Clinical reviewer job description. Acentra seeks a Clinical Reviewer to join our growing team.
Clinical reviewer job description 15 jobs. Location : Mysore-Hybrid. *** General description: Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. clinic nurse. Job Title. As a clinical reviewer, you will be responsible for reviewing and grading patient care manuscripts. RN Clinical Reviewer. Reporting Relationship: A clinical reviewer monitors healthcare documents to ensure compliance before submitting to insurance companies. In other words, these are the most sought after skills by recruiters and hiring managers. He/she ensures that quality care is provided in an efficient and safe manner, consistent with the unit's standards of care. This task is accomplished through high-quality data compilation, documentation, and entry of hernia procedures performed at the center. , Doral, FL. Job Description: We are currently hiring a talented Nurse, Utilization Management Reviewer. Provided clinical documentation review and chart review in an acute care setting, for units ranging from 15-25 beds daily, within the scope of practice of said job description. Nurse Reviewer I. com. Apply to Quality Assurance Coordinator, Clinical Data Analyst, Clinical Reviewer-sca and more! Comprehensive manual review of clinical data collected in trials. Medical Data Reviewer. Start your new career right now! Here are the keywords and skills that appear most frequently on recent Clinical Reviewer job postings. It also involves reviewing and validating reports generated by other team members to support the reporting and General Job Information. 289 Blue Cross Blue Shield Clinical Review Nurse jobs available on Indeed. Monitors patient charts and records to evaluate care concurrent with the patient’s This document provides a job description for a Clinical Reviewer position. psychiatric. $2,129 - $2,358 a week. Prepares all cases for review by the Physician Reviewer/Nurse Reviewer and completes all correspondence 74 Um Clinical Reviewer jobs available on Indeed. Job Description / Roles and Responsibilities for Job Title: 1) Handles tasks under direction and guidance . clinical analyst. Clinical Supervisor, BCBA. 79 Blue Cross Blue Shield Clinical Reviewer jobs available on Indeed. We translate unique clinical, medical affairs and commercial insights into 42 Lcsw Clinical Reviewer jobs available on Indeed. A company is looking for a Sr. Certifications. Hybrid Work Environment - Must reside in HawaiiPay Range: $59,000 - $116,000Note: Individuals typically begin between the minimum to middle of the pay Job Summary and Responsibilities: Acentra Health is looking for a Clinical Reviewer to join our growing team. 7 out of 5 stars. Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. For a full breakdown of the job and it's responsibilities, please see the attached Job Description or contact Sallie Chapman on 01924 Find detail information about medical reviewer job description, duty and skills required for medical reviewer position. DESCRIPTION: Medical Reviewer is the key contact person for assigned clinical development or marketed products, responsible for safety strategy and major safety deliverables, including both early and late-stage development, as assigned. Apply to Licensed Clinical Social Worker, Behavioral Specialist, Compliance Reviewer (monday-friday 8:30-4:30pm) and more! Job Description. ? This role will be responsible in day-to-day timely clinical and service authorization review for medical necessity and decision-making. Sign In. They also may educate patients on oral hygiene, or apply fluoride or sealants. Apply to Clinical Reviewer-sca, Utilization Review Nurse, Wound Care Nurse and more! Sign on Bonus $5,000. The Utilization Management Reviewer has a key role in ensuring the client meets CMS compliance standards in the area of service decisions and organizational determinations. Find your ideal job at Jobstreet with 98 Medical Reviewer jobs found in Philippines. 2 years clinical experience and use of electronic medical records (EMR) required. 700+ jobs. PMC Medical Staffing 4. 25 Work Experience - Required. Aya Healthcare 4. This is a virtual position. Job title Data Transparency Document Anonymization Specialist. You handle the daily responsibilities of checking medical records for Clinical review provides consultation to medical and nursing staff, health information management, and payors on potential issues with reimbursement of hospitalization. Clinical Reviewer. We are looking for a Dental Hygienist in our Konikoff Dental- Harbor View office located at 5849 Harbour View Blvd, Suffolk, Virginia 23435 to join our clinical team by providing a high level of patient care and satisfaction while operating in a team-based environment. Designation/Role: QC Reviewer . Leverage your professional network, and get hired. 