Clinical Review Nurse

Job Title: Utilization Review RNChildren's Health is seeking a skilled Utilization Review Registered Nurse to join our team. As a Utilization Review RN, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key Responsibilities:Conduct thorough reviews of patient records to determine...

Job SummaryAs a Clinical Utilization Review Nurse at the University of Texas Southwestern Medical Center, you will play a critical role in ensuring the highest quality of care for our patients. Your primary responsibility will be to conduct medical certification reviews for medical necessity for acute care facilities and services. You will use nationally...

Job SummaryAs a Clinical Utilization Review Nurse at the University of Texas Southwestern Medical Center, you will play a critical role in ensuring the appropriate level of care for patients. You will conduct medical certification reviews for medical necessity, using nationally recognized guidelines to recommend the level of care to physicians. Your...

Prior Authorization Nurse Job SummaryParkland Health and Hospital System (PHHS) is seeking a skilled Prior Authorization Nurse to join our team. As a Prior Authorization Nurse, you will play a critical role in ensuring the quality and cost-effectiveness of patient care by reviewing authorization requests and applying clinical acumen.Key Responsibilities*...

Job SummaryAs a Clinical Utilization Review Specialist at the University of Texas Southwestern Medical Center, you will play a crucial role in ensuring the highest quality of care for our patients. Your primary responsibility will be to conduct medical certification reviews for medical necessity for acute care facilities and services.You will use nationally...

Job Title: Clinical Pharmacy Review PharmacistAbout the Role:Texas Oncology is seeking a highly skilled Clinical Pharmacy Review Pharmacist to support our team in delivering high-quality cancer care across the state of Texas.Key Responsibilities:Compounds and dispenses medications according to professional standards and practices.Prepares and maintains...

Job Title: Utilization Review NurseWe are seeking a skilled Utilization Review Nurse to join our team at Children's Health. As a Utilization Review Nurse, you will play a critical role in ensuring that our patients receive the most appropriate and effective care possible.Responsibilities:Conduct thorough reviews of patient records to determine medical...

At Health Care Service Corporation, we empower our employees with curated development plans that foster growth and promote rewarding, fulfilling careers.This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity, including assisting members on the telephone, reviewing medical records, and...

Job SummaryAs a Utilization Review Registered Nurse at UT Southwestern Medical Center, you will play a critical role in ensuring the highest quality of care for our patients. Conduct medical certification reviews for medical necessity, utilizing nationally recognized guidelines to recommend the appropriate level of care. Collaborate with physicians and other...

HEDIS Review Nurse Job DescriptionThis is a contract assignment that will start immediately and end on April 30th, 2024.Job Summary:The HEDIS Review Nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey.Key Responsibilities:Abstract medical recordsApply...

Job Title: Neurologist Medical Review SpecialistConcentra is seeking a skilled Neurologist Medical Review Specialist to join our team. As a Medical Review Specialist, you will be responsible for reviewing medical files and providing recommendations for utilization review, chart reviews, medical necessity, and appropriateness of care.Responsibilities:Reviews...

Job Title & Specialty Area: Specialty Clinic Team Leader Registered NurseDepartment: AmbulatoryLocation: TX Health DallasShift: M - FJob Type: On-SiteJob Summary:The Team Leader, Nursing is responsible for providing leadership to the front line staff in collaboration with the Clinical Manager or Practice Administrator. Serves as a conduit between the...

Prior Authorization Nurse Job SummaryParkland Health and Hospital System is seeking a skilled Prior Authorization Nurse to join our team. As a Prior Authorization Nurse, you will play a critical role in ensuring the quality and cost-effectiveness of patient care by applying clinical acumen and policies to prior authorization requests.Key Responsibilities...

Job Title & Specialty Area: Clinical Nurse LeadDepartment: AmbulatoryLocation: TX Health DallasShift: M - F 8-5Job Type: On-SiteAt Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our cutting-edge treatments and affiliation with UT Southwestern, we...

Children’s Health (Dallas) is seeking a highly skilled and experienced Registered Nurse to lead our nursing team in a dynamic and fast-paced environment.Job Description & RequirementsSpecialty: ClinicDiscipline: RNDuration: Ongoing36 hours per weekShift: 12 hoursEmployment Type: StaffJob Title & Specialty Area: Specialty Clinic Team Leader Registered...

Job Summary:The Clinical Research Nurse at Children's Health plays a vital role in supporting the principal investigator in the conduct of clinical trials. This position ensures compliance with all aspects of the protocol and accuracy of data collection.Key Responsibilities:Coordinate, evaluate, and follow patient participation in clinical trials, including...

Clinical Liaison Job Description **Overview** Forefront Living is seeking a compassionate and skilled Clinical Liaison to join our team. As a Clinical Liaison, you will play a vital role in ensuring seamless transitions between healthcare settings and providing exceptional patient care. **Responsibilities** * Model a service attitude and take ownership...

At Secret Med Spa, we're seeking a highly skilled and experienced Nurse Practitioner to lead our clinical operations and drive excellence in aesthetic medicine.The ideal candidate will possess a strong background in aesthetic lasers, skin treatment procedures, and medical practice management, with a proven track record of delivering exceptional patient care...

Job SummaryThe Ambulatory Registered Nurse is a clinical nurse navigator providing navigation services to patients participating in the different cancer screening programs. This role involves indirect patient contact, with hybrid remote flexibility, and requires proficiency in guiding individuals through screening and subsequent diagnostic evaluation in a...

Clinical Research Sub-Investigator OpportunityM3 Global Research is seeking a highly skilled Clinical Research Sub-Investigator to join our team. As a Sub-Investigator, you will provide oversight in medical and clinical issues, working closely with the Principal Investigator to evaluate clinical trials and ensure compliance with Good Clinical Practices...