Current jobs related to Clinical Reviewer - Fargo, North Dakota - CNSI


  • Fargo, North Dakota, United States NORIDIAN HEALTHCARE SOLUTIONS, LLC Full time

    Job Summary: We are seeking a skilled Clinical Reviewer to join our team at Noridian Healthcare Solutions, LLC. As a Clinical Reviewer, you will be responsible for evaluating medical records and applying clinical expertise to determine compliance with applicable guidelines and standards of care.Key Responsibilities:Reviews, researches, and analyzes medical...

  • Clinical Case Manager

    3 weeks ago


    Fargo, North Dakota, United States 8451 Pearl Street Operating Company Dba Vibra Hosp Full time

    We are seeking a skilled Case Manager RN to coordinate clinically complex patient care across a continuum at Vibra Hospital of Fargo.The ideal candidate will ensure and facilitate the achievement of quality clinical and cost outcomes, negotiating, procuring and coordinating appropriate services and resources needed by the patients.Key responsibilities...

  • Operations Director

    4 weeks ago


    Fargo, North Dakota, United States Nexus Family Healing Full time

    Job Title: Operations DirectorNexus Family Healing is seeking an experienced Operations Director to join our team in Fargo, ND. As a key member of our leadership team, you will be responsible for overseeing the day-to-day operations of our youth residential location, Luther Hall.Job Summary:The Operations Director will provide strategic leadership and...


  • Fargo, North Dakota, United States Summit Recruiting Group LLC Full time

    Physical Medicine and Rehabilitation OpportunitySummit Recruiting Group LLC is seeking a skilled Physiatry/Physical Medicine Specialist to join our team in Fargo, ND. As a Physical Medicine and Rehabilitation Physician, you will have the opportunity to work in a comprehensive, general PM&R practice with inpatient and outpatient rehabilitation. You will...

  • Cardiac Sonographer

    4 weeks ago


    Fargo, North Dakota, United States Superbeo Full time

    Job SummaryWe are seeking a highly skilled Cardiac Sonographer to join our team at Superbeo. The successful candidate will be responsible for performing inpatient and outpatient transthoracic echocardiograms for adult and pediatric patients. The ideal candidate will have a strong background in cardiac sonography and excellent communication skills.Key...

  • Travel Nurse Position

    4 weeks ago


    Fargo, North Dakota, United States Host Healthcare Full time

    Host Healthcare is seeking an experienced Intensive Care Unit Registered Nurse for a challenging travel nursing opportunity in Fargo, ND. **Job Details:** * Shift: 12 hour nights * Start Date: Flexible * Duration: 13 weeks * Pay: $2293.6 per week **About Host Healthcare:** At Host Healthcare, we empower the life and healthcare career you deserve. As a...


  • Fargo, North Dakota, United States Host Healthcare Full time

    Join Host Healthcare as a Cardiovascular Operating Room Registered NurseAt Host Healthcare, we are dedicated to empowering the life and healthcare career you deserve. As a nurse, allied, or therapy professional, you will be matched to one of our responsive recruiters who will have your back throughout your journey. You will also be connected with a full...

  • Travel Nurse Position

    4 weeks ago


    Fargo, North Dakota, United States Host Healthcare Full time

    Exciting Travel Nursing Opportunity with Host HealthcareHost Healthcare is seeking an experienced Intensive Care Unit Registered Nurse to join our team for a 13-week travel nursing assignment in Fargo, ND. This is a great opportunity to work with a reputable healthcare organization and gain valuable experience in a dynamic and challenging environment.About...

  • Travel Nurse Position

    4 weeks ago


    Fargo, North Dakota, United States Host Healthcare Full time

    Exciting Travel Nursing Opportunity in Fargo, NDHost Healthcare is seeking an experienced Medical Surgical Registered Nurse to join our team for a 13-week travel nursing assignment in Fargo, ND. This is a great opportunity to explore the Midwest and experience the beauty of the region while working in a dynamic healthcare environment.Assignment DetailsShift:...


  • Fargo, North Dakota, United States Siemens Healthineers Full time

    Job Title: Travel CT TechnologistWe are seeking a skilled Travel CT Technologist to join our team at Siemens Healthineers. As a key member of our healthcare team, you will be responsible for performing CT diagnostic imaging procedures, locating and recording internal elements of the body, and identifying any anomalies indicative of disease, injury, or other...


  • Fargo, North Dakota, United States UnitedHealth Group Full time

    Transforming Care Delivery with Optum HouseCallsAt UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a HouseCalls Nurse Practitioner, you'll play a vital role in delivering innovative and personalized care to our members.Key Responsibilities:Conduct in-home assessments,...