2. Do you have a valid BCaBA certification? Yes No. Travel healthcare. We make the hiring process one step easier by giving you a template to simply post to our site. Don't wait - apply now! Job Description. clinical assistant. Learn how to become a Clinical Reviewer, what skills and education you need to succeed, and what level of pay to Clinical Trial Associate (CTA) Qualifications: Bachelors or equivalent in a scientific or health care field preferred. Nurse Reviewer - Clinical Review Unit #25-6001 Kapolei, Hawaii, United States Employment Type . 7 3. Do you have a Doctoral degree? Yes No Job details Here’s how the job details align with your profile clinical reviewer jobs. Clinical data associate provides oversight for Data Management CRO and other third-party vendors to ensure compliance with the protocol, external/internal standards, Good Clinical Practices (GCPs), applicable regulatory guidelines, The clinical data analyst job description entails gathering, reviewing, and organizing medical trial results; meticulously checking and double-checking data used to ensure the numbers been worked with are valid and accurate. Do you have a Doctoral degree? Yes No Job details Here’s how the job details align with your profile The Clinical Appeals Reviewer will work closely with healthcare providers, insurance companies, and patients to ensure that all appeals are handled efficiently and fairly. They perform crucial tasks such as Nurse reviewer provides the clinical/administrative leadership for the coordination of the PACT Model and HBPC Program, including knowledge of regulations, VHA guidelines,, process improvement and compliance guidelines. We are seeking a detail-oriented Medical Documentation Reviewer to join our team. Community; Jobs; Companies; Salaries; For Employers; Community; Jobs; What are the typical qualifications for Clinical Reviewer jobs? Bachelor's Degree in nursing or computer science. 131 Clinical Insurance Reviewer jobs available in Remote on Indeed. Apply to Quality Assurance Coordinator, Ads Reviewer, Clinical Documentation Specialist and more! Clinical Reviewer Reviewer North Chicago, IL Reviewer, North Chicago, IL. It can help you attract an experienced Clinical Reviewer to your organization. Apply to Radiologic Technologist, Clinical Reviewer-sca, Auditor and more! Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review criteria. Job email alerts. PsyD - Clinical Psychology 42 Bariatric Clinical Reviewer jobs available on Indeed. They are responsible for ensuring all information is accurate This free Clinical Reviewer job description sample template was created in part with the OpenAI API and thoroughly edited and fact-checked by our editorial team. A Combination of Education and Work Experience May Be Considered. The This position requires a positive working relationship as well as serving as an educator to the medical staff. Required - Experience working wit h a Heal t hcare Management Systems Nurse Reviewer - Clinical Review Unit #25-6001 Kapolei, Hawaii, United States Employment Type Full-time Exempt or Non-Exempt Exempt Job Summary **Hybrid Work Clinical Reviewer (Remote) Acentra Health Offer clinical expertise and serve as a clinical reference for non-clinical staff members. Work Type. RBHA Henrico 69 RN Clinical Reviewer jobs available in Various Remote on Indeed. Position: RN/Mental Health Reviewer (Remote) Employment Type: Per Diem. Community; Jobs; Companies; Salaries; For Employers; Community; Jobs; Companies ; Salaries; For Employers; Search. Vaya Health Henderson, NC. We have included clinical data associate job description templates that you can modify and use. Surgical Clinical Reviewer. Job Description . What is a Clinical Review RN? Nearby Clinical Reviewer Jobs Within 25 miles of Chicago, IL For Clinical Reviewer Jobs in the Chicago, IL area: Found 4,429+ open positions. Function : Drug Safety. Summary Description Clinical Reviewer Outpatient Utilization Management RN With Telehealth Nurse Network | Duration: 4 months Contract (with the possibility of extension) Employment type : W2 License: Unrestricted Massachusetts Registered Nurse (RN) License Required Job Summary: The Clinical Reviewer is a licensed professional (RN preferred) responsible for independently Clinical Reviewer Job Description Sample All Jobs. Apply to Utilization Review Nurse, Quality Assurance Analyst, Analyst and more! Job Description The Surgical Clinical Reviewer's (SCR) chief responsibility is to collect and submit reliable data to the ACHQC (Abdominal Core Health Quality Collaborative) and other appropriate hernia registries. 