Current jobs related to Clinical Reviewer - North New Hyde Park - IPRO
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Clinical Reviewer
4 weeks ago
New Hyde Park, New York, United States IPRO Full timeClinical Reviewer Job DescriptionAs a Clinical Reviewer at IPRO, you will play a crucial role in ensuring the accuracy and appropriateness of healthcare services. Your expertise will be utilized to conduct clinical-level reviews, supporting Medical Review Analysts and Physician Consultants in their decision-making processes.Key Responsibilities:Conduct...
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Clinical Reviewer
1 month ago
New Hyde Park, New York, United States IPRO Full timeClinical Reviewer Job DescriptionIPRO is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will play a critical role in ensuring the accuracy and quality of our review processes.Key Responsibilities:Conduct thorough reviews of medical records to ensure compliance with regulatory requirements.Utilize expertise in electronic...
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Clinical Reviewer
2 days ago
North New Hyde Park, New York, United States GreenLife Healthcare Staffing Full timeJob Title: Clinical Reviewer - Medical ProfessionalJob Summary:Greenlife Healthcare Staffing is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will be responsible for reviewing medical records and making determinations based on regulatory guidelines. This is a full-time position with a 6-month contract. The ideal candidate...
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Clinical Nurse Reviewer
4 weeks ago
New Hyde Park, New York, United States Greenlife Healthcare Staffing Full timeJob OpportunityWe are seeking a skilled Registered Nurse Clinical Reviewer to join our team at Greenlife Healthcare Staffing.Job SummaryThe successful candidate will conduct thorough reviews of medical records, ensuring accuracy and compliance with regulatory guidelines. This role requires strong analytical and problem-solving skills, as well as excellent...
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Clinical Reviewer
2 days ago
North New Hyde Park, New York, United States IPRO Full timeClinical Reviewer Job DescriptionAs a Clinical Reviewer at IPRO, you will play a critical role in ensuring the accuracy and appropriateness of medical reviews. Your expertise will be utilized to conduct thorough clinical level reviews, supporting Medical Review Analysts and Physician Consultants in their decision-making processes.Key Responsibilities:Conduct...
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Clinical Review Nurse Specialist
2 weeks ago
New Hyde Park, New York, United States Medix Full timeMedix Healthcare is seeking a skilled Clinical Review Nurse to join their team in New Hyde Park, NY. As a Clinical Review Nurse, you will be responsible for conducting thorough reviews of medical records to ensure accurate and timely determinations. You will work closely with Medical Review Analysts and Physician Consultants to ensure a seamless process. Key...
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Clinical Review Nurse Specialist
2 weeks ago
New Hyde Park, New York, United States Medix Full timeJob Title: Clinical Review NurseMedix Healthcare is seeking a skilled Clinical Review Nurse to join our team in New Hyde Park, NY. As a key member of our quality improvement organization, you will play a crucial role in ensuring the accuracy and appropriateness of medical reviews.Responsibilities:Conduct comprehensive clinical reviews of medical cases,...
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Clinical Reviewer
5 days ago
New Hyde Park, New York, United States Medix Full timeJob Title: Clinical Reviewer - Independent Dispute ResolutionJob Summary: Medix is seeking a skilled Registered Nurse to fill the role of Clinical Reviewer - Independent Dispute Resolution. As a key member of our team, you will be responsible for managing the full spectrum of State and Federal Independent Dispute Resolution (IDR) case determinations,...
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Nurse Case Reviewer
1 week ago
New Hyde Park, New York, United States Medix™ Full timeJob Title: Registered Nurse - Case ReviewerMedix™ is seeking a dedicated and detail-oriented Registered Nurse to join our team as a Case Reviewer. In this role, you will manage the full spectrum of State and Federal Independent Dispute Resolution (IDR) case determinations, conduct clinical reviews, and assist with Prior Authorization and disputed benefits...
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Maternal Nurse Review Specialist
2 weeks ago
New Hyde Park, New York, United States GreenLife Healthcare Staffing Full timeJob Title: Maternal Nurse ReviewerGreenlife Healthcare Staffing is seeking a skilled Maternal Nurse Reviewer to join our team. As a Maternal Nurse Reviewer, you will be responsible for conducting clinical reviews of medical records and providing technical assistance to program personnel.Responsibilities:Conduct comprehensive reviews of medical records from...
