Clinical Review Nurse

Job SummaryHealthHelp, a leading provider of healthcare utilization and care management services, is seeking a skilled Clinical Review Nurse to join our team. As a key member of our clinical review team, you will play a critical role in ensuring the quality and safety of patient care.Key ResponsibilitiesPerform thorough clinical reviews of cases to determine...

Job Summary:The Utilization Review Specialist is a key member of our healthcare team, responsible for ensuring the medical necessity of patient admissions and continued stays. This role requires a strong clinical background, excellent communication skills, and the ability to work collaboratively with physicians and other healthcare professionals.Key...

Job Title: Mobile Research NurseJob Summary: We are seeking a skilled and compassionate nurse with a passion for clinical research to join our dynamic team at WEP Clinical. As a Mobile Research Nurse, you will play a crucial role in ensuring the successful execution of research studies.Key Responsibilities:Administer investigational medications/products as...

Job Title: Mobile Research NurseJob Type: Contract, PRN, Per diemHourly Rate: $55/hr onsite and $50/hr travel timeWork Location: Houston, Texas; On the roadJob Description:We are seeking a dedicated individual with current acute care or homecare experience and phlebotomy skills to work under the guidance of the principal study investigator and nursing...

Job OpportunityWe are seeking a skilled Clinical Assessor/Reviewer to join our team at Safe Place Counseling & Consulting, LLC.Job SummaryThis is a rewarding role that offers the opportunity to make a meaningful difference in the lives of individuals and families. As a Clinical Assessor/Reviewer, you will conduct thorough intake/risk/triage behavioral health...

Job SummaryThe Utilization Review Nurse is responsible for ensuring the medical necessity of patient admissions and continued stays. This role involves reviewing patient medical records, evaluating the appropriateness of care, and communicating with payors regarding clinical updates.Key Responsibilities Reviews patient medical records to collect data and...

Job SummaryWe are seeking a highly skilled and experienced Regional Director to lead our clinical research operations. The successful candidate will provide strategic leadership, project management, and oversight for multiple locations, ensuring the successful execution of clinical trials in accordance with Sponsor goals, Standard Operating Procedures...

Job Title: Utilization Review RNJob Summary:We are seeking a skilled Utilization Review RN to join our team at St. Joseph Medical Center. As a Utilization Review RN, you will play a critical role in ensuring that patients receive the necessary care and services to achieve optimal health outcomes.Key Responsibilities:Conduct thorough reviews of patient...

h3Job Description/h3pAt Nexus Health Systems Ltd, we are seeking a skilled bClinical Utilization Review Specialist/b to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the delivery of cost-effective quality care within an appropriate length of stay./ppbKey Responsibilities:/b/pulliMaintain patient confidentiality...

Job SummaryThe Utilization Review Nurse is responsible for ensuring the medical necessity of patient admissions and continued stays. This role involves reviewing patient medical records, evaluating the appropriateness of care, and collaborating with healthcare teams to optimize resource utilization.Key Responsibilities* Review patient medical records to...

Job Summary:As a Utilization Review Nurse at Care, you will play a vital role in ensuring the highest quality patient care while promoting efficient resource utilization. Your expertise will be instrumental in facilitating critical criteria reviews, collaborating with managed care organizations, and maintaining accurate records. If you are a dedicated and...

Job DescriptionSafe Place Counseling & Consulting, LLC is seeking a skilled Clinical Assessor/Reviewer to join our team. As a remote assessment specialist, you will conduct thorough intake/risk/triage behavioral health assessments to identify patients' appropriate level of care.ResponsibilitiesWelcome patients to the agency and conduct comprehensive...

Job Title: Utilization Management Review NurseAbout the Role:Astrana Health is seeking an experienced Utilization Review Nurse to work remotely from Texas. This position requires working Monday through Friday from 8:30 a.m. to 5 p.m., with occasional weekend and holiday coverage as needed.Key Responsibilities:1. Conduct prior authorization and retrospective...

Job OverviewAt Axsendo Clinical Research, we are seeking a highly skilled and experienced Lead Clinical Research Coordinator to join our dynamic team. As a key member of our research team, you will be responsible for overseeing the coordination of clinical research studies, ensuring compliance with regulatory requirements, and providing exceptional support...

At UnitedHealth Group, we are committed to helping people live healthier lives and making the health system work better for everyone.The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.As a Telephonic Oncology Preservice Review Nurse, you...

Job SummaryThe MD Anderson Cancer Center is seeking a skilled Clinical Research Nurse to join our team. As a key member of our research team, you will be responsible for providing clinical evaluation, coordination, and monitoring of patients enrolled in department research protocols. Your expertise will be essential in ensuring the success of our clinical...

Job SummaryThe MD Anderson Center is seeking a skilled Clinical Research Nurse to join our team. The successful candidate will be responsible for assessing patients for protocol eligibility, coordinating, evaluating, and following patient participation in clinical trials. This includes collaborating with a multidisciplinary team to monitor and evaluate...

Job Title: Utilization Management Review NurseAbout the Role:Astrana Health is seeking an experienced Utilization Review Nurse to work remotely from Texas. This position requires a strong understanding of state and federal regulations and accreditation standards. The ideal candidate will have excellent interpersonal skills and the ability to collaborate with...

Job SummaryThe MD Anderson Center is seeking a highly skilled Clinical Research Nurse to join our team. As a key member of our research team, you will be responsible for providing clinical evaluation, coordination, and monitoring of patients enrolled in department research protocols.Key Responsibilities:Coordinate activities related to the initiation and...

Job SummaryThe Clinical Specialist will serve as an advisor, trainer, educator, and auditor, assisting and supporting the facility Administrator and Director of Nursing. The Clinical Specialist is responsible for reviewing the operational systems of the facility, maintaining records and personnel to promote an adequate level of care for facility...