50+ jobs. 583 Clinical Claim Review RN jobs available on Indeed. Nearby Clinical Reviewer Jobs Within 25 miles of Boydton, VA Clinical Investigator. Expected travel up to 20%; Requirements: Master’s degree in a relevant field such as life sciences, business administration, or equivalent. We are dedicated to enabling our customers to make the world healthier, cleaner, and safer. 401(k) matching; Dental insurance; Health insurance; Housing allowance; Life insurance; Paid housing; Paid sick time; Show Seeking a full-time, remote, Nurse RN with Durable Medical Equipment (DME) experience for Medical Reviewer opening to conduct clinical reviews of medical records in support of CMS/Medicare Program Integrity efforts. View all our Medical Reviewer vacancies now with new jobs added daily! 213 Clinical Review Registered Dental Hygienist jobs available on Indeed. Apply to Clinical Reviewer-sca, Healthcare Quality Improvement Specialist, Integration Consultant and more! General Job Information. Performs ongoing reassessment of the review process to offer opportunities for improvement and/or change. Ensure case review and elevation to complete the determination is rendered within the contractual and regulatory turnaround time standards to meet both contractual and regulatory requirements. The Core Clinical Nurse provides various clinical capabilities within Case Management, Utilization Management, Clinical Coverage or Preservice, Medical Claims and Appeals review. Nurse Evidence Based Practice (EBP) Specialist - Nursing Research and EBP Dept. 105 Clinical Data Reviewer jobs available in Remote on Indeed. Key Responsibilities: Lead comprehensive reviews of clinical trial data to ensure accuracy, consistency, and completeness; Develop and implement clinical data review strategies and processes aligned with regulatory standards Description. The work you do with our team will directly improve health outcomes by connecting Abstracts review related data/information accurately and timely on appropriate review tools by the appropriate means. . Apply to Senior Medical Technician, Registered Nurse, Clinical Nurse and more! Our Clinical Appeals Reviewer job description includes the responsibilities, duties, skills, education, qualifications, and experience. Clinical Work Experience - Preferred. The nurse helps members perform self-care, reduce cost, and improve quality of life through education, empowerment, support, and advocacy. This is accomplished through high-quality data compilation, documentation and entry into the ACS NSQIP database of all eligible surgeries for the hospital. The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS compliance standards in the area of service decisions Surgical Clinical Reviewer Nsqip Jobs jobs. Do you Description. If you are applying for a job, you have to come up with a Medical Documentation Reviewer Job Description Template Job Brief. Lunas Solution. Job Description: • In this role, you will initiate and manage product complaint records in the electronic system, determining investigation needs, leading activities, and documenting final complaint 2,960 Prior Authorization Review Nurse jobs available on Indeed. We are working towards enabling Precision Medicine globally by providing effective sequencing solutions for 867 Clinical Quality Reviewer jobs available on Indeed. The pay rate for this position is What does a Clinical Reviewer do? Read the Clinical Reviewer job description to discover the typical qualifications and responsibilities for this role. Refers cases requiring clinical review to a nurse reviewer. Quality Education - Required. Apply to Licensed Practical Nurse, Utilization Review Nurse, Clinical Educator and more! product reviewer. Take on a key role within an award-winning health system. PsyD - Clinical Psychology To write an effective clinical appeals job description, begin by listing detailed duties, responsibilities and expectations. The following word cloud highlights the Search 44 Medical Reviewer jobs now available in Ontario on Indeed. To get started, enter your email below: The job description includes overseeing and reviewing patient records and insurance paperwork. What Does a Clinical Reviewer Do? Nearby Clinical Reviewer Jobs Within 25 miles of Boydton, VA Clinical SAS Programmer For Clinical Reviewer Jobs in the Boydton, VA area: Found 33+ open positions. Clinical Reviewer (ICR)- REMOTE Job Description Summary Facilitates efforts in the development of medical pharmacy solutions programs. Apply to Healthcare Quality Improvement Specialist, Clinical Data Abstractor, Clinical Documentation Specialist and more! Full job description. Quality Clinical Reviewer - Remote Grade. Office Accounting Technician Service Nurse Freelance. Do you have experience in Medical Job Description: We are currently hiring a talented RN, Utilization Management Reviewer. 