Clinical Reviewer

About Acentra HealthAcentra Health is a leading healthcare company that empowers better health outcomes through technology, services, and clinical expertise.Job SummaryWe are seeking a Clinical Reviewer to join our team. The successful candidate will utilize their clinical expertise to review medical records against appropriate criteria, applying critical...

Job SummaryAcentra Health is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will utilize your clinical expertise to review medical records against appropriate criteria, applying critical thinking and decision-making skills to determine medical appropriateness while maintaining production goals and QA standards.Key...

Acentra Health is a leading provider of health care services, and we are seeking a skilled Clinical Reviewer to join our team.As a Clinical Reviewer, you will play a critical role in ensuring the quality and integrity of our health care services. Your primary responsibility will be to review medical records and determine medical necessity and appropriateness...

About Acentra HealthAcentra Health is a leading provider of healthcare solutions, empowering better health outcomes through technology, services, and clinical expertise.Job SummaryWe are seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will utilize your clinical expertise to review medical records against appropriate...

Acentra Health is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will play a critical role in ensuring the quality and accuracy of medical records. Your expertise will be utilized to review medical records against established criteria, utilizing your clinical knowledge and critical thinking skills to determine medical...

Job SummaryWe are seeking a highly skilled Clinical Utilization Manager to join our team at Capital BlueCross. As a key member of our Utilization Management department, you will play a critical role in ensuring that our members receive the most appropriate and effective care.ResponsibilitiesConduct thorough reviews of acute and post-acute inpatient and...

Job Title: Registered Nurse - Clinical Staff LeaderPenn State Health is seeking a highly skilled Registered Nurse to join our team as a Clinical Staff Leader in Behavioral Health. As a key member of our nursing team, you will be responsible for ensuring the delivery of high-quality patient care and promoting a positive work environment.Job Summary:The...

Care Manager Job DescriptionThe Care Manager at UPMC is responsible for coordinating the clinical and financial plan for patients. This involves performing overall utilization management, resource management, discharge planning, and post-acute care referrals and authorizations. The Care Manager works with a multi-disciplinary team in resource management,...

Clinical Home ManagerBeacon Specialized Living is seeking a highly skilled and compassionate Clinical Home Manager to join our team. As a key member of our residential care team, you will be responsible for providing exceptional support and care to individuals with developmental disabilities.Key Responsibilities:Lead a team of Direct Care Staff to develop...

Job Summary:UPMC is seeking a skilled Clinical Utilization Manager to coordinate clinical and financial plans for patients. This is a full-time, day shift position with rotating weekend and holiday schedule.Main Responsibilities:• Reviews medical records daily to ensure patients continue to meet Level of Care (LOC) requirements and chart documentation...

About the Role:CVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in coordinating, documenting, and communicating all aspects of the utilization/benefit management program.Key Responsibilities:Utilize clinical skills to coordinate, document, and...

About the RoleWe are seeking a highly skilled and experienced BCBA Clinical Manager to join our team at NeurAbilities Healthcare. As a key member of our leadership team, you will be responsible for the management of clinical operations and quality assurance within our site location.Key ResponsibilitiesDirectly supervise BCBAs in the practice and work...

Job SummaryUPMC is seeking a highly skilled Clinical Pharmacy Specialist - Oncology to join our team. As a key member of our patient care team, you will be responsible for providing safe and effective medication management for specialized patient populations.Key ResponsibilitiesLead assigned patient service lines, clinical areas, and therapeutic programs to...

Penn State Health: A Leader in HealthcarePenn State Health is a multi-hospital health system serving patients and communities across 29 counties of Pennsylvania. Our mission is to improve health through patient care, research, education, and community outreach.About the RoleWe are seeking a highly skilled Registered Nurse to join our team as a Clinical Staff...

Job SummaryUPMC is seeking a highly skilled Clinical Pharmacy Specialist - Oncology to join our team. As a key member of our patient care team, you will be responsible for providing safe and effective medication management for specialized patient populations.Key ResponsibilitiesLead assigned patient service lines, clinical areas, and therapeutic programs to...

{"title": "Clinical Pharmacist - Inpatient Oncology", "description": "Job SummarySoliant Health is seeking a Clinical Pharmacist to join our team at a Level I Trauma Center in Johnston, PA. This 13-week contract offers a unique opportunity to work in a high-impact environment and gain experience in oncology medication management.Key ResponsibilitiesReview...

Job SummaryCVS Health is seeking a highly skilled Pharmacy Technician to join our team in a non-clinical diversion role. As a Pharmacy Technician - Non-Clinical Diverts, you will play a critical role in ensuring the accuracy and integrity of prescription orders, while also contributing to the prevention of diversion and misuse of medications.Key...

Job Title: Clinical IV PharmacistWe are seeking an experienced IV Pharmacist to work in a busy hospital environment in Camp Hill, PA.Job SummaryThis role involves critical responsibilities in a hospital setting, requiring a minimum of 1+ years of pharmacy experience.Key Responsibilities:Review and verify Total Parenteral Nutrition (TPN) orders.Verify...

Job Summary:UPMC is seeking a Part-time Care Manager to coordinate the clinical and financial plan for patients. This role involves overall utilization management, resource management, discharge planning, and post-acute care referrals and authorizations.Responsibilities:Reviews medical records daily to ensure patients continue to meet LOC requirements and...

Job SummaryAs a Pharmacist at Insight Global, you will play a vital role in assisting customers with their healthcare needs by filling prescriptions, providing clinical services, and delivering exceptional customer service. You will also supervise pharmacy associates and assume management responsibility as needed.Key ResponsibilitiesEnsure the accuracy and...