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Clinical Reviewer – Remote Jobs in Union, Arkansas

Clinical Reviewer - Medicare
By CareCentrix At United States
You have experience working remotely and are self-motivated.
You hold strong knowledge of Medicare PDGM and 1-2 years process experience strongly desired.
Develops/maintains a working knowledge of all CareCentrix services/guidelines/policies and accesses CareCentrix contract information, including the terms of the contract as appropriate.
You manage multiple tasks, are detail oriented, responsive, and demonstrate independent thought and critical thinking.
You possess strong computer skills, including the ability to navigate multiple internal systems, programs and external sites to conduct reviews.
You have a minimum of 1-2 years prior authorization experience for Medicare or Medicare Advantage Home Health required.
Clinical Reviewer - Dme
By CareCentrix At United States
You have experience working remotely and are self-motivated.
You hold strong knowledge of Medicare PDGM and 1-2 years process experience strongly desired.
Develops/maintains a working knowledge of all CareCentrix services/guidelines/policies and accesses CareCentrix contract information, including the terms of the contract as appropriate.
You manage multiple tasks, are detail oriented, responsive, and demonstrate independent thought and critical thinking.
You possess strong computer skills, including the ability to navigate multiple internal systems, programs and external sites to conduct reviews.
You have a minimum of 1-2 years prior authorization experience for Medicare or Medicare Advantage Home Health required.
Clinical Reviewer - Medicare (Remote)
By CareCentrix At United States
You have experience working remotely and are self-motivated.
You hold strong knowledge of Medicare PDGM and 1-2 years process experience strongly desired.
Develops/maintains a working knowledge of all CareCentrix services/guidelines/policies and accesses CareCentrix contract information, including the terms of the contract as appropriate.
You manage multiple tasks, are detail oriented, responsive, and demonstrate independent thought and critical thinking.
You possess strong computer skills, including the ability to navigate multiple internal systems, programs and external sites to conduct reviews.
You have a minimum of 1-2 years prior authorization experience for Medicare or Medicare Advantage Home Health required.
Clinical Pharmacology Project Lead - 100% Remote
By Rangam At United States
Ability to effectively manage multiple tasks and projects with accelerated timelines is required.
Experience working with teams across global time zones is required.
Sound knowledge of pharmacokinetic and pharmacodynamic concepts, including noncompartmental analyses, is preferred.
Experience working with External Service Providers is preferred.
Experience with SharePoint, Excel, Microsoft Teams and OneNote is preferred.
Serve as a CPP departmental liaison for outsourcing and contribute to the implementation and execution of the sourcing strategy.
Remote Clinical Assistant Jobs
By Vail Health At United States
Pay is based upon relevant education and experience.
Manage provider’s patient portal messages, sort to appropriate inboxes within the EHR or address messages as needed.
Minimum of 2 years experience with applicable patient care and administrative duties preferred
Basic knowledge of medical terminology, medical equipment, HIPAA compliance and OSHA rules and regulations.
Medical Assistant Certification (MAC) by the American Medical Certification Association
Competitive Wages & Family Benefits:
Clinical Data Manager / Medical Reviewer
By Albion Rye Associates At United States
Clinical Data Manager / Medical Reviewer
Contract until 31st December 2023
Please contact Jake Byrne at Albion Rye for more information or apply now for immediate consideration.
Medical/Safety Reviewer - Remote
By Synectics Inc. At United States
Gain understanding of risk management regulations, standards, and guidance for medical devices and combination products.
Support medical safety consultation activities in matters related to risk/benefit and proper product safety usage as needed.
Knowledge of electronic databases (e.g., TrackWise, Business Objects, Oracle, Argus, other database tools)
Ability to Meet Challenging Milestones with results orientation – Skilled
Strategic Decision Making and Negotiation – Skilled
Facilitating Change and managing conflicts – Skilled
Remote Clinical Assistant ($17.00 - $18.00 / Hour)
By Talentify.io At United States
Experience or accreditation in areas of food service, janitorial, and camp management systems such as Orissa
Oversee all facilities, property, and project management services required by the contract and requested by the client.