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RN-Quality Review Manager
6 days ago
New Hyde Park, New York, United States Parker Jewish Institute for Health Care and Rehabilitation Full timeJob DescriptionParker Jewish Institute for Health Care and Rehabilitation is seeking a RN-Quality Review Manager to lead our Community Health Services Program. As a licensed clinician with expertise in CHHA and/or Hospice regulations, you will provide clinical and administrative oversight of our quality program, ensuring high-quality care standards.Our...
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Utilization Review RN
3 weeks ago
New Hyde Park, United States Medix Full timeJob Title: Utilization Management / Appeals RN Must have BSN*** Location: Onsite required; offices in either Lake Success or Albany, NY Hours: M-F 8-5 Start date: ASAP, looking to get all RNs started together Pay: $48-54/hr+ (negotiable) Experience: UM, Appeals, or strong clinical and analytical background to do claims adjudication. Volume: Will do...
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Clinical Reviewer
3 days ago
New York, New York, United States Greenlife Healthcare Staffing Full timeJob Title: Clinical ReviewerJob Description:We are seeking a skilled Clinical Reviewer to join our team at Greenlife Healthcare Staffing. As a Clinical Reviewer, you will be responsible for conducting utilization reviews up to and including the appeal level. This includes chart screen, completing electronic worksheets, entering the required information, and...
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RN-Quality Review Manager
6 days ago
New Hyde Park, New York, United States Parker Jewish Institute Full timeQuality Assurance and Performance ImprovementParker Jewish Institute for Health Care and Rehabilitation is seeking a RN-Quality Review Manager to ensure the comfort, enhance the quality of life, and preserve the dignity of our patients through our Quality Assurance and Performance Improvement measures.This is an excellent clinical leadership opportunity for...
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Therapeutic Coach
1 week ago
Hyde Park, United States Intent Clinical Full timeJob OverviewIntent Clinical is seeking a skilled Therapeutic Coach to join our team. As a Therapeutic Coach, you will work closely with clients to develop and implement personalized recovery plans, providing guidance and support throughout their journey.Key Responsibilities:Conduct initial consults and write corresponding consult reportsComplete...
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Therapeutic Coach
3 weeks ago
Hyde Park, United States Intent Clinical Full timeJob Title: Therapeutic CoachAt Intent Clinical, we are seeking a skilled Therapeutic Coach to join our team. As a Therapeutic Coach, you will work closely with clients to develop and implement personalized recovery plans, providing support and guidance throughout their journey.Responsibilities:Conduct initial consults and write corresponding consult...
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Clinical Review Specialist
2 days ago
New York, New York, United States Dane Street Full timeJob Title: Clinical Review SpecialistDane Street is seeking a skilled Clinical Review Specialist to conduct Group Health reviews. This role involves a clinical summary, potential calls to treating providers, and responses to questions posed.Key Responsibilities:Conduct thorough clinical reviews of Group Health casesPrepare and submit high-quality clinical...
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Clinical Review Specialist
3 days ago
New York, New York, United States Dane Street Full timeJob Summary:Dane Street is seeking a skilled Clinical Review Specialist to conduct Group Health reviews. This role involves a clinical summary, potential calls to treating providers, and responses to questions posed.Key Responsibilities:Conduct thorough clinical reviews of Group Health casesPrepare clinical summaries and potential calls to treating...
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Clinical Review Specialist
2 weeks ago
New York, New York, United States US Tech Solutions Full timeJob Description:We are seeking a skilled Clinical Review Specialist to join our team at US Tech Solutions.The ideal candidate will have a strong background in clinical information and documentation, with experience in reviewing and evaluating clinical records and data.Responsibilities:Review and evaluate clinical documentation to ensure compliance with...
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Nurse Clinical Reviewer
4 weeks ago
New York, New York, United States Acentra Health Full timeJob Summary:Acentra Health is seeking a skilled Nurse Clinical Reviewer to join our team. As a key member of our team, you will utilize your clinical expertise to review medical records against established criteria, ensuring the delivery of high-quality healthcare services.Responsibilities:Review and interpret patient records to determine medical necessity...
Clinical Reviewer
4 months ago
As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. Conducting clinical level review, determining physician level assignment, managing case staging between external physician experts and manage appeal processes within strict deadlines. Duties include but are not limited to:
