Clinical Bedside Experience Specialist

Role Summary:Our organization seeks a highly skilled and experienced Registered Nurse to fill the position of Clinical Bedside RN - Utilization Review Specialist.Key Responsibilities:Active licensure in nursingClinical bedside experience with a minimum of 1 yearBackground in healthcare utilization management, including Workers Compensation and Provider...

Job Title: Clinical Utilization Review SpecialistJob Description:We are seeking a skilled Clinical Utilization Review Specialist to assess and interpret customer needs, requirements, and medical records. The ideal candidate will review medical claims for medical necessity, ensuring that services meet the highest standards of quality and care.Required Skills...

QualificationsMust have an active PHRN license, preferably not holding a nursing license from another state. At least 6 months of experience in Clinical Authorization or Clinical Denials and Appeals, with familiarity in medical necessity, clinical authorization, and denial & appeal criteria. At least 6 months of bedside nursing experience preferred but not...

Healthcare Specialist Position OverviewThe ideal candidate will possess strong clinical expertise, excellent communication skills, and the ability to work independently. We are seeking a skilled and experienced Healthcare Specialist to join our organization on a temporary work-from-home basis.Job Description:Conduct clinical reviews of cases not meeting...

Join to apply for the Clinical Specialist role at Bausch Health Companies Inc.Join our global diversified pharmaceutical company enriching lives through our relentless drive to deliver better health outcomes to our patients. We are all in it together to make a difference. Be a part of a culture that doesn't just wait for change but actively creates it where...

We Are Hiring: Clinical Authorization Specialists (Surgery, Pharmacy, Oncology) - BLENDED ACCOUNT Taguig | Night Shift | Onsite | Up to 53K Package | Start ASAP - September 22Open Roles:Clinical Authorization SpecialistClinical Authorization Specialist (Pharmacy)Clinical Authorization (Surgery & Oncology)QA – Clinical Authorization (Surgery &...

Philippine Registered Nurse should have:Minimum of 1 year of direct bedside care experience in an acute care hospital setting (excluding clinics), with a strong preference for backgrounds in Emergency Room (ER), Intensive Care Unit (ICU), Medical-Surgical, Neonatal Intensive Care Unit (NICU), or Operating Room (OR) environmentsAt least 1 year of hands-on...

Healthcare Specialist Job DescriptionWe are seeking a skilled Healthcare Specialist to join our team. As a key member of our organization, you will be responsible for making outbound calls to and accepting inbound calls from healthcare providers.Key responsibilities include answering questions about participation requirements, assisting with registration and...

Job Title: Clinical Documentation SpecialistWe are seeking a detail-oriented and reliable individual to support mental health professionals by creating and reviewing clinical notes.Key Responsibilities:Draft, review, and refine mental health clinical notes using AI-assisted tools.Accurately enter finalized notes into multiple platforms.Maintain consistent...

Job DescriptionCare Account Specialists act as key clinical operations professionals for enterprise clients in assigned regions, ensuring exceptional delivery of high-quality clinical services across onsite and virtual channels.The role involves providing case management, maintaining service quality, and overseeing regional clinicians to bridge enterprise...