• Clinical Denials Prevention & Appeals…

    Nuvance Health (Danbury, CT)
    …critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ensuring compliance with CMS requirements, ... behaviors to internal leadership for assistance in resolution. *Responsibilities* * Review all inpatient admission and observation cases using InterQual, or Milliman… more
    Nuvance Health (09/25/25)
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  • FSP Document Review Specialist II…

    ThermoFisher Scientific (Waltham, MA)
    …Partnership (FSP) Team in North America. We are seeking an experienced and skilled Document Review Specialist II who will be dedicated to one or more clients in ... in a range of document management systems would be preferred. As a remote-based Document Review Specialist within the FSP Team, you will effectively review more
    ThermoFisher Scientific (11/26/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible ... for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use...and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions,… more
    BriteLife Recovery (11/03/25)
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  • Acute Care Clinical Pharmacist…

    Banner Health (Tucson, AZ)
    …advanced neuroscience techniques and a multi-organ transplant program. As an **Acute Care Clinical Pharmacy Specialist ** joining the team, you will become part ... position that will be primarily pediatric oncology unit-based decentralized clinical services (order verification, medication review , pharmacokinetic monitoring,… more
    Banner Health (11/26/25)
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  • RN, Clinical Quality Specialist

    WesleyLife (Johnston, IA)
    …as well as the people whose lives they touch. **A Typical Day for a RN, Clinical Quality Specialist :** + You will serve the organization in a provisional status, ... on **joy** in your day-to-day work life, consider one of our roles. From clinical positions to hospitality roles to administrative positions, we offer all our team… more
    WesleyLife (10/22/25)
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  • Clinical Research Participant…

    University of Miami (Miami, FL)
    …. The Hussman Institute has an exciting opportunity for a full time Clinical Research Participant Specialist position. The incumbent assists in community ... outreach, recruitment, enrollment, and retention of participants for clinical studies/trials. Key responsibilities of this role include scheduling assessments,… more
    University of Miami (10/14/25)
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  • Clinical Pharmacy Specialist HemeOnc

    Rush University Medical Center (Chicago, IL)
    …disability, veteran status, and other legally protected characteristics. **Position** Clinical Pharmacy Specialist HemeOnc **Location** US:IL:Chicago **Req ID** ... Offers may vary depending on the circumstances of each case. **Summary:** Clinical pharmacy services will be provided to the malignant hematology, medical oncology,… more
    Rush University Medical Center (09/18/25)
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  • Disability Clinical Specialist

    Sedgwick (Cedar Rapids, IA)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical ... need for absence from work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims; documents decision rationale; and… more
    Sedgwick (10/10/25)
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  • Senior Clinical Coding Specialist

    MD Anderson Cancer Center (Houston, TX)
    …of a world-class team dedicated to Making Cancer History(R). As a *Senior Clinical Coding Specialist * in our *Revenue Operations and Coding Department*, your ... professional growth through continuing education, coding rounds, seminars, and literature review . * Participate in team meetings and provide feedback on… more
    MD Anderson Cancer Center (10/28/25)
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  • Registered Nurse (RN) Clinical Data…

    Truman Medical Centers (Kansas City, MO)
    …to search for positions and apply.** Registered Nurse (RN) Clinical Data Abstraction Specialist - Cardiology & Stroke ... Per Week** 40 **Job Description** Join us as a Clinical Data Abstraction Specialist RN and play...that improve patient care. **What You Will Do:** + Review medical records for cardiac and stroke patients and… more
    Truman Medical Centers (11/26/25)
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