Clinical Review Nurse

Overview: As a Clinical Reviewer I at Elevance Health, you will play a vital role in promoting quality member outcomes and optimizing benefits by conducting preauthorization reviews for diagnostic imaging services. This position is ideal for nurses with experience in clinical settings or utilization management.

Job Title: Clinical Utilization Review Nurse SpecialistBjc Healthcare is seeking a highly skilled Clinical Utilization Review Nurse Specialist to join our team. This full-time position requires 80 hours of work per pay period, equivalent to two weeks. The schedule includes Monday through Friday, 8 a.m. to 4:30 p.m., as well as one Sunday every four weeks....

Join Doctor's Data, Inc. as a Clinical Chemistry Review SpecialistThe ideal candidate will have a doctorate's degree in a chemical, physical, or biological science and 6 months of acceptable clinical experience in a related field. Alternatively, a master's degree in the same field with 1 year of acceptable clinical experience is also acceptable. The salary...

Are you an experienced Clinical Pharmacy Specialist looking for a new challenge? Do you have a passion for claim review and a keen eye for detail? We may have the perfect opportunity for you! As a Clinical Pharmacy Specialist - Claim Review, you will be responsible for reviewing and analyzing prescription drug claims to ensure accuracy and compliance with...

POSITION SUMMARY: Under the general supervision of the Assistant VP of Health Center Operations provides safe and efficient care and services to patients. Functions as a member of the health care team providing assistance in planning and implementation of patient-based care based upon sound nursing judgment, clinical preparation, knowledge, skills and...

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease...

Dane Street is a leading provider of Independent Medical Exams and other services, seeking skilled physicians to join our team for non-traditional work opportunities that provide additional income.We offer Federal Exam Services to support the military and VA community, enabling you to make a meaningful impact.Your contributions support the military and...

Job OverviewClinical Document Integrity Specialists play a vital role in ensuring the accuracy and completeness of patient clinical documentation. As a key member of our team, you will be responsible for reviewing and improving clinical records to ensure they meet the highest standards.ResponsibilitiesOur Clinical Document Integrity Specialists are...

Job DescriptionAs a Medical Review Technologist at Doctor's Data, Inc., you will play a crucial role in ensuring the accuracy and validity of patient results. This position requires strong analytical skills and attention to detail, as well as effective communication with lab and quality departments.Final review and releasing of test profilesMonitor test...

Additional Information About the Role - Clinic is open M-F 8 am - 4:30 pm - PRN opportunity Overview Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and...

Additional Information About the Role * 12 Hour Shifts available in an Outpatient Clinic * Night Shift (7 pm to 7 am) * Up to $15,000 Sign-On Bonus * Benefits Eligible The BJC RN Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. This is a tool to empower nurses to work at the top of their license and own their...

Additional Information About the Role * The BJC Registerd Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. * This is a tool to empower nurses to work at the top of their license and own their career progression. * The BJC RN Career Ladder promotes professional development, leadership, collaboration,...

Additional Information About the Role * The BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. * This is a tool to empower nurses to work at the top of their license and own their career progression. * The BJC RN Career Ladder promotes professional development, leadership, collaboration,...

SSM Health is a healthcare organization that values its employees and provides them with a comprehensive benefits package.We are seeking a Clinical Coordination Nurse to join our team. The ideal candidate will have strong clinical skills, excellent communication abilities, and a passion for delivering high-quality patient care.Job Summary: The Clinical...

Additional Information About the Role - Clinic is open M-F 8 am - 4:30 pm - PRN opportunityOverview Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and...

Nursing Excellence at SSM HealthThe Advanced Clinical Nurse role at SSM Health is a critical position that involves providing expert clinical guidance to enhance nursing excellence, coordinating complex healthcare needs, and leading quality improvement initiatives. This position requires the integration of best practices and engagement in innovative...

Additional Information About the RoleThe BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. This is a tool to empower nurses to work at the top of their license and own their career progression.The BJC RN Career Ladder promotes professional development, leadership, collaboration, education...

Clinical Registered Nurse at Bethesda Health summary: As a Clinical Registered Nurse at Bethesda, I play a crucial role in assessing and monitoring residents' health and education needs. I develop and manage care plans through interdisciplinary collaboration, ensuring appropriate nursing interventions and timely documentation. My responsibilities also...

Additional Information About the Role The BJC Registerd Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. This is a tool to empower nurses to work at the top of their license and own their career progression. The BJC RN Career Ladder promotes professional development, leadership, collaboration, education...

Additional Information About the RoleThe BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. This is a tool to empower nurses to work at the top of their license and own their career progression.The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and...