171 votes for Clinical Review Clinical review provides consultation to medical and nursing staff, health information management, and payors on potential issues with reimbursement of Within this detailed job description, you will discover the core responsibilities, essential qualifications, and the critical competencies required for a Clinical Appeals Reviewer, providing a clear and insightful overview of the expectations and opportunities this vital position entails. London EC4V 3BJ. Clinician I/II School Based Rapid Access Outpatient Therapy (SBIRT) - Salary Range $61,868. Utilization Reviewer - Healthcare Account (Dumaguete City) Hiring multiple candidates. Risk Designation: Moderate. Typically responds within 3 days. g. Apply to Clinical Documentation Specialist, Clinical Documentation Improvement Specialist, Clinical Reviewer and more! Seeking a full-time, remote, Nurse RN with Durable Medical Equipment (DME) experience for Medical Reviewer opening to conduct clinical reviews of medical records in support of CMS/Medicare Program Integrity efforts. Apply to Registered Nurse II, Healthcare Quality Improvement Specialist, Surgical Clinical Reviewer - General Surgery and more! Full job description. All aspects of the job require an exceptional level of customer service and communication SURGICAL CLINICAL REVIEWER (SCR) – Job Description The Surgical Clinical Reviewer’s chief responsibility is to collect and submit reliable data to the ACS NSQIP. Department: Clinical Operations. Surgical Clinical Reviewer - job post. As a nurse, you will be familiar with coding standards and medical management guidelines. Apply to Clinical Data Analyst, Utilization Review Nurse, Clinic Coordinator and more! The Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. Description. Apply to Clinical Reviewer, Clinical Data Analyst, Clinical Nurse and more! Physician Clinical Reviewer jobs. is seeking a highly motivated and experienced Medical Scientific Reviewer to join our outstanding team. This includes day to day operations, department activities, medical and health services, Full job description. Apply to Nurse, Registered Nurse, Medical Chart Reviewer and more! 264 Medical Claims Reviewer jobs available on Indeed. Competitive salary. Clinical Utilization Management Reviewer (Clinical UMR) The Clinical UMR evaluates the appropriateness and necessity of medical treatment through the Utilization Management review process in order to promote quality, outcome-based medical care while providing world-class service to customers in an accurate, efficient and courteous manner. 2) Perform quality control procedures for clinical trials managed by the Clinical Operations department; Find detail information about clinical quality reviewer job description, duty and skills required for clinical quality reviewer position. Summary Description To write an effective clinical data associate job description, begin by listing detailed duties, responsibilities and expectations. Education. Home. General knowledge of clinical trial processes and/or experience working with clinical data. How to Become a Clinical Reviewer. Essential Functions Seeking a full-time, remote, Nurse RN with Durable Medical Equipment (DME) experience for Medical Reviewer opening to conduct clinical reviews of medical records in support of CMS/Medicare Program Integrity efforts. Assess the quality and appropriateness of medical Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Apply to Quality Assurance Coordinator, Clinical Data Analyst, Ads Reviewer and more! Skip to main content. Apply to Healthcare Quality Improvement Specialist, Clinical Data Abstractor, Clinical Data Analyst and more! Read the Clinical Reviewer job description to discover the typical qualifications and responsibilities for this role. $75,000 - $90,000 a year. - Nursing, Bachelor's - Nursing, Master's - Behavioral Health Education - Preferred. Clinical reviewer provides direct and constant guidance to Clinical Laboratory Technicians as required by applicable state and federal regulations. Department. Job Title: Independent Medical Reviewer - Clinical Appeals Consultant - Medical Necessity. Clinical Nurse Reviewer jobs in Remote. Clinical Review Job Description 4. They need to be proficient in using clinical data management systems to ensure that the data is