Clinical Reviewer for External Audits

Job Summary:As a Clinical Audit Specialist at Intermountain Healthcare, you will play a critical role in reviewing and analyzing medical records to ensure the clinical medical necessity of care appeals. With three years of experience in utilization review or care management, hospital insurance billing, third-party claim audits, or auditing in a healthcare...

Job Opportunity: We are excited to announce a job opening for a Clinical Reviewer for External Audits at Intermountain Healthcare. As a key member of our team, you will be responsible for reviewing medical records and communicating with stakeholders to support appeals.About the Position:The ideal candidate will have a strong understanding of federal...

Join Our TeamWe're seeking a Clinical Appeals Coordinator to join our team! As a key member of our Utilization Review department, you will be responsible for reviewing and analyzing clinical medical necessity and level of care appeals for denials related to external audits by government and third-party payors. Your expertise will help us identify areas for...

Job OverviewA Medical Necessity Specialist is needed to review and analyze clinical medical necessity and level of care appeals for denials related to external audits by government and third-party payors. This role will actively manage, maintain, and communicate all levels of denial and appeal activity to appropriate stakeholders.Salary Range$36.35 - $54.53...

Job Title: Clinical Reviewer for External AuditsJob Description:We are seeking a highly skilled Clinical Reviewer for External Audits to join our team at Intermountain Healthcare. As a key member of our utilization review team, you will be responsible for reviewing governmental contractors' response letters and medical records to determine the viability of...

Independent Medical Exam (IME) PhysicianDane Street LLC invites applications from board-certified general surgeons for a part-time physician advisor position. As an IME physician, you will provide expert medical opinions for insurance appeals and claims reviews.The ideal candidate will possess a Delaware State Medical License, board certification in general...

General Surgery Physician AdvisorDane Street is expanding its physician panel and seeks a board-certified general surgeon physician advisor to provide expert medical opinions for independent medical exams. As a remote opportunity, this position offers flexible scheduling and predictable work hours.The ideal candidate will hold a Delaware State Medical...

Estimated Salary: $200,000 - $300,000 per year">Dane Street, LLC is expanding its team of independent medical exam specialists. This telehealth opportunity offers a flexible schedule and the chance to provide supplemental income as a physician advisor.Job Description:Key Responsibilities:Review medical records and provide expert opinions on insurance...

About the RoleWe are seeking an experienced Clinical Director to lead our Community Child Health services, providing strategic direction and operational leadership. The successful candidate will have a proven track record in professional leadership and significant experience in developing and implementing clinical strategies.This is a key role within the...

We are seeking a dedicated and compassionate Clinical Nursing Supervisor to join our team at Bupa Dental Care. As a key member of our clinical team, you will be responsible for providing exceptional patient care and supervising a team of dental nurses.About the Role:This is a full-time position, working Monday to Friday, 40 hours per week.The successful...

We are seeking a Clinical Service Director to join our team at East Kent Hospitals University NHS Foundation Trust. This is an exciting opportunity for a senior professional leader to provide strategic direction and operational leadership to the Care Group and its Community Children's Services.About the RoleThis is a key leadership role that requires a...

About the RoleWe are seeking a highly skilled and experienced pharmacist to join our team as a Clinical Mental Health Pharmacist. This is an exciting opportunity for a motivated individual to provide high-quality clinical pharmacy services to patients with severe mental illness in the community.The successful candidate will be responsible for delivering a...

Job DescriptionWe are seeking a skilled Pharmacy Technician to join our team at Intermountain Healthcare. As a Pharmacy Technician, you will play a critical role in supporting our healthcare team by processing medication electronic prior authorization requests, troubleshooting coverage issues, and communicating ePA results to patients and stakeholders. This...

Job Overview:As a Consultant Psychiatrist at Kent and Medway NHS and Social Care Partnership Trust (KMPT), you will have the opportunity to make a real impact on the lives of people with mental health needs. The role involves leading a collaborative team and providing high-quality care to the vibrant communities of Dover and its surrounding villages.Main...

About Our TrustKent and Medway NHS and Social Care Partnership Trust provides vital mental health, learning disability, and specialist services to a population of 1.7 million people.We offer a range of career opportunities for medical professionals, including Consultant posts, and we are committed to providing excellent patient care and improving health...

Required Skills and QualificationsTo excel in this role, you will require:Ambitious and forward-thinking approach to mental health care.Excellent clinical skills using bio-psycho-social perspectives and wide medical knowledge.Strong communication and interpersonal skills, with the ability to build effective relationships with colleagues, patients, and...

Job OverviewThis position is pivotal in managing the administrative and technical functions associated with grants from external funding sources that support research, clinical trials, and other sponsored activities at Intermountain Healthcare. As a Research Grants Specialist, you will specialize in grants, including responsibilities related to grant...

**Job Summary**We are seeking a skilled Data Abstractor to join our team at Intermountain Healthcare.The successful candidate will possess excellent analytical and communication skills, with the ability to work accurately and efficiently in a fast-paced environment. The ideal candidate will have experience in healthcare data abstraction, auditing, and...

Michael Page Finance is seeking a skilled Controller and Reporting Analyst to join their team on a full time and permanent basis. As a key member of the finance team, you will be responsible for delivering accurate and timely financial analysis to support business decisions, managing budgets and forecasting future financial requirements, assisting with...

Clinical Lead for Dental NursesBupa Dental Care is a leading provider of dental care services, and we are seeking an experienced Lead Dental Nurse to join our team in Dover as a Clinical Lead for Dental Nurses. In this senior role, you will be responsible for providing clinical leadership and guidance to dental nurses and other team members, ensuring the...