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Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. Roles
Job Purpose The Clinical Documentation Integrity Specialist focuses on the accuracy, completeness and consistency of inpatient clinical documentation to support coding and reporting of high-quality healthcare data. The Clinical Documentation Integrity Specialist performs concurrent chart reviews
Job Title: Healthcare Administrative Virtual Assistant | Home Care Operations & Patient Support [LA-E] Position type: Full-time Work Schedule: Monday & Tuesday: 10:00 AM – 7:00 PM Wednesday: 11:00 AM – 3:00 PM Thursday & Friday: 10:00
Department description Market Operations provides a range of customer and operational services across the London Stock Exchange Group. The core services provided by the department are: technical account management, technical onboarding, software certification, client support, and
Medical Virtual Assistant (Athena Health & Prior Authorization) Medihealth Primary Care Our client is looking for an experienced Medical Virtual Assistant to join our growing team. We are seeking a highly organized, detail-oriented healthcare professional with
Req ID: 379926 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are
Work Setup: Onsite (Ayala North Exchange, Makati) Work Schedule: Shifting The Clinic Nurse Supervisor is responsible for supervising the daily clinical operations of the clinic, ensuring the delivery of high-quality patient care, overseeing nursing staff, maintaining
Work Setup: Onsite (Biñan, Laguna) Work Schedule: Shifting The Clinic Nurse Supervisor is responsible for supervising the daily clinical operations of the clinic, ensuring the delivery of high-quality patient care, overseeing nursing staff, maintaining regulatory compliance,
Work Setup: Onsite (Binondo, Manila) Work Schedule: Shifting The Clinic Nurse Supervisor is responsible for supervising the daily clinical operations of the clinic, ensuring the delivery of high-quality patient care, overseeing nursing staff, maintaining regulatory compliance,
Work Setup: Onsite (Ortigas) Work Schedule: Shifting The Clinic Nurse Supervisor is responsible for supervising the daily clinical operations of the clinic, ensuring the delivery of high-quality patient care, overseeing nursing staff, maintaining regulatory compliance, and
Work Setup: Onsite (Tarlac) Work Schedule: Shifting The Clinic Nurse Supervisor is responsible for supervising the daily clinical operations of the clinic, ensuring the delivery of high-quality patient care, overseeing nursing staff, maintaining regulatory compliance, and
Work Setup: Onsite (Taguig) Work Schedule: Shifting The Clinic Nurse Supervisor is responsible for supervising the daily clinical operations of the clinic, ensuring the delivery of high-quality patient care, overseeing nursing staff, maintaining regulatory compliance, and
Work Setup: Onsite (Shaw, Mandaluyong) Work Schedule: Shifting The Clinic Nurse Supervisor is responsible for supervising the daily clinical operations of the clinic, ensuring the delivery of high-quality patient care, overseeing nursing staff, maintaining regulatory compliance,
The Offshore Clinical Consultant supports U.S.-based Clinical Consultants by performing non-coding, non-decision-making clinical chart preparation. This role focuses on organizing, abstracting, and preparing medical records to enable efficient, high-quality clinical review. This is a supporting clinical
Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. Roles
Clinical Documentation Improvement (CDI) specialists are responsible for improving the overall integrity of medical records documentation. Their responsibilities can vary based on an individuals specific job, company, or industry. Here are some general clinical documentation improvement
We are looking for experienced US Registered Nurses (USRNs) to support utilization management activities involving the review of medical necessity, appropriateness, and efficiency of healthcare services through comprehensive evaluation of clinical documentation and medical records while
Position: Head Nurse Working Location: Pasay, Sucat and Muntinlupa Salary: 45k to 65k (please hide this range upon postings) Work Schedule: Monday to Friday sometimes Saturday Education: Bachelor of Science in Nursing (BSN) required; Master’s Degree
Work From Anywhere in LATAM or the Philippines Work Schedule: US Timezone (Flexible) | Staggered 9-hour shifts: 6:00 AM – 2:00 PM or 2:00 PM – 10:00 PM ET, transitioning to Sunday–Thursday coverage post-ramp About Pearl