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CLINICAL/UTILIZATION REVIEW NURSE

Manages complex and robust queue according to Aspirion and client needs. Queue size varies weekly. Reviews insurance denials, including but not limited to, medical necessity denials, patient status denials (i.e., Inpatient vs. Out...

CompanyAspirion Health Resources Llc
AddressRemote
CategoryEducation/Training
SalaryFrom $68,000 a year
Date Posted a month ago See detail

Clinical/Utilization Review Nurse

Aspirion Health Resources Llc

Remote

From $68,000 a year

Manages complex and robust queue according to Aspirion and client needs. Queue size varies weekly. Reviews insurance denials, including but not limited to, medical necessity denials, patient status denials (i.e., Inpatient vs. Out...

a month ago seen See more...

Manager of Peer Review and Clinical Support

Salem Health Hospitals & Clinics

Salem, OR

From $41.18 an hour

Relocation assistance available for qualified candidates. Full comprehensive medical, dental, and vision plans. Basic and voluntary life insurance. Short and long-term disability. Live Well Wellness Program. Employee Assistance Pr...

a month ago seen See more...

Clinical Documentation Reviewer/Data Entry

Home Health Strategic Management

Lansing, MI

$17 - $21 an hour

Professional communication with office staff and healthcare professionals (via email and phone). Basic knowledge of medical terminology. Experience working in Medical Records preferred. Proficient in all Microsoft applications E...

a month ago seen See more...

OASIS/Clinical Record Review Nurse

Safrest

New York, NY

Monday through Friday (hybrid inBrooklyn). Benefits: PTO, 401(k) with a 5% match, FSA, and more! Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulatio...

a month ago seen See more...

Client Relationship Manager - Medical Claim/Bill Review

Alaffia Health

Remote

$90,000 - $110,000 a year

Managing a portfolio of clients to achieve operation objectives, retain revenue, and identify upsell opportunities. Understand client scope of work and serve as the client advocate when working with internal teams to ensure that c...

a month ago seen See more...

Clinical Nurse Reviewer, Specialty Solutions

Clario

Remote

$74K - $93.7K a year

Reviewing study requirements and endpoint definitions and collaborates with key stakeholders to develop study start-up activities and associated documents for endpoint adjudication Assists the Clinical Endpoint Project Manager in...

a month ago seen See more...

Clinical Pharmacist Reviewer- REMOTE

Prime Therapeutics

Remote

$109,480 - $186,120 a year

Pharmacy Data Review: Regularly reviews and monitors prescription claims data and prescribing practices identified as outliers by internal and/or external analysis of pharmacy claims data. Telephonic Consultations/Interventions: C...

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Clinical Chart Review Office Nurse LPN CMA RMA

Holston Medical Group

Greeneville, TN

None. Accountability - Accepting responsibility that results in anticipation/prevention of problem areas from actions, and problem solving and outside the department/organization. Customer focus - knowing the patient needs and act...

2 months ago seen See more...

Non-Clinical Coding and OASIS Review Manager

Bayada Home Health Care

Pennsauken, NJ

This role is fully remote, candidates may be based anywhere in the US. Base Salary: $62000/year depending on qualifications. Bonus Opportunity of $500/Quarter based on department metrics. BAYADA offers a comprehensive benefits pla...

2 months ago seen See more...

Clinical Quality Review Specialist

Trinity Health

Livonia, MI

Registered Nurse with current license from the state in which practicing. May be required to obtain additional state licenses. . Degree: Bachelor's preferred. Associate nursing degree considered if successfully demonstrated career...

2 months ago seen See more...

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What are the top cities open Clinical Claim Review jobs?

There are open Clinical Claim Review jobs in several cities including Minnetonka, Metairie, Phoenix, Boise, Rancho Cucamonga, Eden Prairie,

What companies are hiring for Clinical Claim Review jobs?

The top companies hiring now for Clinical Claim Review jobs are Optum,

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