3-4 years of Assistant General Manager/Hospitality experience
Post-Secondary education in Business or Hospitality, or relevant work experience
Strong financial acumen and contract management
Knowledge of health and safety regulations, quality control, custodial, grounds, office services, managing third-party contracts, and continuous improvement
Nurse Reviewer - Remote
By Fortuna BMC At United States
Assists management with training new Nurse Reviewers to include daily monitoring, mentoring, feedback and education.
Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.
Performs prior authorization, precertification, and retrospective reviews and prepares decision letters as needed in support of the utilization review contract
Maintains current knowledge of clinical criteria guidelines and successfully completes required CEUs to maintain RN license
Demonstrated proficiency in computer skills, and typing, i.e., Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers, etc.
5+ years clinical experience in an inpatient hospital setting required
Clinical Reviewer (Part Time) - Remote
By Acentra Health At United States
Do you value care management and quality improvement?
Are you an experienced Clinical Reviewer looking for a new challenge?
Are you motivated, energetic, and excited to become part of the Acentra Health team?
Clinical Reviewer Pac - Remote
By CareCentrix At United States
You have experience working remotely and are self-motivated.
You hold strong knowledge of Medicare PDGM and 1-2 years process experience strongly desired.
You should get in touch if: (experience & education):
Develops/maintains a working knowledge of all CareCentrix services/guidelines/policies and accesses CareCentrix contract information, including the terms of the contract as appropriate.
You manage multiple tasks, are detail oriented, responsive, and demonstrate independent thought and critical thinking.
You possess strong computer skills, including the ability to navigate multiple internal systems, programs and external sites to conduct reviews.
Clinical Specialist (Remote) ($96600.00 - $159300.00 / Year)
By Talentify.io At United States
Knowledge of FDA and international regulatory requirements, preferred.
A minimum of 3 years of professional experience directly related to the degree.
Specific knowledge of the Alaris System, preferred.
Works with HCL associates by responding to their queries on complaints record processing and reportability determination.
Collaborates with professional services to obtain investigative details on complaints from the healthcare facility.
Works collaboratively with DCHU Investigations Team to quickly pass on any pertinent details from customer calls and other forms of correspondence.
Clinical Service Assistant (Remote)
By Talentify.io At United States
Assists leads and management with the implementation of new and existing non-clinical policies and procedures.
Enters manual data (surveys, labs, pilots, and other ancillary manual entry requirements) and manages HRS exception reviews.
Supports workforce management, RN licensure, and other special projects.
Associate degree in a related field and prior experience in a healthcare or managed care environment preferred.
Supports systems, workflow, and reporting-related requirements of the unit.
Remote- Must be within 50 miles of New York, New York
Remote Clinical Data Associate
By The Fountain Group At United States
Have experience working with complex databases and ensuring accurate data entry.
Assess, track and manage end user compliance with operational data governance and system standards.
Complete data entry into R&D systems.
Manage resolutions of identified data quality issues for internal systems and vendor data feeds.
Bachelor’s degree with 2 years experience or Associates degree with 4 years’ experience clinical trial data.
Knowledge of R&D technologies and data sources.
Clinical Coordinator (Remote) Jobs
By MedCerts At United States
Manage the clinical placement process by determining site-specific requirements and communicate these to student in a timely manner
Bachelor’s Degree from a four-year college or university or equivalent combination of education and experience
Collaborate with MedCerts staff to resolve student concerns of clinical requirements
At least three years of closely related experience
Strong interpersonal and communication skills
Experience with design and implementation of business development strategy
Remote Clinical Education Specialist
By Pride Health At United States
Pride Health is Hiring a Remote Clinical Education Specialist!
Remote, Will work Central Time
Schedule: Monday - Friday 8AM- 5PM, possible weekend requirements
• Experience training ie: preceptors, nursing students etc
• Experience with documenting Policies and Procedures
Contract Length: Long Term 6+ months
Clinical Reviewer - Remote
By CareCentrix At United States
You have experience working remotely and are self-motivated.
You hold strong knowledge of Medicare PDGM and 1-2 years process experience strongly desired.
You should get in touch if: (experience & education):
Develops/maintains a working knowledge of all CareCentrix services/guidelines/policies and accesses CareCentrix contract information, including the terms of the contract as appropriate.
