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Job Description Description: Soleo Health is seeking a Clinical Review Coordinator to support our Home Infusion Specialty Pharmacy Operations Remotely (USA - Eastern Time Zone). Join us in Simplifying Complex Care! RN or LPN license required....
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Introduction
Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity...
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The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or...
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...better. We create fulfilling purpose-driven careers by learning from the world and each other.
POSITION TITLE
Claims Clinical Specialist – Medical Review Team
POSITION LOCATION
This position is available to Virginia residents as Richmond or Lynchburg, VA Hybrid in-...
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...Summary: The Bariatric Surgical Clinical Reviewers (BSCR) chief responsibility is to collect and submit data to the ACS Bariatric Data Registry Platform. This task is accomplished through high quality data compilation, documentation, and entry of 100 percent of bariatric...
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...the department.
Researching, organizing and assimilating clinical, safety, and/or toxicology information to support medical safety... ...Assisting in the generation of medical justification content reviews/templates for MSS.
Assisting in the evaluation and establishment...
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...within an award-winning health system. Use your data expertise to drive improved patient experiences as part of a world-class healthcare team. Take your career in an exciting new direction. You can do all this and more at UCLA Heal Clinical, Specialist, Data, Healthcare...
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...Clinical Review RN
5297 W Copans Rd, Margate, FL 33063, USA
Req #460
Monday, April 29, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general...
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...services, committed to delivering high-quality, patient-centered care.
We are currently seeking a dedicated and experienced Clinical Review Nurse (CRN) to join our team.
Collaborate with clinical staff and other team members to foster a culture of continuous improvement...
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Job Description This is a remote position.
The Clinical Review Specialist will be responsible for performing prospective, concurrent, or retrospective utilization review/medical management for all services provided by our organization. This role...
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...Description This is a remote position.
We are currently seeking a highly skilled and experienced individual to join our team as a Clinical Review Manager. In this role, you will provide leadership and oversight to the Review and Evaluation Process, ensuring efficient and...
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...safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.
**Metabolic & Bariatric Surgery Clinical Reviewer - Mercy Health Physicians - PRN**
**Person hired in this role will be required to be...
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...Physician Clinical Reviewer- Pediatric Oncology - REMOTE at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and...
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...Community and Human Services
Division: CENTER FOR CHILD AND FAMILY
Opening Date: 05/17/2023
Senior Therapist - Youth Clinical Utilization Review
The City of Alexandria is located in northern Virginia and is bordered by the District of Columbia (Potomac River),...
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...Job Description
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The Clinical Review Specialist is responsible for proper clinical review and interpretation of medical records and claim documentation to assist with the appeals of denied insurance claims. Responsibilities include drafting...
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...The Clinical Trial Reviewer is a full-time physician position with the FDA. It is a hybrid role where candidates must live within commutable distance of the FDA Headquarters in Silver Spring, MD and willing to report to the office at least one day per week. The team follows...
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...volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.
The Clinical Review and Coding Nurse is responsible to attain procedure and diagnosis coding accuracy and consistency on referred cases. The RN...
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...Optimization Platform. Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim... .... About our Opportunity:
As the Clinical and Bill Review Advisor at Valenz Health, you will play a pivotal role in guiding...
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...Benefits include:
Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs!... ...Responsible for direct oversight and management of clinical review processes within Appeals & Grievances Department. Ensures regulatory...
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...RN - Grievance and Appeals Clinical Reviewer
5297 W Copans Rd, Margate, FL 33063, USA
Req #461
Monday, April 29, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare...