accurate, complete, and maintained consistently. , CMS, MCGs, Interqual) to determine if the service/device meet medical necessity for the patient. New. Office Location: 11430 NW 20 St. Background check required. As a 4,498 Clinical Chart Reviewer jobs available on Indeed. Omega Healthcare Management Services Private Limited; KARNATAKA Posted A hiring manager crafting the perfect job description, Or simply fascinated by the complexities of healthcare appeals, You’re in the right place. Find detail information about medical reviewer job description, duty and skills required for medical reviewer position. Understanding of clinical/medical data. Status. The Clinical Reviewer is responsible for undertaking clinical reviews of deaths that occur in custody, to examine the care received and determine if it was Clinical Care Reviewer Job Description Revised July 2021 - 1 Job Classification: Exempt, Full-time . New Clinical Reviewer jobs added daily. $238,830 - $330,915 a year. Clinical Reviewer Jobs. Summary Description 1,936 Clinical Reviewer Acentra Health jobs available on Indeed. Apply to Program Coordinator, Registered Nurse, Clinic Coordinator and more! 63 Mbsaqip Reviewer jobs available on Indeed. Job Description. Full-time Easy 1-Click Apply Hmsa Nurse Reviewer - Clinical Review Unit Full-Time ($33 - $42) job opening hiring now in Kapolei, HI 96707. Work will be conducted from employee home office and equipment will be supplied by employer. Surgical. This is why hiring managers want to gauge your familiarity and proficiency with these systems, as it’s a vital Clinical Reviewer : Clinical reviewers utilize their healthcare knowledge in compliance with the health plan’s formulary to determine the appropriateness of the prescribed medication/service. Job Summary . 3. Do you have a valid RN License license? Yes No. Are you ready to take your career in Medical Affairs to the next level? Thermo Fisher Scientific Inc. Providence 4. Ensure case review and elevation to complete the determination is rendered within the contractual and regulatory turnaround time standards to meet both contractual and The heart of a Clinical Reviewer’s job is to scrutinize and analyze clinical data. Salaries; Interviews; What does a Clinical Nurse Reviewer do? Clinical nurses provide nursing Clinical Care Reviewer Job Description Revised July 2021 - 2 • A minimum of two (2) years of experience in aproject managerial, clinical coding, or clinical position in the health care fieldis required. POSITION DESCRIPTION. Input and manage essential clinical details within various medical management platforms. Surgical Clinical Reviewer . Job Summary: The Independent Medical Reviewer is responsible for conducting a timely and comprehensive review of the medical record and composing a convincing, defensible written appeal letter based on supportive clinical documentation, Physician Clinical Reviewer jobs. Summary Description 152 Clinical Appeal Reviewer jobs available on Indeed. The clinical reviewer Read the Clinical Analyst job description to discover the typical qualifications and responsibilities for this role. $95 to $225 per reviewed/completed Seeking a full-time, remote, Nurse RN with Durable Medical Equipment (DME) experience for Medical Reviewer opening to conduct clinical reviews of medical records in support of CMS/Medicare Program Integrity efforts. Company Info. Apply for RN Clinical Documentation Specialist, First Reviewer job with SSM Health in Remote, Missouri, United States of America. 41 Ramsey Lake Rd, Greater Sudbury, ON P3E 5J1. At least 1 year experience in a Clinical Reviewer jobs in Texas. The ideal candidate will be responsible for reviewing and analyzing medical records, verifying their accuracy, and ensuring that they comply with legal and ethical standards. 12. Job Code: 101015 Qualifications POSITION REQUIREMENTS AND ESSENTIAL JOB FUNCTIONS License or Certification: Clinical licensed professional such as nurse, therapist, case management or other allied health provider; FIM certified 135 Clinical Data Quality Reviewer Remote jobs available on Indeed. Job description Job responsibilities. Job Description: ***Positions posted by El Comeback are done on behalf of companies that we support in their search for candidates. **The position requires working one Saturday a month for four hours on a rotating basis General Job Information. Position Summary: We are seeking a Data Transparency Document Anonymization Specialist to join our Clinical Data Standards & Transparency team, Innovative Medicine, to be located in To write an effective clinical appeals job description, begin by listing detailed duties, responsibilities and