Clinical Review Specialist

Job Title: Clinical Review SpecialistActalent is seeking a skilled Clinical Review Specialist to join our team. As a Clinical Review Specialist, you will be responsible for reviewing medical records from all 5 states, abstracting 6 medical records per hour, and ensuring data abstraction at 95% accuracy. You will work closely with the Quality Department for...

Job SummaryR1 RCM is seeking a skilled Clinical Utilization Review Author to join our team. As a key member of our Physician Advisory team, you will play a critical role in providing first-level initial admission and continued stay case reviews for our hospital clients.Key ResponsibilitiesDetermine the appropriate cases for review, utilizing client-specific...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. This role is responsible for evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient outcomes.Key Responsibilities:Conduct comprehensive drug...

The University of Chicago's Department of Psychiatry and Behavioral Neuroscience is seeking a highly skilled Clinical Psychiatric Specialist to join its faculty as a full-time Assistant Professor.The appointee will be responsible for evaluating patients, developing treatment plans, and providing ongoing care. They will work closely with medical and surgical...

HEDIS Review Nurse Job DescriptionAt Mindlance, we are seeking a skilled HEDIS Review Nurse to join our team. The successful candidate will be responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey.Key Responsibilities: Abstract medical records accurately and efficiently...

Job Summary:We are seeking a Board Certified Orthopedic Surgeon to join our medical review team as a telecommute specialist. This role provides the opportunity to work from home and customize your schedule and caseload within a Monday - Friday work week.Responsibilities:Reviews medical files and provides recommendations for utilization review, chart reviews,...

Job SummaryThe Clinical Liaison Specialist will serve as a liaison between managed care organizations and our facility's professional clinical staff. This role requires strong communication and coordination skills to ensure seamless interactions between parties.Key Responsibilities• Conduct reviews of insurance plans and MCOs to ensure compliance with...

Job DescriptionJob Title: Clinical Utilization SpecialistLocation: OnsitePay rate: $41.00/hrDuration: Contract PositionBASIC FUNCTION:This position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of BCBSIL's HMOs. Evaluates the need...

Job SummaryWe are seeking a highly skilled Clinical Compliance Specialist to join our team at AbbVie. The successful candidate will be responsible for ensuring compliance with applicable Corporate and Divisional policies and procedures.Key ResponsibilitiesPerform Quality Control review of regulatory, scientific, and clinical documents for Clinical...

Job Title: Pharmacist - Medication Review SpecialistDuration: 6 monthsLocation: North Chicago, ILShift Hours: Mon-Friday - 8-hour shift, that hour could be anytime between 6 am and 10 pmResponsibilities:Reviews prescriptions issued by Physician, or other authorized prescriber to assure accuracy and determine formulas and ingredients needed.Directs pharmacy...

Job Title: Orthopedic Physician Review SpecialistDescriptionAre you a Board Certified Orthopedic Surgeon seeking a flexible and experienced telecommute opportunity? We are seeking accomplished physicians for our medical review division, providing the ability to customize your schedule and caseload within a Monday - Friday work week.Reviews health claims...

Surgical Clinical Reviewer Job DescriptionThe Surgical Clinical Reviewer plays a crucial role in reflecting the mission, vision, and values of Northwestern Memorial Healthcare. This position adheres to the organization's Code of Ethics and Corporate Compliance Program, ensuring compliance with all relevant policies, procedures, guidelines, and regulatory and...

Job Title: Clinical Trials Charge Capture SpecialistJob Summary:ECLARO is seeking a skilled Clinical Trials Charge Capture Specialist to join our team. As a Clinical Trials Charge Capture Specialist, you will be responsible for following charge capture initiatives and developing processes and procedures to ensure accurate and timely capture of all chargeable...

Job SummaryThe Central Intake Clinical Specialist is a key role within The Alden Network, responsible for clinically reviewing patient referrals in a timely manner and responding promptly to the referral source with an acceptance or denial. This position requires strong clinical knowledge and excellent communication skills to ensure seamless collaboration...

Job SummaryThe Surgical Clinical Reviewer reflects the mission, vision, and values of Northwestern Medicine, adhering to the organization's Code of Ethics and Corporate Compliance Program. This role is responsible for collecting and submitting reliable data to relevant registries through precise surgical chart review and entry into databases. The SCR will...

Job SummaryRUSH University Medical Center seeks a skilled Clinical Pharmacy Specialist to join our team. In this role, you will be responsible for providing operational and clinical pharmacy services to patients, exemplifying the Rush mission, vision, and values, and acting in accordance with Rush policies and procedures.Responsibilities1. Verify physician...

About the RoleThe American College of Surgeons is seeking a highly skilled Clinical Support Specialist to join our team. As a Clinical Support Team member, this position provides comprehensive clinical and quality improvement support services for multiple cutting-edge quality improvement registries. These registries include the National Surgical Quality...

Job OverviewWe are seeking a highly skilled Clinical Contracts Specialist to join our team at The Steely Group. As a key member of our clinical contracts team, you will be responsible for providing clinical site contracting services to support study start-up and conduct activities.Key Responsibilities:Manage the end-to-end process for clinical site contracts...

Rush University Medical Center is seeking a skilled Clinical Care Specialist to provide high-quality patient care as part of our Primary Care team in the Rush Primary Virtual First Clinic. Work collaboratively with our healthcare team to deliver exceptional patient care and outcomesUtilize cutting-edge technology to enhance staff workflow and provide...

Rush University Medical CenterJob SummaryThe Clinical Pharmacist Specialist is responsible for providing operational and clinical pharmacy services to a general population of patients. This role exemplifies the Rush mission, vision, and values and acts in accordance with Rush policies and procedures.Responsibilities Evaluate and verify Epic physician's...