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Now hiring in New York, NY Position Posting – Risk, Quality, and Patient Safety Clinical Reviewer and Trainer
Affiliates Risk Management Services...
at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine they need to feel better...
at Guidehouse in Boise, Idaho, United States Job Description Job Family : CDI Specialist Travel Required : None Clearance Required : None What...
* Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
* Ensures clear, concise,...
* Performs utilization and case management reviews using established criteria to confirm medical necessity, appropriate level of care and efficient...
HMS collaborative reviewer
The Clinical Nurse Reviewer's chief responsibility is to collect and submit reliable data on eligible cases as required...
Our Behavioral Health UM Clinical Reviewer (RN, LCSW,LPC, and/or LBA) will use clinical expertise to review medical records against appropriate...
As a Nurse Reviewer - Remote El Paso, TX at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve...
Utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer...
Under the immediate supervision of the Director of Quality Management, the Clinical Documentation Reviewer oversees the healthcare organization's...
Utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer...
This position is based in Western Massachusetts.
Remote Home Office w/Travel-Based Review Visits
#LI-VG1…
Medical Center Case Manager / Discharge Planner / Utilization Review, Registered Nurse (RN) is responsible for compliance with CMS Conditions...
* Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
* Ensures clear, concise,...
* Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but not limited...
I. General Summary - This is not a remote position.
The Neonatal Escalation Safety Telemetry (NEST) program is a 24/7 remote operation that is staffed...
Under the direction of the Supervisor, the BH UM Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge...
This role is designed for the nurse who is a clinical and professional leader at the unit level. Demonstrates effective and consistent leadership...
Supervises the Clinical Documentation Integrity (CDI) program, identifying areas of focus for improvement opportunity through report analysis...
