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Full-Time Clinical Review jobs

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REGISTERED NURSE- RISK MANAGER CLINICAL REVIEWER

Demonstrates knowledge in the interpretation and application of accrediting body standards and other agency requirements. Assists with monitoring of various aspects of care provided to Veterans and the analysis and interpretation...

CompanyDepartment Of Veterans Affairs
AddressMartinsburg, WV
CategoryEducation/Training
SalaryCompetitive
Job typeFull Time
Date Posted 7 days ago See detail

Registered Nurse- Risk Manager Clinical Reviewer

Department Of Veterans Affairs

Martinsburg, WV

Competitive

Demonstrates knowledge in the interpretation and application of accrediting body standards and other agency requirements. Assists with monitoring of various aspects of care provided to Veterans and the analysis and interpretation...

7 days ago seen See more...

Supervisor - Clinical Review (Full-time - Salaried/Exempt) Washington State

Kaiser Permanente

Spokane, WA

Monitors and acts on daily operations of the Clinical Review, Case Management, and Code Review nursing staff using daily management systems. Manages and monitors daily work product of the Clinical Review, Case Management and Code...

2 weeks ago seen See more...

Registered Nurse Clinical Reviewer PRN

Corpus Christi Medical Center Bay Area

Corpus Christi, TX

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

a month ago seen See more...

Clinical Reviewer, Grievance & Appeals - Remote

Connecticare

New York, NY

$63,000 - $110,000 a year

Prepare and present clinical summations/recommendations to the Medical Director or Pharmacist, or Independent Review Organization in accordance with state and federal regulations, NCQA requirements, and internal policy for final c...

2 months ago seen See more...

Surgical Clinical Reviewer - Bariatrics

Hartford Healthcare

Shelton, CT

This task is accomplished through high-quality data compilation, documentation, and entry of 100 percent of bariatric procedures performed at the center. Qualifications EducationBachelor of Science in Nursing (BSN); Bachelors Deg...

2 months ago seen See more...

Clinical Reviewer (Medical Coding Academy - COC) San Juan, PR

Optum

San Juan, PR

$64.3K - $81.4K a year

Clinical Case Reviews -75%Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported.Maintain standards for productivity and accuracy. Standards are defin...

2 months ago seen See more...

Cardiovascular Services Clinical Reviewer (Business Data Analyst 3)

Oregon Health & Science University

Portland, OR

identifies patients for inclusion in applicable registries. navigates the electronic medical record system, Epic, to abstract concurrent and retrospective data on all patients meeting national registry guidelines. finds, reads, an...

2 months ago seen See more...

Clinical Review Coordinator - Remote in PST, MST, CST or HI

Optum

Dallas, TX

$33.75 - $66.25 an hour

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Ensure timely processing of all denial- related and member-oriented written communications from naviHealth. Ensure that all denial informat...

2 months ago seen See more...

Clinical Review Nurse

Novitas

United States

$51.1K - $64.7K a year

Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire. Short- and long-term disability benefits. 401(k) plan with company match and immediate vesting. Free teleh...

2 months ago seen See more...

Clinical Review RN

Centers Plan For Healthy Living

Margate, FL

$80.2K - $102K a year

Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Reviews Outcome Assessment Information Set (OASIS) and visit documentation for errors...

2 months ago seen See more...

Clinical Claim Review RN - Medical Disability - Remote

Optum

Nashville, TN

$28.03 - $54.95 an hour

Remain up to date with the contract requirements. Use clinical judgement to ensure a clear, comprehensive, and concise exam documentation that is reflective of the patients service level conditions and in compliance to contract r...

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...

2 months 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...

2 months 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...

2 months ago seen See more...

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...

What should I search to find Full-Time Clinical Review jobs?

People who searched for Full-Time Clinical Review jobs also searched for Physician Clinic, Clinical Account Specialist, Clinical Assistant Manager, Review Nurse, Clinical Account Executive, Clinical Site, Clinical Project Manager, Clinical Pharmacy Manager, Clinic Office, Pulmonary Clinic, Register Nurse Clinical Manager, Concurrent Review, Clinic/Ambulatory, Clinical Therapist, Inpatient Clinical Pharmacist, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

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What are the top cities open Full-Time Clinical Review jobs?

There are open Full-Time Clinical Review jobs in several cities including Chattanooga, Phoenix, Dallas, Pocatello, Plano, Las Vegas, New York, Honolulu, Lehi, Pearl, Burlington, South Portland, Towson, Fort Worth, Saint Louis,

What companies are hiring for Full-Time Clinical Review jobs?

The top companies hiring now for Full-Time Clinical Review jobs are AmTrust Financial Services, Inc., AmTrust Financial Services, Inc, Cambia Health Solutions, Delta Dental Ins., Optum, Optum - 3.3, Soleo Health Inc, UnitedHealth Group,

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