Clinical Nurse Reviewer

Job SummaryWe are seeking a highly skilled Clinical Review and Data Abstraction Specialist to join our team at Highmark Health. As a key member of our quality improvement team, you will be responsible for performing clinical review and data abstraction of patient records to support compliance with nationally recognized quality initiatives and our clinical...

About the RolePride Health is seeking a highly skilled Medical Records Specialist to join our team as a HEDIS Quality Reviewer. In this role, you will be responsible for maintaining knowledge of medical record review and EMR systems, as well as up-to-date knowledge of HEDIS, QARR, and Star specifications.Key ResponsibilitiesMaintain knowledge of medical...

Job SummaryWe are seeking a highly skilled Physician Assistant to join our team as a Clinical Reviewer. In this role, you will be responsible for reviewing and making recommendations on consumer assessments for long term care services and supports.Key ResponsibilitiesReview and validate assessment outcomes to ensure accuracy and qualityMaintain current...

About the JobVNS Health is seeking a skilled Nurse Care Coordinator to lead interdepartmental quality improvement activities, ensuring optimal patient care and compliance with regulatory requirements.Key ResponsibilitiesConduct Clinical Assessments: Perform medication reconciliations, post-discharge transitions of care assessment, and follow-up post...

Job Summary:Clinical Management Consultants is seeking an experienced ICU Nurse Educator to join our team. As a key member of our healthcare team, the ICU Nurse Educator will play a critical role in developing and managing professional development plans for our nursing staff.Key Responsibilities:Develop and implement comprehensive professional development...

Job Title: HEDIS Review Nurse SpecialistJob Summary:Pride Health is seeking a highly skilled HEDIS Review Nurse Specialist to join our team. As a HEDIS Review Nurse Specialist, you will be responsible for maintaining up-to-date knowledge of HEDIS, QARR, and Star specifications, as well as proficiency in MS Office applications, scanning, and accurate data...

About the RoleThe Center for Justice Innovation is seeking a highly skilled and compassionate Jail Diversion Clinical Coordinator to join our team in a groundbreaking systemic reform initiative. As a key member of our Jail Population Review Program, you will play a critical role in identifying incarcerated individuals with behavioral health issues who may be...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a key member of our healthcare operations team, you will be responsible for analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Manhattan Psychiatric Center. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job SummaryManhattan Psychiatric Institute is seeking a highly skilled Utilization Review Coordinator to play a critical role in ensuring the delivery of high-quality services to our patients.Key Responsibilities:Review clinical records for completeness and accuracy to ensure compliance with established standards.Collect and analyze data related to the...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a key member of our healthcare operations team, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a key member of our healthcare operations team, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Psychiatric Nurse Practitioner Clinical Supervisor As a key member of the Behavioral Health team, you will provide comprehensive psychiatric evaluations and ongoing medical assessments for clients enrolled in our programs. Your role includes the management of medication and the delivery of educational support to various agencies and disciplines, ensuring a...

Job SummaryPlanet Healthcare is seeking a skilled Travel Nurse RN to fill a Utilization Review position in a dynamic healthcare setting.Key ResponsibilitiesConduct thorough reviews of patient cases to ensure optimal healthcare utilizationCollaborate with healthcare teams to develop and implement effective care plansAnalyze data to identify trends and areas...

Job SummaryWe are seeking a highly skilled RN Utilization Review Specialist to join our team at Confident Staff Solutions. As a key member of our Utilization Management team, you will play a critical role in ensuring the efficient use of healthcare resources.Key ResponsibilitiesConduct concurrent reviews of patients' clinical information to identify...

Psychiatric Nurse Practitioner Clinical Supervisor Overview The role involves delivering comprehensive psychiatric assessments, medical evaluations, and interventions for clients enrolled in Behavioral Health programs. This position is responsible for ongoing medication management and evaluations, while also providing guidance and education to various...

Psychiatric Nurse Practitioner Clinical Supervisor Overview The role involves delivering comprehensive psychiatric assessments and medical evaluations for clients enrolled in Behavioral Health initiatives. The position includes ongoing medication management and clinical assessments, along with providing expert consultation and educational support to...

Physician Review Physician Job OpportunityWe are a leading provider of workforce development services in North America, focused on delivering sustainable solutions for job seekers and career changers. Our dedicated team of professionals is committed to preparing individuals for success in high-demand industries.As a Physician Review Physician, you will play...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Position OverviewAs a Clinical Nurse Evaluator, you will be responsible for leading the review and analysis of clinical information to ensure the highest standards of care are met. Your expertise will guide clinical case evaluations and consultations, while providing direct oversight to a dedicated team of nursing and clinical professionals.Key...