Clinical Review Nurse

Job OpportunityWe are seeking a detail-oriented professional to fill the position of Clinical Review Specialist.This role requires conducting thorough reviews, case consultations, and interacting with insurance payers to secure continued authorization. The ideal candidate will be a licensed clinical or medical professional well-versed in behavioral health...

Job SummaryOur organization seeks a dedicated and experienced nursing professional to fill the position of Nurse Reviewer. This role involves reviewing clinical information and documentation, handling fax triage and provider calls, and ensuring confidentiality of member information.Key Responsibilities:Review and evaluate patient clinical information and...

Job Overview:We are seeking a skilled and experienced healthcare professional to join our team as a Clinical Information Reviewer. In this role, you will be responsible for reviewing and evaluating clinical information and documentation, handling fax triage and provider calls, interpreting data from clinical records/systems, and ensuring confidentiality of...

Join our dedicated team at HBiz where we strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This position is ideal for those who excel in analytical thinking and have a strong...

Job Title: Clinical Nurse Case Manager – USRNClinical nurse case managers play a vital role in delivering patient-centered care. They oversee the provision of appropriate and cost-effective healthcare services, ensuring seamless coordination between medical professionals and facilities.Key Responsibilities:Conduct thorough medical management reviews using...

J. Plazo Staffing Corp is hiring a Full time Clinical Nurse role in Cebu City, Central Visayas. Apply now to be part of our team.Job summary:Flexible hours available1 year of relevant work experience required for this roleExpected salary: ₱30,000 per monthQualifications:Candidate must possess at least Professional License (Passed Board/Bar/Professional...

**Job Summary:**The Remote Clinical Assistant provides direct support to the Private Duty Nursing (PDN) Director of Nursing in overseeing clinical operations for home care services. This role is responsible for assisting with documentation, compliance, scheduling, and care coordination to ensure the PDN program runs efficiently and in alignment with...

Job OpportunityThis is a challenging and rewarding experience for a Clinical Appeals Nurse to work in a remote opportunity.Job ResponsibilitiesReviews patients' medical charts, medical records/lab work ups to determine if hospital admission or observation is required.Evaluates medical information to make informed decisions about patient care.The ideal...

About the role Dizon Healthcare Inc. is seeking a dedicated Clinic Nurse to join our team in Angeles City, Pampanga. As a Clinic Nurse, you will play a crucial role in providing quality healthcare services to our patients. This full-time position offers the opportunity to work in a dynamic and supportive environment, contributing to the overall well-being...

Clinical Nurse Case ManagerOur organization is seeking a seasoned clinical nurse case manager to support the delivery of high-quality patient care.The ideal candidate will possess strong clinical expertise and experience in case management, with a keen eye for detail and exceptional communication skills.Key Responsibilities:Conduct thorough utilization...