Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services) and care coordination for members,
RN Nurse Manager (REMOTE) Facility Location: Somerville, MA Shift: Days, 8Hx5 (8 AM - 5 PM) Contract Duration: 13 weeks Travel Pay for 40hr/week:$3,600/week W2:$90/hour OT:$120/hour Local Pay for 40hr/week:$3,400/week W2:$85/hour OT:$127.5/hour Requirements- At least 3-5 years of
RN Case Manager The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Minimum Requirements: Current RN licensure in state practicing
Research Nurse (Per Diem) - Massachusetts Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research nursing, patient concierge, medical photography and
Clinical Assessor, Registered Nurse Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports,
Program Integrity Clinical Compliance Auditor This position is remote in Massachusetts. You will have the flexibility to work remotely as you take on some tough challenges. Optum Insight is improving the flow of health data and
RN – Case Management / Clinical Documentation Specialist (Remote) | Contract Location: Hyannis, MA (Fully Remote) Duration: 13 Weeks Shift: Day Shift | 7:00 AM – 3:30 PM Hours: 32 Hours Per Week Responsibilities: Review inpatient medical records
Clinical Documentation Specialist (CDS), RN – Remote | Contract Location: Hyannis, MA (Remote) Duration: 13 Weeks Shift: Day Shift Responsibilities: Conduct comprehensive reviews of inpatient medical records. Evaluate documentation for accuracy, completeness, specificity, and clinical validity. Identify opportunities
Job Title: RN – Case Management / Clinical Documentation Specialist (Remote) Location: Remote (Based out of Massachusetts) Type: Contract Shift & Schedule: Day Shift | 32 Hours Per Week 7:00 AM – 3:30 PM | Rotating Weekends and
Job Title: RN – Clinical Documentation Specialist Location: Remote (Based out of Massachusetts) Type: Contract Shift & Schedule: Day Shift | 7:00 AM – 3:30 PM | 32 Hours Per Week | Rotating Weekends | Occasional Holidays Pay
Essential Duties and Responsibilities: - Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals. - Provides medical subject matter expertise. - Performs advanced database searches. - Composes documents,
Essential Duties and Responsibilities: - Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals. - Provides medical subject matter expertise. - Performs advanced database searches. - Composes documents,
Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports, eligibility, level of care
Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports, eligibility, level of care
Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports, eligibility, level of care
Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports, eligibility, level of care