Healthcare Review Specialist

Job Summary:As a Healthcare Review Specialist with w3r Consulting, you will play a critical role in ensuring the quality and appropriateness of healthcare services. You will conduct thorough reviews of inpatient, outpatient, and ambulatory services to verify medical necessity and ensure that care is delivered in a timely and efficient manner.Key...

Job Title: Clinical Review SpecialistUmanist Staffing LLC is seeking a highly skilled Clinical Review Specialist to join our team. As a Clinical Review Specialist, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate...

Job SummaryWe are seeking a skilled Clinical Review Specialist to join our team at LanceSoft. In this role, you will be responsible for conducting thorough reviews of inpatient, outpatient, and ambulatory services to ensure medical necessity and appropriate care.Key Responsibilities:Perform prospective, concurrent, and retrospective reviews of healthcare...

Job Title - Registered Nurse - Clinical ReviewDuration - 10 monthsLocation - RemotePay: $40.00/hr on W2We are seeking a highly skilled Registered Nurse to join our team as a Clinical Review Specialist. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary...

Job SummaryWe are seeking a highly skilled Clinical Review Specialist to join our team at LanceSoft. As a key member of our post-acute care review team, you will be responsible for ensuring the medical necessity of services provided to our members.Key Responsibilities:Conduct prospective, concurrent, and retrospective medical necessity reviews of post-acute...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient...

Job Title: Drug Utilization Review SpecialistDestinationone Consulting is seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a critical role in evaluating medication use patterns to promote safe and effective medication therapy.Key Responsibilities:Conduct...

Job Title: Registered Nurse-Review AnalysLocation: Detroit, MIDuration: 10-11 monthsDescription:Job Summary:We are seeking a highly skilled Registered Nurse to join our team as a Clinical Review Specialist. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and...

Job SummaryWe are seeking a skilled Healthcare Specialist to join our team at w3r Consulting. As a key member of our healthcare team, you will be responsible for reviewing and coordinating patient care services to ensure medical necessity and optimal health outcomes.Key ResponsibilitiesConduct prospective, concurrent, and retrospective reviews of patient...

Job Title: Registered Nurse Review AnalystUmanist Staffing LLC is seeking a highly skilled Registered Nurse to join our team as a Review Analyst. In this role, you will be responsible for conducting thorough reviews of inpatient, outpatient, and ambulatory services to ensure medical necessity, appropriate length of stay, and level of care.Key...

Strategic Staffing Solutions Contract OpportunityStrategic Staffing Solutions is currently seeking a skilled RN Review Analyst for a contract position with one of our prominent clients in Detroit, MI.Job Summary:We are looking for a detail-oriented and organized RN Review Analyst to join our team. The successful candidate will be responsible for reviewing...

Job Title: Registered Nurse-Review AnalystJob Summary:We are seeking a highly skilled Registered Nurse to join our team as a Review Analyst. In this role, you will be responsible for conducting medical necessity reviews of post-acute care services to ensure compliance with established medical policy and guidelines.Key Responsibilities:Conduct prospective,...

Job OpportunityWe are seeking a skilled Registered Nurse to join our team as a Review Analyst in the Insurance industry in Detroit, Michigan, United States.About the RoleThis is a challenging and rewarding opportunity to work with our client, a fast-growing industry-recognized staffing firm. As a Review Analyst, you will be responsible for performing...

Job Title: Registered Nurse Review AnalystDuration: 10 monthsLocation: RemotePay: $40.00/hr on W2As a Registered Nurse Review Analyst, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of...

Job Title: Correctional Healthcare SpecialistNaphCare is seeking an experienced Correctional Healthcare Specialist to join our team onsite at the Wayne County Jail in Detroit, MI. As a Correctional Healthcare Specialist, you will be responsible for providing high-quality mental health care to inmates in a correctional setting.Key Responsibilities:Active,...

Job Summary:As a TRA Case Manager Utilization Review Specialist, you will play a critical role in facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources. This position requires strong negotiation skills to manage medical necessity processes...

Apply now and our proprietary system will quickly have you in front of a live recruiter.The OpportunityDescriptionWe're looking for a Credentialing Specialist, working in the Healthcare Systems and Services industry in the United States.We're hiring Credentialing Specialists in the US, offering opportunities to work with healthcare professionals and...

Job Title: Clinical ReviewerUmanist Staffing LLC is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will be responsible for reviewing inpatient, outpatient, and ambulatory services to ensure medical necessity, appropriate length of stay, intensity of service, and level of care.Key Responsibilities:Perform prospective,...

Job Title: Utilization ReviewerGenex Service LLC is seeking a skilled Utilization Reviewer to join our team. As a Utilization Reviewer, you will play a critical role in ensuring that medical treatment is necessary and appropriate for patients.Responsibilities:Perform utilization review of medical treatment requests to determine medical necessity.Collaborate...

Credentialing Specialist OpportunityWhite Glove Placement is seeking a skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for ensuring the accuracy and completeness of healthcare provider credentials. This is a remote position, and you will be required to be local for occasional meetings.Key...