Clinical Reviewer

Position Overview:As a Clinical Utilization Review Nurse, you will play a crucial role in ensuring the quality and efficiency of patient care. Your responsibilities will include coordinating and evaluating medical records associated with your assigned caseload.Key Responsibilities:Review and assess medical documentation to determine the appropriateness of...

Job SummaryActalent is seeking a highly skilled Clinical Review Nurse to join our team in a fully remote role. As a key member of our team, you will be responsible for conducting thorough Utilization Reviews and Concurrent Reviews of post-acute care services.Key ResponsibilitiesConduct thorough Utilization Reviews and Concurrent Reviews of post-acute care...

Job Summary:ClickJobs is seeking a skilled Nurse Reviewer to provide clinical support and review medical results. As a key member of our team, you will be responsible for ensuring the accuracy and quality of medical information.Key Responsibilities:Phone Coverage: Provide timely and effective phone coverage to respond to inquiries regarding medical...

Job SummaryClickJobs is seeking a skilled Clinical Utilization Review Nurse RN to join our team. As a key member of our Utilization Review and Case Management Department, you will play a critical role in ensuring the quality and efficiency of our healthcare services.ResponsibilitiesUtilization Review: Coordinate and review medical records to assess whether...

Job SummaryActalent is seeking a highly skilled Clinical Review Nurse to join our team in a fully remote role. As a key member of our team, you will be responsible for conducting thorough utilization reviews and concurrent reviews of post-acute care services.Key ResponsibilitiesConduct thorough utilization reviews of post-acute care services to ensure...

Job SummaryClickJobs is seeking a highly skilled and experienced Nurse Reviewer to join our team. As a key member of our clinical support team, you will play a critical role in ensuring the highest level of quality and accuracy in our medical records.Key ResponsibilitiesPhone Coverage and InquiriesProvide timely and effective phone coverage to respond to...

About the Role:This is a Contract-to-Hire position with a duration of 6 months. As a Utilization Review Case Manager, you will be responsible for reviewing and analyzing medical records to ensure that patients receive the necessary care and services.Key Responsibilities:Utilize clinical judgment to review medical records and identify areas for...

About the Role:This is a Contract-to-Hire position with a duration of 6 months. As a Utilization Review Case Manager, you will be responsible for reviewing and analyzing medical records to ensure accurate and efficient utilization of healthcare resources.Key Responsibilities:Utilize clinical judgment to review medical records and identify areas for...

Position Overview:Join our team as a Clinical Utilization Review Nurse, where you will play a crucial role in ensuring the quality and efficiency of patient care.Key Responsibilities:Oversee and evaluate all medical records assigned to your caseload.Engage actively in Case Management and Treatment Team meetings.Provide ongoing education and support to...

Job BriefWe are seeking a detail-oriented and organized Junior Financial Analyst to provide support to the financial department at Forte Clinical Laboratory by managing daily accounting tasks. As a member of our team, you will work closely with professionals to maintain order and transparency for the company's finances.Key ResponsibilitiesPost and process...

About the RoleDice is a leading career destination for tech experts at every stage of their careers. Our client, Apex Systems, is seeking a skilled Clinical Scientist to join their team.Job OverviewIn this role, you will collaborate with Clinical Development Physicians and various teams to provide scientific expertise and support in developing and executing...

Job SummaryClickJobs is seeking a highly skilled Utilization Review Nurse RN to join our team. As a Utilization Review Nurse RN, you will play a critical role in ensuring the quality and efficiency of our healthcare services.Key ResponsibilitiesMedical Record Review: Coordinate and review all medical records, as assigned to caseload, to ensure compliance...

Position OverviewThe Nurse Supervisor for Itemization Review will foster a collaborative team environment with a focus on effective reporting, leadership, and professional communication across all departments within ClickJobs.KEY RESPONSIBILITIES:Oversee data and analytics to inform critical decision-making and ensure accurate outcomes.Manage appeals from...

Job Summary:We are seeking a highly skilled Clinical Research Coordinator to join our team at Actalent in Long Beach, CA. As a Clinical Research Coordinator, you will play a critical role in identifying patients for enrollment in an Asthma clinical trial. This position requires strong communication skills, attention to detail, and the ability to navigate...

Job Title: Clinical ScientistAbout the Role:Dice is a leading career destination for tech experts at every stage of their careers. Our client, Apex Systems, is seeking a skilled Clinical Scientist to join their team.Job Overview:In this role, you will collaborate with Clinical Development Physicians and various teams to provide scientific expertise and...

Job SummaryThe Clinical Appeals Specialist is responsible for managing clinical appeals and state hearings across all states. This role involves reviewing and completing both provider and member clinical appeals within designated timeframes, preparing State Hearing packets, and ensuring communication with state agencies and internal departments.Key...

About Fella HealthFella Health is a leading telemedicine clinic that specializes in providing medical weight loss treatment to middle-aged men worldwide. Our mission is to solve male obesity globally by accelerating the take-up of GLP-1s in this demographic.We've experienced rapid growth, expanding our state coverage to over 75% of the US population and...

Job SummaryClickJobs is seeking a skilled Clinical Utilization Review Nurse RN to join our team. As a key member of our Utilization Review and Case Management Department, you will play a critical role in ensuring the quality and efficiency of our healthcare services.ResponsibilitiesMedical Record Review: Coordinate and review all medical records, as assigned...

About Fella HealthFella Health is a telemedicine clinic that specializes in providing medical weight loss treatment to middle-aged men worldwide. Our mission is to solve male obesity by accelerating the adoption of GLP-1s in this demographic.The Opportunity as Head of Clinical OperationsFella Health is seeking a world-class leader to run our telemedicine...

Job SummaryThe Clinical Appeals Nurse is a critical role within Actalent, responsible for managing clinical appeals and state hearings across all states. This position involves reviewing and completing both provider and member clinical appeals within designated timeframes, preparing State Hearing packets, and ensuring communication with state agencies and...