Clinical Review Specialist

Are you a detail-oriented and organized RN or LPN looking for a new challenge? Insight Global is seeking a Clinical Quality Reviewer to join our team in PA and NJ. As a Clinical Quality Reviewer, you will be responsible for reviewing medical records, abstracting data, and ensuring compliance with HEDIS measures.Job SummaryWe are offering a partially remote...

Job SummaryThe Utilization Review Senior Specialist plays a vital role in ensuring timely authorization of medical services by performing various functions, including navigating electronic medical records, advocating for patients, and communicating with insurance carriers. This position requires strong analytical skills to evaluate medical records and...

Job Title: Clinical Operations SpecialistJob Summary:The Clinical Operations Specialist will provide day-to-day operational oversight of our skilled clinical programs, ensuring compliance with home health regulations and Agency policies and procedures.Responsibilities:* Conduct comprehensive assessments of client needs and develop plans of care to ensure...

About the RoleWe are seeking a highly skilled Clinical Technologies Specialist to join our team at Lifelancer. This is a fantastic opportunity for an experienced professional to utilize their expertise in clinical assessment, training development, and data review to drive success in our organization.Key ResponsibilitiesReview study-specific...

Job Summary: Temple Health is seeking a skilled Clinical Utilization Specialist to join our team. This dynamic role involves serving as the primary clinical resource in the Pre-certification Department, handling complex authorization issues.About Us: Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that...

Authorization and Pre-Certification ExpertiseTemple University Hospital is seeking a skilled Clinical Authorization Specialist to join our Pre-Certification Department. As a key member of our team, you will serve as the primary clinical resource for handling complex authorization issues, ensuring that precertification/authorization issues are investigated...

Penn Medicine is a leading academic medical center dedicated to providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. As a Clinical Operations Specialist, you will play a critical role in assisting with the management of a clinical practice in a busy academic clinical...

Join a Dynamic Team as a Clinical Rehabilitation SpecialistAbout Us:JAG Physical Therapy is a leading outpatient orthopedic physical therapy company with a strong presence in Pennsylvania, New Jersey, and New York. We are committed to providing high-quality care and exceptional patient outcomes.Key Responsibilities:We are seeking a highly motivated and...

We are seeking a highly skilled Medical Technology Specialist to join our clinical operations team. As a key member of our team, you will be responsible for all aspects of assigned projects that include clinical assessment, training development, and data review.Responsibilities:Review study-specific assessment-related data to determine eligibility of...

Unlock Your Potential as an ESOP ReviewerWe are seeking a skilled and detail-oriented individual to join our team as an ESOP Reviewer at Transition Finance Strategies LLC. Located in Charlottesville, VA, Columbia, MD, Columbus, OH, Westchester, IL, Pasadena, CA, and Maple Grove, MN, our offices offer a collaborative environment where you can grow your career...

Job Title: Clinical Psychosocial SpecialistThe Clinical Psychosocial Specialist plays a crucial role in supporting patients with complex psychosocial needs. This position requires a skilled professional to assess patient situations, provide recommendations, and deliver direct services that enhance healthcare utilization and prevent readmissions.

Job SummaryWe are seeking a highly skilled Physician Assistant to join our team as a Clinical Documentation Specialist. In this role, you will work closely with healthcare professionals to ensure accurate and detailed medical records.About the JobThis is a travel position, offering a unique opportunity to work in a dynamic environment while exploring...

Job Title:Clinical Care Manager: Coordination SpecialistAbout the Role:We are seeking a highly skilled Clinical Care Manager to join our team at Community Behavioral Health. As a key member of our coordination team, you will play a vital role in ensuring that our members receive timely and effective care.About the Job:The Clinical Care Manager is responsible...

Temple University Hospital Job Description About the RoleWe are seeking a skilled Medical Case Manager to join our team at Temple University Hospital. This individual will be responsible for handling complex authorization issues and ensuring that precertification/authorization requirements are met.ResponsibilitiesThe successful candidate will serve as the...

We are seeking a highly skilled Clinical Care Specialist to join our team at Community Behavioral Health (CBH). This is a unique opportunity to make a meaningful difference in the lives of individuals and families struggling with behavioral health challenges.About the RoleThe Clinical Care Specialist will be responsible for conducting utilization management...

Clinical Care Management SpecialistWe are seeking a highly skilled Clinical Care Management Specialist to join our Complex Care team at Community Behavioral Health. As a key member of our team, you will be responsible for providing intermediate or high-intensity care management to individuals and families in need of support.Key Responsibilities:Conduct...

Penn Medicine is a leading academic medical center dedicated to providing the highest level of care to patients. Our team collaborates with top clinical, technical, and business professionals across all disciplines to drive innovative research and educate future leaders in medicine.We are seeking a skilled Clinical Data Specialist - Medical Coding to join...

About Midatlantic Employers' AssociationBebashi - Transition to Hope is a leader in community health, offering innovative care and support services to meet the needs of underserved populations. We are committed to diversity, equity, and creating lasting health outcomes within Black and Brown communities.Our mission is to deliver transformative healthcare...

We are seeking a skilled Clinical Nurse Specialist to join our team at Jefferson Health, a nationally recognized healthcare system in the greater Philadelphia region.About the Role:This part-time position requires the ability to work rotating shifts, including days and nights, with a commitment to working two 12-hour shifts per week and every third weekend....

OverviewWe are seeking a highly skilled Clinical Specialist Nurse Practitioner to join our team at Temple University Hospital.About the RoleThis is a full-time opportunity for a seasoned nurse practitioner to provide advanced nursing care in a clinical specialty area. As a Clinical Specialist Nurse Practitioner, you will work closely with licensed physicians...