Clinical Oncology Peer Review Specialist

Job OpportunityWe are seeking a detail-oriented Clinical Review Specialist to support our programs of care.This individual will be responsible for conducting clinical reviews, case consultations, and interfacing with payers to obtain continued authorization.The ideal candidate will be a licensed clinical or medical professional who is deeply familiar with...

We are seeking a detail oriented and experienced Registered Nurse (RN) to join our PIONEER TEAM as a Virtual Utilization Review Nurse. You'll be responsible for reviewing medical records and clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided. You'll work closely with physicians, case...

e are seeking a detail oriented and experienced Registered Nurse (RN) to join our TEAM as a Virtual Utilization Review Nurse.You'll be responsible for reviewing medical records and clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided. You'll work closely with physicians, case managers, and...

Job Title: Clinical Documentation SpecialistJob Description:A clinical documentation specialist works closely with healthcare providers to document clinical interactions in real time, ensuring accurate and detailed patient records. This role allows medical professionals to focus more on patient care by handling the documentation side of the...

Job DescriptionThe Clinical Support Specialist will work closely with the Director of Nursing to oversee clinical operations for home care services. They will be responsible for providing direct support and ensuring seamless communication between nurses, patients, families, and providers.Key Responsibilities:Clinical & Administrative SupportReview and...

Medical Coder Role OverviewThe Medical Coder will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for an automated claims editing solution. This solution is utilized by medical insurance payers across the United States.The...

Job Title:Clinical Outreach SpecialistAbout the RoleWe are seeking a highly skilled Clinical Outreach Specialist to join our team.This is a fast-paced and dynamic role that requires a strong understanding of clinical research and outreach strategies.Key Responsibilities:Design and execute targeted campaigns to activate clinical trial sites.Research and...

Medical CoderWe are seeking a highly skilled medical professional to fill this role.Key Responsibilities:Conduct research and identify relevant medical documents to inform our claims editing solution.Provide written and oral presentations to subject matter experts to obtain consensus on proposed criteria.Offer clinical content support to our clients as...

About this roleThis Clinical Nurse Case Manager position involves working with patients to ensure they receive the best possible care in a cost-effective manner. The successful candidate will be responsible for conducting medical management reviews and collaborating with clinical reviewers and medical directors to provide high-quality, medically appropriate...

Key Position:We are searching for a Clinical Account Specialist to ensure exceptional delivery of our clinical services across onsite and virtual channels.Primary Responsibilities:Client Engagement & Performance OversightClinical Service AssuranceLead Clinician Management & Quality ControlInterdepartmental Collaboration & ProjectsEssential...