Clinical Case Reviewer

Job SummaryWe are seeking a highly skilled and detail-oriented Clinical Review Expert to support our Residential, PHP, and IOP levels of care.This individual will be responsible for conducting clinical reviews, case consultations, and interfacing with insurance payers to obtain continued authorization.Main ResponsibilitiesConduct thorough clinical reviews...

Job OpportunityWe are seeking a detail-oriented and organized Medical Reviewer to join our team. As a Medical Reviewer, you will be responsible for preparing case files and Disability Benefits Questionnaires (DBQs) assigned in the client portal.Review medical records and create a synopsis to answer medical opinion questions based on the veteran's medical...

Job Summary:We are seeking a highly organized and empathetic Clinical Case Coordinator to serve as the first point of contact for prospective clients.

Job OverviewThis role entails thorough patient chart reviews, lab work analysis and hospital admission or observation determination.">Essential SkillsPatient data analysis expertiseExcellent clinical judgmentLaboratory test interpretation skillsBenefitsA competitive compensation package is offered to successful candidates.About the RoleThis position requires...

Remote Case Management OpportunityThe primary objective of this role is to provide comprehensive case management services to clients, ensuring seamless coordination across all stages of treatment. This involves serving as the primary point of contact for assigned clients and their families, supporting non-clinical needs, and enhancing treatment...

Job OverviewWe are seeking a skilled clinical nurse to deliver exceptional patient care and manage cases effectively.This is an opportunity for a clinical nurse to work remotely and choose the employer that best fits their needs.QualificationsActive USRN license with at least 1 year of clinical experience.USRN with RN license and strong analytical...

Job Profile:The Clinical Review Nurse role entails reviewing cases that don't meet criteria by conducting clinical intake and adjudication. Additional information may be requested or the case escalated to Medical Directors.This position involves flexible scheduling, including nights, weekends, and holidays.A key aspect of this role is working in a...

Job Title: Clinical Review SpecialistAbout the JobWe are seeking a highly skilled Clinical Review Specialist to join our team.The successful candidate will be responsible for assessing and interpreting customer needs, requirements and medical records.Key Responsibilities:Reviews medical claims for medical necessityAssesses and interprets customer needs,...

Medical File Reviewer/PHRNThe role of Medical File Reviewer/PHRN is a critical one that requires the candidate to possess strong analytical and communication skills. The successful candidate will be responsible for reviewing medical files, creating case summaries, and assisting medical providers during scheduled appointments.

Clinical Nurse Case Manager OpportunityWe are seeking a skilled Clinical Nurse Case Manager to join our team. In this role, you will be responsible for conducting medical management reviews to ensure members have access to necessary healthcare services.This position is ideal for nurses who enjoy working in a dynamic environment and have strong critical...