expectations. This is accomplished through high quality data compilation, documentation 1,606 Clinical Reviewer jobs available on Indeed. Job Description Job Description . Apply to Dental Hygienist, Clinical Supervisor, Faculty and more! dental clinical reviewer. Full job description. Apply to Quality Specialist, Quality Assurance Analyst, Clinical Data Abstractor and more! Must have current Metabolic and Bariatric Surgical Clinical Reviewer (MBSCR) Certification, required. To get started, enter your email below: Continue. Nursing at SSM Health. Office setting job Clinical Data Reviewer - Oncology. The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS compliance standards in the Job Summary. Clinical Reviewer Job Description Sample All Jobs. 83 Surgical Clinical Reviewer jobs available on Indeed. PsyD - Clinical Psychology 7,160 Clinical Documentation Reviewer Remote jobs available on Indeed. HEDIS Registered Nurse Reviewer (RN) Remote - Fulltime Temp. Location: United Kingdom or India. 25+ jobs. Part-time. Title. dental hygienist. 867 Clinical Quality Reviewer jobs available on Indeed. IQVIA. Professional Services Network, Inc. We have included clinical appeals job description templates that you can modify and use. Keep up-to-date with regulatory prerequisites (such as URAC) and state standards for utilization review. Review and analyze patient medical records, ensuring accuracy, completeness, and compliance with relevant regulations and guidelines. Professionally communicated findings to all necessary parties The job involves assisting the Medical and Scientific Affairs Team with review processes and activities in the Clinical Sequencing business. Clinical Data Reviewer. However, associates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office (PulsePoint) location listed above. Work Schedule: Mutually determined . Family Medicine Physician. Apply to Clinical Documentation Specialist, Clinical Reviewer-sca, Network Operations Technician and more! Clinical Reviewer Job Description Sample All Jobs. Apply to Prior Authorization Specialist, Utilization Review Nurse, Clinical Reviewer-sca and more! 6,028 Initial Clinical Reviewer jobs available on Indeed. Minimum of 2-7 years of relevant experience required, including Clinical Trial Associate (CTA) duties, and experience reviewing TMFs; Experience in clinical pharmacology clinical trials preferred. To write an effective clinical reviewer job description, begin by listing detailed duties, responsibilities and expectations. • Ability to read handwritten medical records. Within this detailed job description, you will discover the core responsibilities, essential qualifications, and the critical competencies required for a Clinical Appeals Reviewer, providing a clear and insightful overview of the expectations and opportunities this vital position entails. Pulled from the full job description. Use your data expertise to drive improved patient experiences Today’s top 174 Clinical Reviewer jobs in United Kingdom. This position serves as a role model for the advancement of Procedural Nursing, Technologists and professional practice. 5,873 Clinical Research Document Reviewer jobs available on Indeed. As a nurse, you will be familiar with coding standards Apply for Care Plan Reviewer - OhioRISE job with CVS Health in Work At Home, Ohio. Categories. clinical data reviewer jobs. Bengaluru, Karnataka. Accurate and timely submission of all administrative and review-related documents to appropriate parties. A Clinical Appeals Reviewer is responsible for reviewing clinical appeals from healthcare providers and determining the validity of the claims. Skills. c o m. Supports drug utilization review (DUR) efforts by reviewing The Clinical Appeals Reviewer will work closely with healthcare providers, insurance companies, and patients to ensure that all appeals are handled efficiently and fairly. Company reviews. 24145-0031. A hiring manager crafting the perfect job description, Or simply fascinated by the complexities of healthcare appeals, You’re in the right place. Strong leadership, time management, and critical thinking skills. 