Clinical Review Specialist

Job Title: Clinical Utilization ReviewerEvaluate and screen potential admissions to our healthcare facility. This entails conducting thorough assessments of patients to ensure they are receiving the appropriate level of care for their condition.The goal is to assess the medical necessity of services provided, ensuring that treatments align with patient needs...

Part-Time Clinical Documentation SpecialistWe are seeking a detail-oriented and reliable professional to support mental health professionals by creating and reviewing clinical notes with the assistance of AI technology.Draft, review, and refine mental health clinical notes using AI-powered tools.Accurately enter finalized notes into multiple platforms while...

Job SummaryWe are seeking a highly skilled and detail-oriented Clinical Review Expert to support our Residential, PHP, and IOP levels of care.This individual will be responsible for conducting clinical reviews, case consultations, and interfacing with insurance payers to obtain continued authorization.Main ResponsibilitiesConduct thorough clinical reviews...

Our organization is seeking a seasoned Clinical Case Reviewer.This key role entails conducting thorough clinical reviews of cases that do not meet criteria, performing comprehensive clinical intake, and making informed decisions to close cases or request additional information from Medical Directors.The ideal candidate will possess excellent verbal and...

Medical Documentation SpecialistWe are seeking a highly skilled Medical Documentation Specialist to join our team. As a Medical Documentation Specialist, you will work closely with healthcare providers to document clinical interactions in real time, ensuring accurate and detailed patient records.Key ResponsibilitiesDocumenting real-time patient encounters...

Medical Coder RoleAs a Medical Coder, you will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.Research and identify relevant medical coding and billing documents to support the development of our...

Job OpportunityThis role is designed for a licensed clinical or medical professional with expertise in behavioral health documentation and insurance requirements.The ideal candidate will be responsible for conducting peer reviews, case consultations, and interfacing with payers to obtain continued authorization.Key Responsibilities:Conduct comprehensive peer...

Expert Reviewer in Clinical OncologyWe are seeking a highly skilled Freelance Peer Reviewer to join our pool of experts in the field of Clinical Oncology. As a Freelance Peer Reviewer, you will play a crucial role in assessing and evaluating manuscripts for publication in academic journals.The ideal candidate will possess exceptional analytical and critical...

Embark on a fulfilling career as an Editorial Reviewer in Clinical Oncology.As a full-time work-from-home specialist, you will collaborate with researchers worldwide to publish groundbreaking research in esteemed journals.Key ResponsibilitiesEnsure edited manuscripts meet international publication standards through rigorous quality assurance checksProvide...

The role of a Healthcare Specialist is crucial in ensuring the delivery of high-quality patient care. As part of our team, you will be responsible for conducting clinical reviews of cases, performing intake and adjudication, and escalating to Medical Directors when necessary.Key Responsibilities:Conducting clinical review of cases not meeting criteria...