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Clinical Reviewer - 249588

claims adjusters examiners and investigators
medical records specialists
medical secretaries and administrative assistants
medix
offices of physiciansnursing care facilities skilled nursing facilities
Jericho, NY
March 27th, 2026
Clinical Reviewer Primary DutiesConduct utilization reviews up to and including the appeal level. This includes chart screen, complete electronic worksheets, enter required information and make level one denial decisions when necessary.Conduct quality and clinical study data collection reviews. This includes chart review and complete detailed electronic data worksheets.Act as a resource for the administrative staff in training, problem solving and clarifying procedures. Provide technical assistance and conduct/participate in staff huddles.Participate in collaborative training specific to clinical study objectives.Schedule/ShiftMonday-Friday, 8am-5pm

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