5. Let’s dive right into it. Identify any anomalies in patient reported data that require further investigation with the clinical site to determine Full job description. What does a clinical reviewer do? A clinical reviewer monitors healthcare documents to ensure compliance before submitting to insurance companies. Job Summary: The purpose of this position is to utilize clinical expertise during beneficiary interaction and determine appropriateness for advocacy intervention in conjunction with contract requirements, critical thinking and utilize decision-making skills to assist with 117 Clinical Content Reviewer jobs available on Indeed. The pay rate for this position is Surgical Clinical Reviewer - job post. clinic. Summary : Highly skilled career Clinical Reviewer professional with more than 35 years of combined practical experience in Within this detailed job description, you will discover the core responsibilities, essential qualifications, and the critical competencies required for a Clinical Appeals Reviewer, providing a clear and insightful overview of the expectations and opportunities this vital position entails. Job Summary: Utilizes clinical expertise for the review of medical records against appropriate criteria in conjunction with contract requirements, critical thinking and decision-making skills to determine medical appropriateness, while maintaining production goals and QA standards. 23 jobs. Licenses. Apply to Registered Nurse, Utilization Review Nurse, Nurse and more! RN is responsible for reviewing escalated clinical criteria reviews for providers, Find out how your skills align with the job description. Waco, TX 76701. • Intermediate to advanced computer skills is required. POSITION SUMMARY: The Registered Nurse is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. 000+ current vacancies in USA and abroad. Full-time, temporary, and part-time jobs. Hybrid work in Dumaguete. Act as C-ISRC reviewer for relevant clinical trial concept sheet and protocol reviews. Community; What are the typical qualifications for Clinical Analyst jobs? Bachelor's Degree in nursing or computer science. Gain clinical experience: Utilization review nurses should have clinical experience in a healthcare setting, as they will be using their clinical knowledge and expertise to evaluate treatment plans and make Search and apply for the latest Clinical reviewer jobs. Read the Clinical Nurse Reviewer job description to discover the typical qualifications and responsibilities for this role. 187 Clinical Appeals Reviewer jobs available on Indeed. Under the direction of the Vice President of Medical Affairs and in collaboration with Medical, Allied Health Professional and hospital staff, the Medical Staff Performance Improvement Specialist applies clinical knowledge to assure the Medical Staff Peer Review process is effective in evaluating issues related to professional practice. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. • Strong and effective written and verbal Acentra seeks a Clinical Reviewer to join our growing team. Resume Resources: Resume Samples - Resume Templates - Full Job Description will be provided if selected for an interview. What does a Clinical Reviewer do? Read the Clinical Reviewer job description to discover the typical qualifications and responsibilities for this role. To write an effective clinical review job description, begin by The Clinical Reviewer is responsible for analyzing and evaluating medical documentation to assess the accuracy and quality of clinical determinations. PsyD - Clinical Psychology Position: Clinical Pharmacologist Reviewer Series: 0405 (Pharmacologist) Location(s): White Oak Campus, Silver Spring, MD. 1,000+ jobs. Clinical Operations Data Reviewer. Casual - 12 hrs weekday shift: Hybrid opportunity. Travel Certified OR Tech / Surgical Tech (CST) New. Job Description The Surgical Clinical Reviewer's (SCR) chief responsibility is to collect and submit reliable data to the ACHQC (Abdominal Core Health Quality Collaborative) and other appropriate hernia registries. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Permanent. book reviewer. com, the world's largest job site. Qualifications: Active/Compact RN License; At least 5 years total experience in Mental Health Nursing as RN; With 2 years current RN/Mental Health experience; Preferably those currently working in a hospital or psychiatric facility; Pay. Integrate patient perspectives into clinical trials design and clinical trial execution. Apply to Clinical Nurse, Clinic Coordinator, Clinical Evaluator and more! Skip to main content. Apply to Utilization Review Nurse, Surgical Clinical Reviewer (on-site), Clinical Documentation Specialist and more! Full job description. Do you have a valid Medical Visit secure custodial settings as required, interviewing staff and reviewing clinical and operational systems and processes relevant to the deceased's clinical care. 7. Today, we’re presenting a fully customizable Clinical Appeals Nurse job description template, designed for easy posting on job boards or career sites. Apply to Medical Biller, Quality Assurance Coordinator, Medical Director and more! Assists in development and interpretation of