Clinical Reviewer

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...

Clinical Reviewer Job DescriptionAt IPRO, we are seeking a highly skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will play a critical role in ensuring the accuracy and appropriateness of our review process.Key Responsibilities:Conduct utilization reviews up to and including the appeal level, including chart screen, electronic...

Job Title: Clinical Reviewer - Medical ProfessionalAbout the Role:We are seeking a skilled Clinical Reviewer to join our team at Greenlife Healthcare Staffing. As a Clinical Reviewer, you will be responsible for conducting reviews up to and including the appeal level, compiling regulatory guidance, researching insurer requirements, and preparing final...

Registered Nurse Clinical Reviewer / IDR - Lake Success, NY (#25154 B)Minimum of 1-3 years of experience in utilization review/appeals backgroundGreenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in Lake Success, New YorkRequirements of the Registered Nurse...

JOB TITLE (#25154 B): Registered Nurse Clinical Reviewer / IDR - Lake Success, NYMinimum of 1-3 years of experience in utilization review/appeals backgroundGreenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in Lake Success, New YorkRequirements of the Registered...

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 Title: Licensed Vocational Nurse/ Med/Surg / VA Reviewer - RemoteJob Summary: Greenlife Healthcare Staffing is seeking a skilled Med Surg Licensed Vocational Nurse - VA Reviewer to fill an opening with a Non-profit organization.Responsibilities:* Audits/Facility Requested: Quality Management Reviews, Standardized set of questions, Was the standard of...

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: Licensed Vocational Nurse - VA ReviewerGreenlife Healthcare Staffing is seeking a Med Surg Licensed Vocational Nurse - VA Reviewer to fill an opening with a Non-profit organization.Job Requirements:Must hold a current, non-restricted license in a U.S. state or territoryMust be actively engaged in the practice of medicine and maintain active...

Job Title: Clinical Review ClinicianJoin Centene Corporation, a leading healthcare company, as a Clinical Review Clinician and play a crucial role in shaping the future of healthcare for our 28 million members. As a member of our Medical Management/Health Services team, you will have the opportunity to make a meaningful impact on the lives of our members.Job...

Job SummaryWe are seeking a highly skilled Clinical Review Clinician to join our Medical Management/Health Services team. As a key member of our team, you will play a critical role in resolving and processing appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and...

TurningPoint Healthcare Solutions is a rapidly growing and innovative healthcare company that supports several large national health plans to improve the quality and affordability of healthcare patients receive. We are looking for motivated individuals who want to be part of our mission and join our team! As a Utilization Review Nurse, you will utilize your...

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 and experienced Clinical Laboratory Operations Director to lead our Clinical Laboratory Operations team. The successful candidate will be responsible for directing and planning the development and operations of Clinical Laboratories, ensuring efficient and compliant operational performance, and developing strategic...

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...

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 Title:Clinical Laboratory Operations DirectorJob Summary:Northwell Health seeks a highly experienced and skilled Clinical Laboratory Operations Director to lead the development and operations of our Clinical Laboratories. The successful candidate will coordinate resources across multiple administrative disciplines and ensure efficient and compliant...

Job Title: Director, Clinical Laboratory OperationsNorthwell Health is seeking a highly skilled and experienced Director, Clinical Laboratory Operations to lead our Clinical Laboratory Operations team.Job Summary:The Director, Clinical Laboratory Operations will be responsible for directing and planning the development and operations of Clinical...