- Actalent (Eagan, MN)
- …* Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on ... Now Hiring: Pharmacist - 100% Remote | $55/hr | Consultant-to-Hire Opportunity! Are you...a Pharmacist, your primary responsibility will be leveraging your clinical skills to complete utilization management (UM) reviews-including prior… more
- CVS Health (Salt Lake City, UT)
- …in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. Applies the appropriate clinical criteria/guideline and plan ... heart, each and every day. This position will be remote working from home anywhere in the US. **Schedule...critical thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use… more
- Actalent (Miami, FL)
- Urgent Hiring for " Remote Clinical Review Nurses" Job Description: + Review approximately 20 cases a day for medical necessity. + Advocate for and ... * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** **Description:** Certified Coder Fully remote . May include every 5th weekend rotation **POSITION PURPOSE** Responsible ... complete documentation to ensure revenue optimization and integrity. Performs outpatient clinical documentation improvement review (acute only) as needed.… more
- Penn Medicine (Plainsboro, NJ)
- …our future each day. Are you living your life's work? **Location:** Plainsboro, NJ - FULLY REMOTE for Out of State candidates. **_PA and NJ residents are ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Trinity Health (Syracuse, NY)
- …complete documentation to ensure revenue optimization and integrity.Performs outpatient clinical documentation improvement review (acute only) as needed.Performs ... brothers. **VISION:** To be world-renowned for passionate patient care and outstanding clinical outcomes. **CORE VALUES:** In the spirit of good _Stewardship,_ we… more
- Tufts Medicine (Burlington, MA)
- **Hours:** 40 hours per week. Monday through Friday. **Location:** 100% remote . **Job Profile** **Summary** This role focuses on activities related to revenue cycle ... focuses on support of daily business activities (eg, technical, clinical , non- clinical ) operating in a "hands on"...within Epic, for missing documentation. Works with leadership to review denial reports as well as participating in internal… more
- Trinity Health (Syracuse, NY)
- …KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding, provider auditing and clinical /education experience required. Must have 5 or more years' experience as ... a risk adjustment auditor and educator and/or clinical documentation improvement specialist with a solid background in value-based plans (VBP), Medicare Advantage… more
- CVS Health (Phoenix, AZ)
- …work truly matters, Mercy Care is the place for you. **Key Responsibilities** + Review clinical information and apply medical necessity criteria to make coverage ... collaboration through virtual platforms, offering a comfortable and structured work environment. + Fully remote with occasional travel to Phoenix, AZ (up to… more
- Teleflex (Wayne, PA)
- Senior Director, Clinical Evidence Generation ( REMOTE ) **Date:** Jul 23, 2025 **Location:** Wayne, PA, US **Company:** Teleflex **Expected Travel** : Up to 10% ... resolve challenges. * Proven ability to successfully interact with CROs, CRAs ( Clinical Research Associates), IRBs (Institutional Review Boards), EC (Ethical… more
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