patients receive the necessary medical treatment by reviewing and approving or denying requests for hospital stays, outpatient treatments, and other medical services.If you have a strong understanding of clinical criteria and managed care requirements, this could...

About the JobIn this role, you will be responsible for reviewing and verifying prescriptions, managing inbound calls, and providing clinical support to patients. Your expertise in pharmacy operations and management will be essential in ensuring seamless delivery of services.

In this exciting opportunity, you will have the chance to shape the learning and development strategy for our nursing team at Regency Integrated Health Services. As a Clinical Learning and Development Manager, you will oversee the coordination of schedules, hiring, training, and engagement initiatives to foster a culture of excellence and continuous...

About the Opportunity:Cook Children's is proud to offer a rewarding career opportunity for an experienced Account Specialist II to join our Patient Financial Services team in Fort Worth, Texas. As a key member of our team, you will play a critical role in managing accounts receivable, claim follow-up, cash collection, and denial management for services...

Job Title: Clinical Pharmacist FloaterWe are seeking a highly skilled and experienced Clinical Pharmacist Floater to join our team at Kroger. This is a fantastic opportunity for a motivated and detail-oriented individual to provide clinical services and support to our patients.Job Summary:Provide clinical services, including medication management, health...

Oversee Renal CareAs a Dialysis Clinical Manager with Fresenius Medical Care, you will ensure the delivery of high-quality patient care while maintaining clinical operations.About this role: As the facility leader, you will be part of a collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing...

Job SummaryWe are seeking a skilled Clinical Authorization Specialist to join our team at WellBridge Fort Worth. This role is responsible for reviewing patient medical records and advocating on their behalf to secure coverage for necessary services.The ideal candidate will have a bachelor's degree in a related field, with previous experience in utilization...