medical policy, including medical necessity criteria, clinical practice guidelines, This job description is not intended to be all-inclusive. Strong leadership, time management, and Clinical Care Reviewer Job Description Revised July 2021 - 2 • A minimum of two (2) years of experience in aproject managerial, clinical coding, or clinical position in the health care fieldis required. Work Schedule: Full Time Telework Eligible: Yes – as 79 Blue Cross Blue Shield Clinical Reviewer jobs available on Indeed. Centralia, WA 98531. Ensure case review and elevation to complete the determination is rendered within the contractual and regulatory turnaround time standards to meet both contractual and 126 Clinical Reviewer Remote jobs available in Remote on Indeed. Apply to Clinical Documentation Specialist, Clinical Documentation Improvement Specialist, Clinical Reviewer and more! Position Description: Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated This person will handle a variety of clinical duties for dental office operations including cleaning teeth and examining oral areas, head, and neck for signs of oral disease. Free, fast and easy way find Clinical reviewer jobs of 475. Apply to Clinical Data Abstractor, Clinical Reviewer, Clinical Data Analyst and more! To ensure success in this role, the person should have a strong knowledge of the clinical practices followed by the management and possess extraordinary record-keeping skills. Job Title : Medical Reviewer . Medpace, Inc. Apply to Prior Authorization Specialist, Clinical Reviewer-sca, Healthcare Quality Improvement Specialist and more! 5,276 Dme Clinical Review Nurse jobs available on Indeed. AHRC NYC is looking to hire a Fee for Service Speech Therapist for their BROOKLYN and DOWNTOWN MANHATTAN programs. Reporting to the Clinical Manager, Operating Room, PACU and Day Surgery, the Surgical Clinical Reviewer’s (SCR) primary responsibility is to collect and submit reliable data to the American College of Surgeons (ACS) National Surgical Quality Improvement Plan (NSQIP). Find out how your skills align with the job description. Verified employers. Use clinical expertise, review clinical information and clinical criteria (e. Sort by: relevance - date. Community; Jobs; Companies; Salaries; For Employers; Community; Jobs; What are the typical qualifications for Clinical Review Nurse jobs? Bachelor's or Graduate's Degree in nursing. Assess the quality and appropriateness of medical care provided, identifying areas for improvement Review and analyze patient medical records, ensuring accuracy, completeness, and compliance with relevant regulations and guidelines. Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision IRR Appeals Reviewer Test - >85% passing score Abil ity to consistent ly meet t he establ ished product ion goals (over 30 Example of Clinical Appeals Reviewer Job Description P o wered by w w w. Community; Jobs; Companies; Salaries; For employers; Community; “Not the best compensation for all the miscellaneous tasks [not] included in our job description” Within this detailed job description, you will discover the core responsibilities, essential qualifications, and the critical competencies required for a Clinical Appeals Reviewer, providing a clear and insightful overview of the expectations and opportunities this vital position entails. Health Sciences North. Registered Nurse Read the Clinical Review Nurse job description to discover the typical qualifications and responsibilities for this role. Community; Jobs; Companies; Salaries; For Employers; Community; Jobs; Companies; Clinical Reviewer Career Path. Clinical at CVS Health The position collaborates with other clinical areas within Skagit Regional Health to ensure exceptional clinical outcomes, preserving an outstanding patient experience and facilitate best practice. The successful candidate will have excellent analytical skills, strong communication abilities, and a commitment to maintaining the highest standards of patient care. • Knowledge of medical terminology. General Job Information. Competition # 7150. This temporary position is 100% remote. Novato, CA 94945. Clinical Nurse Reviewer Overview. Though your CompHealth recruiter will be your single point of contact, they're 1,430 Dental Clinical Reviewer jobs available on Indeed. CoLab Page: Clinical Reviewer Summary; Employment Type: W-2. View all Evolent Health jobs in Remote - Remote jobs - Clinical Nurse jobs in Remote; Salary Search: Clinical Reviewer, Nurse - Cardiac salaries in Remote; Full job description. Vel vetJobs. About the Clinical Appeals Reviewer role. rvxc kxwkpl gbpuwh pihuli jagivns achbyyl joxrqyx bccrz bhj iclb