Clinical Review Specialist

6 days ago


Albany, New York, United States E-talentnetwork Full time
Job Description: As a Clinical Review Specialist at E-talentnetwork, you will play a crucial role in ensuring that healthcare providers meet the highest standards of medical practice. Your expertise in clinical reviews and knowledge of investigative techniques will be essential in identifying areas for improvement and implementing necessary changes.

Key Responsibilities:
• Perform clinical reviews of patient files to identify appropriateness of care provided
• Develop and implement plans to improve patient care and outcomes
• Collaborate with Medical Coordinators to review patient files and opine on standard of care
• Communicate findings and recommendations to healthcare providers and stakeholders

Required Skills and Qualifications:
• Registered Nurse with current license and registration, with no disciplinary actions on license
• Minimum five years of clinical experience
• Three (3) years investigative experience preferred
• Excellent written and oral communication skills
• Good customer service skills
• Experience with the professional medical conduct process

Benefits:
• Competitive salary range
• Opportunities for professional growth and development
• Collaborative and supportive work environment
• Recognition of outstanding performance

Others:
E-talentnetwork is an equal opportunity employer and welcomes applications from diverse candidates. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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