You manage multiple tasks, are detail oriented, responsive, and demonstrate independent thought and critical thinking.
You possess strong computer skills, including the ability to navigate multiple internal systems, programs and external sites to conduct reviews.
Clinical Systems Associate - Remote
By WebTPA At United States
Required Work Experience and Qualifications:
Learn standard procedures and workflows. Participates in operational workflow validation including requirements, specifications, and gaining end user acceptance. (10%)
1+ years related work experience in Clinical application development and support of users in a healthcare or insurance environment required.
Clinical system upgrades, implementations, and support experience required.
Excellent interpersonal, oral and written communication skills.
1-2 years of work experience in a technology related role preferred.
Content Reviewer (Part-Time - Remote)
By Tech Firefly At Texas, United States
Must be able to perform tasks quickly and accurately with excellent time management skills
High School or GED minimum education
Excellent communication skills (both written & oral)
Good interpersonal skills to be able to perform in both teamwork and independent environments
Strong independent judgment and decision-making abilities with established guideline
Excellent technical and computer skills
Content Reviewer (Part-Time - Remote)
By Tech Firefly At California, United States
Must be able to perform tasks quickly and accurately with excellent time management skills
High School or GED minimum education
Excellent communication skills (both written & oral)
Good interpersonal skills to be able to perform in both teamwork and independent environments
Strong independent judgment and decision-making abilities with established guideline
Excellent technical and computer skills

Are you looking for an exciting opportunity to use your clinical expertise to make a difference in the healthcare industry? We are looking for a Clinical Reviewer to join our remote team and help us ensure the highest quality of care for our patients. As a Clinical Reviewer, you will be responsible for reviewing medical records and making sure they meet the standards of our organization. You will also be responsible for identifying any potential issues and making recommendations for improvement. If you are passionate about healthcare and have the skills to make a difference, then this is the job for you!

Overview Clinical Reviewer – Remote is a position that involves reviewing medical records and other clinical data to ensure accuracy and compliance with applicable regulations. The Clinical Reviewer will be responsible for assessing the quality of care provided to patients, identifying any potential risks or issues, and providing recommendations for improvement. The Clinical Reviewer will also be responsible for providing feedback to providers and other stakeholders on the quality of care provided. Detailed Job Description The Clinical Reviewer – Remote is responsible for reviewing medical records and other clinical data to ensure accuracy and compliance with applicable regulations. The Clinical Reviewer will assess the quality of care provided to patients, identify any potential risks or issues, and provide recommendations for improvement. The Clinical Reviewer will also provide feedback to providers and other stakeholders on the quality of care provided. The Clinical Reviewer will be responsible for ensuring that all medical records are accurate and up-to-date, and that all clinical data is collected and stored in accordance with applicable regulations. The Clinical Reviewer will also be responsible for monitoring and evaluating the performance of providers and other stakeholders, and providing feedback on any areas of improvement. Job Skills Required
• Knowledge of medical terminology and clinical data
• Knowledge of applicable regulations and standards
• Ability to analyze and interpret medical records and other clinical data
• Ability to identify potential risks and issues
• Ability to provide feedback and recommendations for improvement
• Excellent communication and interpersonal skills
• Strong organizational and time management skills
• Ability to work independently and as part of a team
Job Qualifications
• Bachelor’s degree in a related field
• At least 3 years of experience in a clinical setting
• Certification in a related field (e.g. CCS, CPC, etc.)
• Knowledge of medical terminology and clinical data
• Knowledge of applicable regulations and standards
• Ability to analyze and interpret medical records and other clinical data
• Ability to identify potential risks and issues
• Excellent communication and interpersonal skills
Job Knowledge
• Knowledge of medical terminology and clinical data
• Knowledge of applicable regulations and standards
• Ability to analyze and interpret medical records and other clinical data
• Ability to identify potential risks and issues
• Knowledge of quality assurance and improvement processes
Job Experience
• At least 3 years of experience in a clinical setting
• Experience in medical record review and analysis
• Experience in providing feedback and recommendations for improvement
• Experience in monitoring