Clinical Case Review Specialist

Job Title:Clinical Case CoordinatorAbout the Role:We are seeking a highly organized and empathetic Clinical Case Coordinator to serve as the first point of contact for prospective clients. In this role, you will be responsible for managing the case intake process from initial inquiry to case assignment, ensuring a seamless and professional experience for...

We are seeking a Medical Reviewer to join our team.Job Description:Prepare case files and Disability Benefits Questionnaires (DBQs) assigned in the client portal by accessing, navigating, and preparing different apps on the medical provider's computer prior to scheduled appointments.Review and bookmark medical records, create a synopsis, and answer medical...

Clinical Oncology Peer Reviewer JobWe are seeking researchers, retired researchers, and former researchers to perform peer reviews for journals and publishers.You should be able to disclose your full name and affiliations with the publishers.QualificationsDoctorate (PhD/MD) or equivalent advanced degree in Clinical Oncology is required.At least two...

Key Responsibilities This role involves coordinating patient care and ensuring that members receive medically necessary, quality healthcare in a cost-effective setting. Conduct Utilization Management (UM) reviews to ensure compliance with applicable criteria, medical policy, and member eligibility. Review service requests to ensure accuracy and completeness...

Job Title:Care Coordinator – Registered NurseJob Description:As a Care Coordinator, you will play a critical role in improving the health outcomes of patients across the United States.We are actively hiring Registered Nurses (RNs) to join a major healthcare initiative focused on care coordination and chronic disease management.This is a full-time night...

Role Summary:We are seeking an experienced Case Specialist to join our dynamic team. As a key member, you will be responsible for managing and reviewing case files, ensuring accurate data entry and quality control.Key Responsibilities:Data entry and review of vigilance cases.Medical assessment of cases according to relevant conventions and regulatory...

Healthcare Professional Sought for Temporary WFH RoleWe are looking for a skilled and experienced healthcare professional to fill a temporary work-from-home position.Job Description:Clinical Review Nurses will conduct clinical review of cases not meeting criteria by performing clinical intake and adjudicating (closings), requesting additional clinical...

Case Optimization Specialist Job OverviewJob SummaryThis role focuses on optimizing case conversions through a voice-based intake system. The successful candidate will be responsible for making outbound calls, guiding potential clients through the intake process, and accurately capturing case details.The ideal candidate should have excellent communication...

Role OverviewWe seek a detail-oriented professional to assist with clinical note creation and review using AI-powered tools. This role involves accurately documenting mental health information while ensuring confidentiality and consistency.Key Responsibilities:Draft, review, and refine mental health clinical notes utilizing AI-powered tools.Enter finalized...

Medical Reviewer PositionWe are seeking a skilled professional to manage patient wound care records, verify insurance eligibility, and coordinate the supply of essential medical materials.Main Responsibilities:Responsible for recording progress in wound care intakePull reports and documents for patients with wounds at home during reviewCommunicate with the...