Clinical Review Specialist

Clinical Review Pharmacist Job Description **Key Responsibilities:** * Conduct thorough prior authorization reviews for various lines of business and edit types * Utilize clinical expertise to evaluate member situations against medication policies and benefit designs * Respond to inquiries from pharmacy technicians, member support, and other departments...

Job Title: Clinical Pharmacy Specialist - Hematology and AnticoagulationMemorial Hermann Texas Medical Center is seeking a highly skilled Clinical Pharmacy Specialist to join our team. As a Clinical Pharmacy Specialist, you will work closely with a world-renowned hematologist to care for patients with hemophilia and other hematological disorders.Key...

Job Title: Clinical SpecialistMentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Our mission is to empower individuals to live well and have a fulfilling career. As a Clinical Specialist, you will join a mission-driven team and create relationships that...

Job SummaryWe are seeking a skilled Clinical Utilization Specialist to join our team at Acadia Healthcare. As a key member of our healthcare team, you will play a critical role in ensuring the efficient and effective delivery of healthcare services.Key ResponsibilitiesProvide consultation and guidance to payers regarding admissions and patient length of...

Job Title: Clinical Documentation AssistantAmity Foundation is seeking a highly organized and detail-oriented Clinical Documentation Assistant to join our team. As a Clinical Documentation Assistant, you will play a crucial role in supporting the clinical team by developing and maintaining effective processes for determining student enrollment status.Key...

About SevitaSevita is a leading provider of home and community-based specialized health care. Our mission is to empower individuals with intellectual and developmental disabilities to live full, more independent lives.Job SummaryWe are seeking a Clinical Specialist to join our team. As a Clinical Specialist, you will provide services in residential,...

Job Title: Clinical SpecialistSevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life.About the Role:We are seeking a Clinical Specialist to join our team of dedicated professionals who provide quality services and individualized supports to individuals with...

Job Title: Utilization Review CoordinatorJoin America's Rehab Campuses as a Utilization Review Coordinator and play a vital role in ensuring the efficient use of our services. As a key member of our team, you will be responsible for assessing the necessity and efficiency of our services, promoting high-quality client care, and reviewing patient cases for...

Job Title: Clinical Care SpecialistAt The Fountain Group, we are seeking a highly skilled Clinical Care Specialist to join our team. As a Clinical Care Specialist, you will play a critical role in supporting members with real-time consultation, education, and scheduling of specialist & diagnostic referral appointments.Key Responsibilities:Support members...

Job SummaryWe are seeking a highly skilled Clinical Documentation Specialist to join our team at Second Wave Delivery Systems, LLC. As a key member of our Care Team, you will be responsible for managing the end-to-end workflow to support the deployment and reconciliation of clinical documentation alerts.Key ResponsibilitiesProvider Engagement: Operate as the...

Job SummaryWe are seeking a highly skilled and dedicated Program Specialist III to join our Foster Care Review Board team. As a key member of our team, you will play a critical role in improving the lives of children and families in our community.Key ResponsibilitiesFacilitate citizen review boards to review cases of children in out-of-home carePrepare and...

Job Title: Medical Review OfficerLeidos QTC Health Services is seeking a highly skilled Medical Review Officer to support our company's strategic growth and operational execution. As a key member of our team, you will provide clinical leadership for company-employed and contracted providers, ensuring high-quality services for all QTC lines of business.Key...

Job Title: Clinical SpecialistWe are seeking a highly skilled and compassionate Clinical Specialist to join our team at Sevita. As a Clinical Specialist, you will play a vital role in providing high-quality support services to individuals with intellectual and developmental disabilities.Job Summary:The Clinical Specialist will be responsible for providing...

Job Summary:The Arizona Supreme Court, Administrative Office of the Court is seeking a highly skilled and experienced Program Specialist III to join our Foster Care Review Board (FCRB) Program. As a key member of our team, you will play a critical role in improving the lives of children by providing professional-level recommendation reports to the Juvenile...

Job Title: Clinical SpecialistWe are seeking a highly skilled and compassionate Clinical Specialist to join our team at Sevita. As a Clinical Specialist, you will play a vital role in providing high-quality support services to individuals with intellectual and developmental disabilities.Job Summary:The Clinical Specialist will be responsible for providing...

Job Title: Clinical Pharmacy Specialist - Hematology and AnticoagulationMemorial Hermann Texas Medical Center is seeking a highly skilled Clinical Pharmacist with expertise in hematology and anticoagulation stewardship to join our team.Key Responsibilities:Develop and maintain a communication system to ensure effective information flow to and from...

Job Title: Clinical Science Program SpecialistOur client, a leading diagnostics and life sciences company, is seeking a highly skilled Clinical Science Program Specialist to join their team. This is a long-term contract opportunity with the possibility of extension.Job Location: Tucson, AZResponsibilities:Collaborate with Clinical Development Leaders,...

Job SummaryWe are seeking a highly skilled Medical Records Review Consultant to join our team at the State of Arizona, DES HR. As a Medical Records Review Consultant, you will be responsible for evaluating medical evidence to determine sufficient documentation, severity of impairments, and providing an assessment of the applicant's disability.Key...

About the RoleWe are seeking a highly skilled Clinical Specialist to join our team at Sevita. As a Clinical Specialist, you will play a critical role in providing behavioral support to individuals with intellectual and developmental disabilities.Key ResponsibilitiesDevelop and implement individualized support plans to promote independence and community...

About the RoleWe are seeking a highly skilled Clinical Specialist to join our team at Sevita. As a Clinical Specialist, you will play a critical role in providing behavioral support to individuals with intellectual and developmental disabilities.Key ResponsibilitiesDevelop and implement individualized support plans to promote independence and quality of...