Clinical Utilization Management Specialist

Job Title: Utilization Management SpecialistLocation: Flexible work arrangements available, with the option to work in the office or remotely.Hours: Monday to Friday, 8am to 5pm.Pay: Competitive hourly rate, with opportunities for negotiation.Job Description:We are seeking an experienced Utilization Management Specialist to join our team at Medix. In this...

Job Title: Utilization Management / Appeals Registered NurseJob Details:Job Type: Contract-to-hireSalary Expectations: $50 - $54/hourWork Schedule: Monday to Friday, 8:00 AM - 5:00 PMWork Location: OnsiteJob Description Responsibilities/Job Duties:Conduct reviews for State and Federal Independent Dispute Resolution (IDR) case determinations, including prior...

Job OpportunityGreenlife Healthcare Staffing is seeking a skilled Registered Nurse Clinical Reviewer to join their team.Responsibilities:Conduct thorough reviews of medical records, including chart screens, regulatory guidance, and insurer requirements.Prepare final determinations and provide technical assistance to administrative and clinical...

Job SummaryCVS Health is seeking a skilled Clinical Utilization Specialist to join our team. As a key member of our utilization management team, you will play a critical role in coordinating and documenting all aspects of the utilization/benefit management program for preauthorization of mental health services.Key Responsibilities- Utilize clinical skills to...

Clinical Reviewer Job SummaryIPRO is seeking a highly skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will be responsible for conducting full-spectrum activities related to utilization and quality reviews. You will utilize your knowledge and expertise to conduct clinical-level reviews, supporting Medical Review Analysts and Physician...

Job Title: Clinical Appeals SpecialistLocation:Flexible work arrangements available, with a preference for nurses to work in the office in either Lake Success (New Hyde Park) or Albany, NYHours:Monday to Friday, 8am to 5pmStart date:As soon as possible, with a focus on getting all RNs started togetherPay:$48-52 per hour, with opportunities for...

Clinical Opportunities with Greenlife Healthcare Staffing **Job Title:** Clinical Nurse Specialist - Wound Care Reviewer **Job Summary:** Greenlife Healthcare Staffing is seeking a Clinical Nurse Specialist - Wound Care Reviewer to join our team. As a Clinical Nurse Specialist, you will be responsible for reviewing cases and providing expert opinions on...

Job Title: Clinical Assessment RN ManagerFlexStaff Careers is seeking an experienced and motivated Clinical Assessment RN Manager to lead our clinical assessment team and ensure the efficient and timely completion of all tasks associated with the clinical assessment process.Key Responsibilities:Conduct in-home or virtual clinical assessments using UAS-NY for...

Job Title: Clinical Assessment RN ManagerJob Summary:FlexStaff Careers is seeking an experienced and motivated Clinical Assessment RN Manager to lead our clinical assessment team and ensure the efficient and timely completion of all tasks associated with the clinical assessment process.Key Responsibilities:Conduct in-home or virtual clinical assessments...

Job SummaryWe are seeking a highly skilled Clinical Laboratory Technologist to join our team at Northwell Health. The successful candidate will be responsible for performing clinical laboratory procedures, examinations, and tests pursuant to established protocols.Key ResponsibilitiesPerform assays of biological specimens according to established policies and...

Job SummaryWe are seeking a highly skilled Clinical Nurse Specialist to join our team at FlexStaff Careers. As a Clinical Nurse Specialist, you will be responsible for providing high-quality patient care and leading a team of healthcare professionals in a maternal care setting.Key ResponsibilitiesAssessment and PlanningConduct thorough patient assessments to...

Job SummaryClinical Coding Auditor - Coding Specialist at Northwell HealthJob DescriptionClinical Coding Auditors play a crucial role in optimizing diagnosis-related groupings and ensuring accurate coding practices. As a Clinical Coding Auditor - Coding Specialist, you will be responsible for conducting coding audits, developing and implementing coding...

An advanced hospital is seeking a Laboratory Clinical Supervisor – Evening Shift to assist in leading and managing their laboratory department. This is a full-time, permanent role in a fast-paced environment with an active team. Known for their vast clinical services including laboratory services, cardiovascular services, and neurological services, this...

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/Social Work department, you will play a critical role in ensuring the highest quality patient care while optimizing resource utilization.Key ResponsibilitiesConduct thorough utilization reviews to identify...

Job SummaryWe are seeking a skilled Diagnostic Imaging Specialist to join our team at SB Clinical Practice Management. The ideal candidate will have a strong background in radiology and the ability to work efficiently in a fast-paced environment.Key ResponsibilitiesPerform high-quality diagnostic radiological procedures using fluoroscopy equipment.Ensure...

Job SummaryWe are seeking a highly skilled Clinical Engineering Technician to join our team at Northwell Health. The successful candidate will be responsible for performing repairs and maintenance of patient and non-patient care equipment, calibrating machines, and providing technical assistance to equipment users and junior members of the department.Key...

Job SummaryWe are seeking a skilled Clinical Engineering Technician to join our team at Northwell Health. The successful candidate will be responsible for performing repairs and maintenance of patient and non-patient care equipment, as well as providing technical assistance to equipment users and junior members of the department.Key ResponsibilitiesPerform...

Job SummaryWe are seeking a highly skilled Clinical Nurse Specialist to join our team at FlexStaff Careers. As a Clinical Nurse Specialist, you will be responsible for providing high-quality patient care and leading a team of healthcare professionals in a maternal care setting.Key ResponsibilitiesAssessment and PlanningConduct thorough patient assessments to...

Job Title: Clinical Laboratory TechnologistJob Summary:We are seeking a highly skilled Clinical Laboratory Technologist to join our team at Northwell Health. As a key member of our laboratory team, you will be responsible for performing clinical laboratory procedures, examinations, and other tests pursuant to established protocols.Key...

Clinical Reviewer Job DescriptionIPRO is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will be responsible for conducting full-spectrum activities related to utilization or quality reviews as assigned.You will utilize your knowledge and expertise of the review program to conduct clinical-level reviews, supporting Medical...