- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, ... DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for clinical validation of diagnosis and procedure code assignment and MS-DRG/APR-DRG… more
- Wolters Kluwer (Colonie, NY)
- …evaluations, send to facilitator PreView & ReView Content Management Consultant/Senior Clinical Content Specialist and file. + Collaborate with the PreView & ... ReView Content Management Consultant/Senor Clinical Content Specialist to schedule PreViews/ReViews to be offered to schools regularly. + Assist as needed in… more
- UCLA Health (Santa Monica, CA)
- …for the identification, collection, and entry of quality data for the Clinical Registries, Patient Safety Indicators (PSIs), and Hospital Acquired Conditions (HACs) ... program.This will involve applying your clinical knowledge to analyze data and identify trends and...improvement. You will serve as a liaison between the clinical stakeholders, clinical registries, and outsourced registry… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services ... and collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital… more
- HCA Healthcare (Dallas, TX)
- …who may need acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until ... you to apply for our Division Clinical Rehab Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for… more
- HCA Healthcare (Richmond, VA)
- …who may need acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until ... encourage you to apply for our Clinical Rehab Specialist PRN opening. We review all applications. Qualified candidates will be contacted for interviews.… more
- Saint Luke's (Kansas City, MO)
- **Job Description** **The Opportunity:** Saint Luke's is looking for a Clinical Documentation Specialist to review medical record documentation to ensure ... appropriate representation of severity of illness, complications, comorbidities, and clinical support. This person will educate clinical providers on accurate… more
- BayCare Health System (Tampa, FL)
- …that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities ... and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Specialist Sr. **Location** Tampa:St Josephs | Clinical | Full Time… more
- Access Dubuque (Dubuque, IA)
- …pharmacist on duty during day-to-day operations and reports directly to the Director of Clinical Review . The Data Entry Specialist will perform technical ... Data Entry Specialist **MedOne Pharmacy Benefit Solutions** 1 Positions ID:...verify data in specified systems or spreadsheets. + Prepare clinical review documentation for review … more
- Montrose Memorial Hospital (Montrose, CO)
- …care provided. This position combines the unique skill sets of the Utilization Review Nurse and Clinical Documentation Specialist to facilitate documentation ... patient. About The Career: + The purpose of the Clinical Revenue Specialist position is to ensure...preferred; and one (1) to two (2) years Utilization Review experience preferred. What We Offer: + Mentoring +… more