Clinical Utilization Specialist

Current Saint Francis Employees - Please click HERE to login and apply. Position Type: Full Time Shift: 11:00 PM - 7:00 AM Work Arrangement: Fully Onsite Job Overview: The Clinical Utilization Analyst will assess patient documentation to validate the necessity of hospital admissions, treatments, and the appropriate level of care required. This role will...

Current Saint Francis Employees - Please click HERE to login and apply. Position Type: Full Time Shift: 11:00 PM - 7:00 AM Work Arrangement: Fully Onsite Job Overview: The Clinical Utilization Analyst will evaluate patient documentation to assess the validity of hospital admissions, treatments, and the appropriate level of care required. This role will...

{"Responsibilities": "Key ResponsibilitiesConduct thorough research on payer denials related to medical necessity, coding, and other factors.Evaluate outpatient clinical denials against medical record documentation, coding, payer policies, and contracts to determine appeal viability.Compile supporting documentation by collaborating with internal departments...

Clinical Support Specialist **Job Summary** We are seeking a highly skilled Clinical Support Specialist to join our team at Yale University. As a key member of our outpatient clinic, you will provide exceptional clinical and administrative support to patients and clinicians in a fast-paced environment. **Key Responsibilities** * Assist with the...

Job Title: Clinical Nurse SpecialistJob Summary:We are seeking a highly skilled Clinical Nurse Specialist to join our team at PriceSenz. As a Clinical Nurse Specialist, you will be responsible for providing patient care coordination and implementing protocol requirements during onsite visits.Key Responsibilities:Recruit and evaluate clinical study...

Job SummaryWe are seeking a highly skilled Clinical Denial Specialist to join our team at Yale New Haven Health. As a key member of our revenue cycle team, you will play a critical role in reducing financial liability and recovering lost revenue for coding and medical necessity denials.Key ResponsibilitiesConduct comprehensive reviews of clinical...

Job SummaryYale New Haven Health is seeking a highly skilled Clinical Denial Specialist to join our team. As a Clinical Denial Specialist, you will play a critical role in reducing financial liability and recovering lost revenue for coding and medical necessity denials.Key ResponsibilitiesConduct comprehensive reviews of clinical documentation to identify...

Job Title: Clinical Denial SpecialistAt Yale New Haven Health, we are seeking a highly skilled Clinical Denial Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in reducing financial liability and recovering lost revenue for coding and medical necessity denials.Responsibilities:Conduct comprehensive reviews...

Job SummaryWe are seeking a highly skilled Clinical Revenue Management Specialist to join our team at Yale New Haven Health. The successful candidate will be responsible for performing a wide range of clinical revenue management activities to prevent insurer denials, enhance revenue, and recover payment for services that have been denied.Key...

Clinical Support SpecialistCornell Scott-Hill Health Center is seeking a skilled Clinical Support Specialist to join our team in various locations. As a key member of our healthcare team, you will provide clinical support to providers and assist nursing staff in delivering high-quality patient care.Responsibilities:Perform screening tests and order routine...

Job Title: Senior Clinical Specialist, CASAt Medtronic, we are committed to improving the lives of patients worldwide. As a Senior Clinical Specialist, CAS, you will play a critical role in providing technical, educational, and clinical support to our customers in the Cardiac Ablation Solutions (CAS) field.Key Responsibilities:Provide technical support to...

Job SummaryWe are seeking a highly skilled Clinical Denial Specialist to join our team at Yale New Haven Health. This individual will play a critical role in reducing financial liability and recovering lost revenue for coding and medical necessity denials.Key ResponsibilitiesConduct comprehensive reviews of clinical documentation to identify potential...

Job Title: Clinical SpecialistAbout the Role:We are seeking a highly skilled Clinical Specialist to join our team at Advance Recruitment. As a Clinical Specialist, you will be responsible for providing clinical expertise during product demonstrations and evaluations in the operating room and critical care, driving product adoption and utilization through...

Job SummaryWe are seeking a highly skilled Utilization Management Nurse to join our team at Yale University. As a key member of our healthcare team, you will be responsible for optimizing the utilization of healthcare resources while ensuring high-quality patient care.Key ResponsibilitiesConduct thorough reviews of patient cases to assess the necessity and...

Quality Assurance Specialist for Clinical TrialsKatalyst HealthCares & Life Sciences is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will be responsible for ensuring the quality of clinical research sites in adherence to relevant regulations and standards.Key Responsibilities:Conduct and...

Job SummaryWe are seeking a highly skilled Clinical Nurse Specialist Skin Health to join our team at Yale New Haven Health. This is a unique opportunity to make a meaningful impact on patient care and outcomes.Key ResponsibilitiesProvide direct and indirect care to patients with pressure injuries and their families throughout the continuum of care.Lead and...

Job SummaryWe are seeking a highly organized and detail-oriented Clinical Receptionist to join our team at Yale University. As a key member of our dermatologic surgery section, you will provide high-level administrative support to our busy practice.Key ResponsibilitiesProvide exceptional administrative support to our clinical team, including scheduling...

About the RoleWe are seeking a highly skilled and compassionate Registered Nurse to join our team at Yale New Haven Health. As a Clinical Nurse Specialist, you will play a vital role in providing exceptional patient care and contributing to the success of our healthcare team.Key ResponsibilitiesStandards of PracticeAssess patient needs and develop...

Job SummaryYale New Haven Health is seeking a highly skilled Clinical Denial Specialist to join our team. As a key member of our revenue recovery team, you will be responsible for reducing financial liability and recovering lost revenue for coding and medical necessity denials.Key ResponsibilitiesConduct comprehensive reviews of clinical documentation to...

Job SummaryWe are seeking a highly skilled Clinical Denial Specialist to join our team at Yale New Haven Health. As a key member of our revenue recovery team, you will be responsible for reducing financial liability and recovering lost revenue for coding and medical necessity denials.Key ResponsibilitiesDenial Research and Analysis: Conduct thorough research...