- The Hartford (Hartford, CT)
- …Drug Review / Utilization Review for Workers' Compensation Claims. An Initial Clinical Reviewer (ICR) is responsible for evaluating treatment requests ... future. The Clinical team is seeking an Initial Clinical Reviewer . In this...using nursing judgment, treatment criteria guidelines and Physician Advisor/Peer Clinical Review referral process. Conduct first level… more
- Commonwealth Care Alliance (Boston, MA)
- …the system, our Clinical Informaticists serve as trusted advisors, brought into initial Clinical discussions and client meetings, as well as IT meetings, to ... rapidly orient to and analyze ongoing questions and developments + Drive business review of proposed and scheduled clinical application updates (including but… more
- Elevance Health (Houston, TX)
- … initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires ... **Nurse Reviewer I** **Location:** This role enables associates to work...additional medical necessity review . + Conducts initial medical necessity review… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- … information about medical status, diagnoses, and future care needs. + Conduct initial intake clinical assessment to determine what acuity/outreach is needed and ... Case Management / Medical Management services to its clients. Clinical Coordinator facilitates case management by performing intake and...GED is required. + Strong skills in medical record review . + Familiarity with medical terminology a plus. +… more
- Hartford HealthCare (Hartford, CT)
- …different specialties. The primary responsibility of the Metabolic and Bariatric Surgical/Medical Clinical Reviewer (MBSCR) is to ensure the accurate and timely ... data registry activities, including program teleconferences and meetings. Maintains Surgical Clinical Reviewer (SCR) certification on an annual basis, in… more
- Independent Health (Buffalo, NY)
- …research of initial coverage determinations, and lead coordination of clinical review with appropriate internal stakeholders and Medical Director. This ... benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical Reviewer will be responsible for the collection and review… more
- St. Luke's University Health Network (Bethlehem, PA)
- …of a patient's ability to pay for health care. The Admission's Clinical Reviewer is responsible for the comprehensive medical review and screening of all ... and responds to all inquiries for admission to ARC + Completes thorough review of documentation and information and assesses a patient's appropriateness for ARC… more
- Atlantic Health System (Summit, NJ)
- …Crisis Intervention Services including: a. Patient Assessment & Counseling, complete initial clinical and risk assessments for co-occurring, psychiatric and ... assessments referencing clinical evidentiary findings to support initial clinical summations. c. Completing assessments for...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
- PruittHealth (Savannah, GA)
- …skills of partners. 3. Participates in the interview and selection process of clinical staff. 4. Completes initial competency assessment of clinical ... ** CLINICAL COMPETENCY COORDINATOR** **Join the PruittHealth family, where...conditions and acuity. 7. Meets regularly with DHS to review learning needs, coordinate training and to implement plans… more
- City of New York (New York, NY)
- …in all quality monitoring activities related to the MRAM Medical Audit process - Review initial medical services for children newly admitted to foster care - ... variety of health-related topics. The office also conducts research and provides clinical expertise in developing health and mental health policies that support best… more
Recent Jobs
-
Social Studies Teacher (Grades 7-12)
- Waverly-Shell Rock Community School District (Waverly, IA)