  • Travel Nurse Position

    4 weeks ago


    Fargo, North Dakota, United States Host Healthcare Full time

    Medical Surgical Registered Nurse OpportunityHost Healthcare is seeking an experienced Medical Surgical Registered Nurse for an exciting travel nursing job in Fargo, ND.Job DetailsShift: 12-hour daysStart Date: 11/04/2024Duration: 13 weeksPay: $2293.6 per weekAbout Host HealthcareAt Host Healthcare, we empower the life and healthcare career you deserve. As a...


  • Fargo, North Dakota, United States Veterans Affairs, Veterans Health Administration Full time

    Job SummaryWe are seeking a highly skilled Gastroenterologist to join our team at the Fargo VA Health Care System. As a staff physician, you will be responsible for providing comprehensive care to patients with gastrointestinal conditions, including diagnosis, treatment, and follow-up care.ResponsibilitiesProvide expert care to patients with gastrointestinal...


  • Fargo, North Dakota, United States Wellspring Nurse Source Full time

    Wellspring Nurse Source is seeking a travel MRI technologist for a challenging opportunity in the healthcare industry.Job DetailsSpecialty: MRI TechnologistDiscipline: Allied Health ProfessionalEmployment Type: TravelThe selected candidate will work 40 hours per week for 13 weeks, with an 8-hour evening shift. This is a great opportunity for a skilled MRI...


  • Fargo, North Dakota, United States Matrix Providers Full time

    Job SummaryMatrix Providers is seeking a skilled Physician to conduct one-time, non-treatment Veteran Disability Exams for Traumatic Brain Injury (TBI) in Fargo, ND.This position combines TELEHEALTH and TRAVEL, offering flexibility and a unique opportunity to serve our Military Heroes.Employment Status: Independent ContractorCompensation: Hourly, paid...


  • Fargo, North Dakota, United States Host Healthcare Full time

    Host Healthcare is seeking an experienced Medical Surgical Registered Nurse for a challenging Travel Nursing opportunity in Fargo, ND. Shift: 12 hour nights. Duration: 13 weeks. Pay: $2293.6 per week. About Host Healthcare:At Host Healthcare, we empower the life and healthcare career you deserve. As a nurse, allied, or therapy professional, you will be...


  • Fargo, North Dakota, United States Siemens Healthineers Full time

    Job Title: Diagnostic Imaging SpecialistJob Description:We are seeking a skilled Diagnostic Imaging Specialist to join our team at Siemens Healthineers. As a Diagnostic Imaging Specialist, you will be responsible for performing CT diagnostic imaging procedures on appropriate anatomical regions according to department procedures and...


  • Fargo, North Dakota, United States Siemens Healthineers Full time

    We are seeking a skilled Diagnostic Imaging Specialist to join our team at Siemens Healthineers. The ideal candidate will have a strong background in clinical radiography and experience with CT imaging procedures.Key Responsibilities:Perform CT diagnostic imaging procedures on appropriate anatomical regions according to department procedures and...


  • Fargo, North Dakota, United States Veterans Health Administration Full time

    Job SummaryThis position is located within the Nutrition & Food Service at the VA Medical Center in Fargo, North Dakota.As a Food Service Worker, you will provide support services in preparing foods, tray delivery, and related duties to serve the Veterans.The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical...

  • Addiction Counselor

    3 weeks ago


    Fargo, North Dakota, United States Providence House Full time

    Job OverviewProvidence House is seeking a dedicated and compassionate Licensed Addiction Counselor to join our team in Arnegard, ND. As a key member of our comprehensive addiction services team, you will play a vital role in developing and implementing innovative programs that align with our mission and meet all regulatory standards.Our services include...

Clinical Reviewer

2 months ago


Fargo, North Dakota, United States CNSI Full time
Job Summary

Acentra Health is seeking a skilled Nurse Clinical Reviewer to join our team. As a key member of our clinical review team, you will utilize your clinical expertise to review medical records and determine medical necessity and appropriateness of care.

Key Responsibilities
  • Review and interpret patient records to determine medical necessity and appropriateness of care
  • Determine approval or initiate a referral to the physician consultant and process physician consultant decisions
  • Foster positive and professional relationships with internal and external customers to ensure effective working relationships and team building
  • Maintain medical records confidentiality and adhere to HIPAA policies
  • Utilize proper telephone etiquette and written communications following Acentra policies and procedures
Requirements
  • Active unrestricted RN license in the State of North Dakota or a compact state license
  • 1+ years of Utilization experience Review (UM) and/or Prior Authorization or related experience
  • 3+ years of direct experience in a clinical setting or other applicable State and/or Compact State clinical experience
  • Knowledge of InterQual or American Society of Addiction Medicine (ASAM) guidelines
  • Strong clinical assessment and critical thinking skills
Benefits

Acentra Health offers a comprehensive benefits package, including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

The pay range for this position is $22.56/hr - $41.00/hr. Compensation will be based on various considerations, such as years of applicable experience and skill level.