Clinical Review Analyst

Job Title – Registered Nurse – Review AnalystDuration – 10 monthsLocation – RemotePay: $40.00/hr on W2We are seeking a skilled Registered Nurse to join our team at W3R Consulting. As a Review Analyst, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services...

Job Title: Registered Nurse Review AnalystDuration: 10 monthsLocation: RemotePay: $40.00/hr on W2As a Registered Nurse Review Analyst, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of...

Job Title - Registered Nurse - Clinical ReviewDuration - 10 monthsLocation - RemotePay: $40.00/hr on W2We are seeking a highly skilled Registered Nurse to join our team as a Clinical Review Specialist. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary...

Job Title: Clinical Review SpecialistUmanist Staffing LLC is seeking a highly skilled Clinical Review Specialist to join our team. As a Clinical Review Specialist, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate...

Job SummaryWe are seeking a highly skilled Clinical Review Specialist to join our team at LanceSoft. As a key member of our post-acute care review team, you will be responsible for ensuring the medical necessity of services provided to our members.Key Responsibilities:Conduct prospective, concurrent, and retrospective medical necessity reviews of post-acute...

Job Summary:We are seeking a skilled Clinical Review Nurse to join our team at LanceSoft. As a Clinical Review Nurse, you will play a critical role in ensuring the medical necessity of post-acute care services.Key Responsibilities:Conduct prospective, concurrent, and retrospective medical necessity reviews of post-acute care services to ensure medical...

Genex Service LLC is seeking a skilled Utilization Reviewer to join our team. As a Utilization Reviewer, you will be responsible for performing precertification reviews for New Jersey auto accident PIP medical treatment referrals. You will use your critical thinking and clinical judgment to ensure that treatment is medically necessary and authorized. This is...

Job SummaryWe are seeking a skilled Clinical Review Specialist to join our team at LanceSoft. In this role, you will be responsible for conducting thorough reviews of inpatient, outpatient, and ambulatory services to ensure medical necessity and appropriate care.Key Responsibilities:Perform prospective, concurrent, and retrospective reviews of healthcare...

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

Job Title:Medical Policy AnalystOpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. As a Medical Policy Analyst, you will be part of a team that supports the development and maintenance of medical policies, including annual reviews and updates.Responsibilities: Collaborate with the Medical Director on...

Job Title: Prior Authorization NurseJob SummaryActalent is seeking a skilled Clinical Review Nurse to join our team as a Prior Authorization Nurse. In this role, you will be responsible for analyzing prior authorization requests to determine medical necessity and appropriate level of care in accordance with national standards, contractual requirements, and a...

Job Title: Tax AnalystLHH Recruitment Solutions is seeking a highly skilled Tax Analyst to join our team in Detroit, MI. As a Tax Analyst, you will be responsible for preparing and reviewing tax returns, tax planning, and analysis, as well as special projects as required.Key Responsibilities:Prepare and review tax returns, provisions, and work...

Job Overview:HKS is seeking an experienced Billing Analyst to join our Accounting team. This is a fully remote position that requires strong analytical and communication skills. The ideal candidate will have a strong understanding of accounting principles and financial analysis, as well as experience with Microsoft Excel, Outlook, and...

Job Summary:As a Healthcare Review Specialist with w3r Consulting, you will play a critical role in ensuring the quality and appropriateness of healthcare services. You will conduct thorough reviews of inpatient, outpatient, and ambulatory services to verify medical necessity and ensure that care is delivered in a timely and efficient manner.Key...

Job Title:Business Analyst IIWhy Work at OpTech?OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. We offer a supportive work environment, competitive pay, and opportunities for professional development.Responsibilities:Engagement Description:Support the development and maintenance of medical policies,...

Job SummaryAs a Business Policy Analyst at ICONMA, you will play a key role in supporting the development and maintenance of medical policies. This includes collaborating with the Medical Director on policy development and maintenance, reviewing JUMP meeting minutes to update Medicare Policies, and preparing policies and documents for CRC and UMC Meetings....

Job SummaryLanceSoft is seeking a skilled Healthcare Analyst to join our team in a Post-Acute Care Specialist role. As a key member of our healthcare team, you will be responsible for performing medical necessity reviews of post-acute care services to ensure they meet established medical policy and guidelines.Key ResponsibilitiesConduct prospective,...

Job Title: Senior Operations AnalystJob Summary:We are seeking a skilled Senior Operations Analyst to join our team at MetaSense Inc. The ideal candidate will have a strong background in operations analysis, management engineering, and operations management, with a focus on process improvement in the healthcare industry.Key Responsibilities:Manage complex...

Job DescriptionAt Neighborhood Service Organization, we are seeking a highly skilled Senior Financial Analyst to join our team. As a Senior Financial Analyst, you will play a critical role in leading the financial planning and budgeting processes, analyzing financial statements and reports, and developing financial models.Key Responsibilities:Leading annual...

Job Summary:We are seeking a highly skilled ERP Systems Analyst to join our team at the Great Lakes Water Authority. As an ERP Systems Analyst, you will play a key role in the implementation and maintenance of our Workday ERP system, ensuring seamless integration with our Human Resources Information Systems and other related systems.Key...