Medical Care Specialist

Job Title: Care Coordination SpecialistWe are seeking a skilled and dedicated individual to fill the role of Care Coordination Specialist. In this position, you will play a crucial part in ensuring our members receive high-quality, cost-effective care.Key Responsibilities:Conduct Clinical Reviews: Utilize client-specific criteria sets, medical policy, and...

Medical Nurse RoleWe are seeking a medical nurse to join our team of healthcare professionals. As a medical nurse, you will be responsible for providing patient care and ensuring their overall health and well-being.The ideal candidate will have a strong background in nursing and be able to work effectively in a fast-paced environment.We offer a competitive...

Job Title: Emergency Medical SpecialistAn emergency medical specialist plays a vital role in providing emergency medical care to those in need.Key Responsibilities:Respond promptly to emergency calls and provide immediate medical assistance.Conduct thorough patient assessments, including vital signs and medical history.Deliver Basic Life Support (BLS) such...

Job Title:PHRN Roles - Virtual ProcessJob Description:Clinical Appeals Nurses work with patients' medical charts and records to determine if they require admission, observation, or hospital care. They review lab work and make informed decisions about patient care.Key Responsibilities:Review patients' medical charts and recordsDetermine appropriate patient...

Wound Care Specialist OpportunityOur organization specializes in recruiting and managing high-caliber remote staff for dynamic healthcare facilities.We are seeking a skilled Wound Care Specialist to manage patient wound care records, verify insurance eligibility, and coordinate the supply of essential medical materials.As a Wound Care Specialist, your...

Job TitleWe are seeking an individual to fill a critical role in medical documentation, supporting eye care specialists during patient consultations. The position involves real-time transcription of interactions with ophthalmologists and optometrists, optimizing clinical workflow, and maintaining accurate medical records.Key Responsibilities:Document patient...

Medical Coding Specialist RoleWe are seeking a skilled and detail-oriented Medical Coding Specialist to join our primary care team.About the Position:The successful candidate will be responsible for accurately coding diagnoses, procedures, and services using ICD-10, CPT, and HCPCS codes, ensuring compliance with relevant regulations and guidelines. They will...

Medical Coding PositionWe are seeking an experienced medical coder to fill this role.Coding expertise is required for accurate diagnoses, procedures and services using ICD-10, CPT and HCPCS codes.Verify the accuracy and completeness of coding and documentation in patient charts and medical records.Conduct regular coding audits to identify areas for...

Role OverviewThis role involves conducting peer reviews, case consultations, and interfacing with insurance payers to obtain continued authorization for residential, PHP, and IOP levels of care.Key Responsibilities:Conduct peer reviews and clinical case consultations with insurance payers to secure continued stay authorizations.Review comprehensive client...

Home Care SpecialistOur ideal candidate will possess exceptional organizational and time management skills, with the ability to effectively prioritize tasks in a fast-paced environment.Key Responsibilities:Rostering Management:• Develop and maintain an efficient rostering system for support worker allocation.• Manage client visit schedules and...