Clinical Resolution Specialist

Company OverviewUnitedHealth Group is a global organization that delivers care and pharmacy benefits to millions of people worldwide. We believe in creating a healthier atmosphere where everyone can thrive.About the RoleThe Healthcare Appeals Resolution Specialist will play a vital role in reviewing, researching, and resolving all types of appeals and...

Job Summary:As a Clinical Support Specialist at Universidad Carlos Albizu, you will play a crucial role in assisting clients of the ACCESO program in meeting their needs through problem-solving and coordination of clinical and social care. This position requires continuous contact and communication with clients, clinical staff, administrative staff, and...

**Job Summary**West Suburban Medical Center seeks a skilled Clinical Laboratory Specialist to perform a wide range of tests, studying the chemical composition of blood constituents and body fluids to aid clinicians in diagnosis and treatment of diseases.**Responsibilities**Assist in implementing new methods and proceduresResolve technical problems and ensure...

Company OverviewOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.Job DescriptionThe Clinical Investigation Healthcare Specialist will be responsible for reducing medical costs by identifying waste and error in provider billing practices. This role involves determining the accuracy of bills...

In a few words...Abarca Health is revolutionizing pharmacy benefits. Our Operational Performance team is dedicated to centralizing data to drive improvements.As an Issue Management Analyst, you will collaborate with key functional areas to ensure the quality and integrity of the claims processing system.Contribute to the definition of tactical and strategic...

Job Summary:Credit & Collections Specialist plays a crucial role in ensuring timely payment of health insurance premiums and claims. This position is responsible for collection activities related to past due health insurance premiums and/or past due health insurance claims.Key Responsibilities:Follow established guidelines to collect past due insurance...

At Raritan Bay Medical Center- Perth Amboy, our team members are the backbone of our organization. We strive to provide the best care possible to our patients and residents, and we're looking for a skilled Clinical Nutrition Specialist to join our team. Responsibilities:Conduct basic nutrition assessments and develop care plans for patients and...

Careers that Change LivesAt Medtronic, we're committed to bringing innovative medical technologies to patients around the world. As a Clinical Specialist, you'll play a critical role in delivering exceptional customer service and support to our customers.In this position, you'll work closely with our sales and customer service teams to provide technical,...

Careers that Change LivesAt Medtronic, we're committed to bringing innovative solutions to the healthcare industry. As a Clinical Specialist, you'll play a vital role in providing technical support to our customers, ensuring they receive the best possible outcomes and service.A Day in the LifeResponsibilities may include:Conducting on-site education and...

About the RoleAt CHI Mercy Health Valley City, we're seeking a skilled Clinical Nurse Specialist in Medical-Surgical Care to join our team. As a member of our medical surgical unit, you'll have the opportunity to provide high-quality patient care in a fast-paced clinical environment. Key Responsibilities- Assess patients' conditions and develop...

Job Summary:As a skilled Home Care Registered Nurse with Trinity Health, you will have the opportunity to make a meaningful difference in the lives of our patients and their families. We are seeking a compassionate and dedicated individual to join our team as a Home Care RN Specialist.Provide one-to-one care to patients in their homes, utilizing cutting-edge...

About the RoleAbarca Health is seeking a highly skilled and detail-oriented Coverage Determination Specialist to join our team. In this role, you will be responsible for creating and evaluating coverage determinations for our clients, communicating with pharmacists, beneficiaries, and doctors, and applying clinical knowledge to each case.Key...

At UnitedHealth Group, we're committed to helping people live healthier lives. As a Recovery Resolutions Representative, you'll play a critical role in ensuring that our members receive the care they need. Your responsibilities will include reviewing medical records, identifying key details, and determining the next steps for claims processing. You'll work...

Job SummaryThe Senior Claims Representative position at Ryder System, Inc. involves handling complex and mid-to-high exposure bodily injury and property damage claims.Key Responsibilities:Investigate and adjust claims, directing outside defense counsel, independent adjusters, experts, and vendors as needed.Supervise vendors to ensure claims are handled...

Vetted Health Clinical Laboratory Scientist Job OpportunityAt Vetted Health, we're seeking highly skilled Clinical Laboratory Scientists to join our team for 13-week travel assignments across the United States. As a key member of our healthcare team, you'll be responsible for delivering specialized care and collaborating with healthcare professionals to...

{"text": "Job SummaryThe Clinical Laboratory Specialist performs critical functions in the diagnosis and treatment of patients by analyzing blood, urine, and other bodily fluids. This role requires a high level of analytical ability, strong communication skills, and a commitment to quality and patient safety.Key ResponsibilitiesPerform patient specimen...

About the RoleThis position will provide technical and clinical support within assigned territory to AV Territory Managers and external stakeholders. The role involves providing technical clinical expertise and support of the sales process to colleagues, current customers and/or potential customers.Main ResponsibilitiesResponsible for achieving all sales...

About the RoleWe are seeking a skilled Healthcare Utilization Specialist to join our team at Elevance Health. This is an exciting opportunity for a motivated and detail-oriented individual to work in a dynamic environment.Job SummaryThe Healthcare Utilization Specialist will be responsible for conducting preauthorization reviews for diagnostic imaging...

At Prime Healthcare, we are committed to our core values of quality, compassion and community. Our team of dedicated professionals offers incredible opportunities to expand your horizons and advance your career. Key Responsibilities:Provide expert clinical nutrition services to patients.Collaborate with interdisciplinary teams to develop and implement...

About the PositionUniversity of California, Irvine seeks a skilled Pharmacist to join our team. As a clinical pharmacist, you will play a vital role in providing high-quality patient care and improving health outcomes. This is an excellent opportunity to work in a dynamic and collaborative environment with a talented team of healthcare professionals.Key...