Clinical Utilization Review Professional

Healthcare Specialist RoleWe are seeking a skilled professional to conduct clinical reviews of cases, perform clinical intake and adjudicate or request additional information.This is a temporary work-from-home position requiring a strong background in healthcare or medical domain. You should possess excellent communication skills, including verbal and...

Utilization Review SpecialistEvaluating and screening potential admissions to the healthcare facility is a critical responsibility that requires exceptional communication skills, hospital work experience, and proficiency in Microsoft Office. As a utilization review specialist, you will be accountable for conducting thorough reviews to determine if patients...

Our team is hiring for a Virtual Utilization Review role. As an experienced Utilization Review professional, you will play a critical part in our success.Salary: Up to P55,000 Package + P100,000 Bonus.Work from home and enjoy the flexibility of remote work.Qualifications:Active PHRN and USRN Mainland License.1 year Bedside experience with UR/UM experience...

Peer Reviewer Opportunity in Clinical MicrobiologyWe are seeking qualified experts to assess and provide feedback on academic manuscripts in the field of clinical microbiology.As a peer reviewer, you will play a vital role in maintaining the integrity and quality of published research. Your expertise will help authors refine their work, ensuring it meets the...

Job Title: Clinical Content SpecialistWe are seeking a skilled Clinical Content Specialist to join our team.Role Overview:The Clinical Content Specialist will conduct research and identify relevant medical coding and billing documents to enhance our automated claims editing solution.The ideal candidate will collaborate with medical professionals to obtain...

About Utility Professionals:We are a leading provider of advanced inspection solutions for high-value infrastructure, offering businesses actionable insights to recover revenue, reduce risk and improve build quality.We serve customers in various industries and aim to accelerate the global transition to renewable energy and sustainable infrastructure through...

Job Overview">Our organization is seeking a diligent and detail-oriented Quality Assurance Nurse to join our team. This individual will be responsible for reviewing clinical documentation and timesheets for accuracy and quality, ensuring that our records are error-free, grammatically correct, and aligned with the plan of care.Key Responsibilities:Review...

Job DescriptionThe role of the Care Account Specialist is a critical position that bridges enterprise client expectations with internal clinical standards and operational excellence. As the key clinical operations representative, you will act as the main point of contact for assigned enterprise clients, ensuring exceptional delivery of clinical services...

At a leading healthcare organization, we specialize in recruiting and managing high-caliber staff for dynamic and growing facilities. Leveraging our extensive network, we connect clients with highly qualified professionals, offering tailored services to meet their unique needs.The Opportunity:We are seeking an experienced Medical Reviewer to join our team In...

Job Role OverviewClinical process specialists play a crucial role in ensuring the delivery of quality patient care. In this capacity, you will be responsible for reviewing patients' medical charts and determining the appropriate course of action.ResponsibilitiesThe ideal candidate will possess strong analytical skills, with the ability to review complex...