Clinical reviewer jobs in Lindenhurst, New YorkCreate job alerts

Job Description Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria, • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision, • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes, • Provides copies of any criteria utilized in a review with the report in a timely manner, • Returns cases on or before the due date and time, • Makes telephone calls as mandated by the state and/or client specifics, • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job, • Attends all required orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits, • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits • Robust opportunity for supplemental income, • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability, • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions., • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise, • Expanded credentials as an expert in Independent Medical Exams and physician advisor services, • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job

Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management and patient training success.

GHR Healthcare is seeking a travel nurse RN Labor and Delivery for a travel nursing job in West Islip, New York.Job Description & Requirements.GHR Healthcare Job ID #72476886.Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be det

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.Review and analyze electronic medical records via a secure web portal.Accurately document exam findings and complete the require

Care Team Solutions is seeking a travel nurse RN Labor and Delivery for a travel nursing job in West Islip, New York.Job Description & Requirements.Registered Nurse must have 2+ years of recent experience in particular specialty.Must Have 2+ Years of recent Labor and Delivery experience.Six things t

Core Medical Group is seeking a travel nurse RN Maternal - Newborn for a travel nursing job in Niskayuna, New York.Job Description & Requirements.Client in NY seeking Registered Nurse: Mother/Child.We are looking for a healthcare professional who is ready to provide exceptional patient care in this

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.Review and analyze electronic medical records via a secure web portal.Accurately document exam findings and complete the require

We’re seeking talented healthcare professionals whose adventure game is as strong as their clinical game.

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.This role involves conducting .Review and analyze electronic medical records via a secure web portal.Accurately document exam f

Nightingale Nurses is seeking a travel nurse RN Trauma ER - Emergency Room for a travel nursing job in West Islip, New York.Job Description & Requirements.You may not realize it, but as an RN with real world hospital experience, you are legendary.To the lives you’ve helped save, the patients you��

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.Review and analyze electronic medical records via a secure web portal.Accurately document exam findings and complete the require

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

GHR Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 10/13/2025 Duration: 12 weeks 36 hours per week Shift: 12 hours Employment Type: Travel GHR

Care Team Solutions is seeking a travel nurse RN Labor and Delivery for a travel nursing job in West Islip, New York.Job Description & Requirements.Registered Nurse must have 2+ years of recent experience in particular specialty.Must Have 2+ Years of recent Labor and Delivery experience.Six things t

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

We offer competitive pay, comprehensive benefits, and access to diverse clinical experiences that build your skills and open doors to new possibilities. Whether you want to explore new locations, broaden your clinical experience, or achieve better work–life balance, Olaro provides the flexibility

GHR Healthcare is seeking a travel nurse RN Labor and Delivery for a travel nursing job in West Islip, New York.Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: 09/22/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Travel GHR Healthca

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

DocCafe has an immediate opening for the following position: Nurse Practitioner - Telehealth in New York.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.Register now to apply for this job and for access to 120,000+ other openings.DocCafe Of

Prime Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in West Islip, New York.Job Description & Requirements.Registered Nurse – Labor & Delivery (L&D).Minimum 2 years of recent L&D experience required.Active State or Compact RN License.BLS, ACLS, NRP required –

Planet Healthcare is a global leader in clinical staffing because we take a candidate-first approach.

Provides clinical supervision for entry level nurses and assists in their development. Responsibilities: Sing clinical reasoning Developing, implementing and evaluating the nursing plan of care Managing both emotional and physical patients Assessing patient and family level of understanding to provi

Core Medical Group is seeking a travel nurse RN Maternal - Newborn for a travel nursing job in Niskayuna, New York.Job Description & Requirements Specialty: Maternal - Newborn Discipline: RN Start Date: 10/06/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Travel Client in

Posted job title: RN:PCU - Progressive Care Unit,07:00:00-19:00:00 About Voca Healthcare As a Voca Traveler, you will gain new clinical skills, visit amazing places and meet awesome healthcare professionals.

Nightingale Nurses is seeking a travel nurse RN Labor and Delivery for a travel nursing job in West Islip, New York.Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: 09/22/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel Ab

DocCafe has an immediate opening for the following position: Nurse Practitioner - Family Practice/Primary Care in New York.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.Register now to apply for this job and for access to 120,000+ other o

Openwork Health is seeking a travel nurse RN Med Surg for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 10/20/2025 Duration: 12 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Openwork Health Job ID 72652

Posted job title: RN:PCU - Progressive Care Unit,19:00:00-07:00:00 About Voca Healthcare As a Voca Traveler, you will gain new clinical skills, visit amazing places and meet awesome healthcare professionals.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

Access to our Clinical Nurse Liaison Team.

Licensed Psychiatric Nurse Practitioner.Wage: Between $89-$203 an hour.Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?.Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to acce

Genie Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 10/13/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Genie Healthcare is looking

Posted job title: RN:Med Surg,19:00:00-07:00:00 About Voca Healthcare As a Voca Traveler, you will gain new clinical skills, visit amazing places and meet awesome healthcare professionals.

Network Adjusters is seeking a friendly, organized, and proactive individual to join our customer service team in our New York office in Farmingdale.The ideal candidate has excellent communication and customer service skills.He/she has an excellent understanding of administrative and clerical proced

The New York State Unified Court System is seeking a.Genesee County Problem-Solving Courts.This position will assist with expanding and managing the requirements and resources of the court’s BRIDGE program and provide a supportive role in the implementation of problem-solving courts.Provide case m

DocCafe has an immediate opening for the following position: Nurse Practitioner - Neurology in New York.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.Register now to apply for this job and for access to 120,000+ other openings.DocCafe Off

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. Provides support for all clinical staff members at regular intervals and encourages professional growth. Training and advancement: You wil

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

SIGN ON BONUS AVAILABLE PURPOSE AND SCOPE: Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management an

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

Established in 1926, Family Service League is a social services agency who provides comprehensive services to individuals, children, and families to improve the quality of their lives at home, in the workplace, and in the community.With more than 60 social service and mental health programs in over

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

Established in 1926, Family Service League is a social services agency who provides comprehensive services to individuals, children, and families to improve the quality of their lives at home, in the workplace, and in the community.With more than 60 social service and mental health programs in over

Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management and patient training success. SIGN ON BONUS AVAILABLE PURPOSE AND SCOPE: Manages patient care in home therapies programs while maintaining cost-eff

DocCafe has an immediate opening for the following position: Nurse Practitioner - Womens Health in New York.Make $125,000 - $190,000/yearly.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.Register now to apply for this job and for access to

Collaborative, professionally fulfilling work environment with strong clinical and administrative support. This practice has built a stellar reputation for clinical excellence, patient satisfaction, and multidisciplinary collaboration. Serve as a key clinical provider in the delivery of high-quality

DocCafe has an immediate opening for the following position: Nurse Practitioner - Oncology in New York.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.Register now to apply for this job and for access to 120,000+ other openings.DocCafe Offe

Benefits include: Paid continuing education, including clinical specialization courses Retirement benefits and low-cost life and dental insurance Opportunities to work in a variety of settings, attend seminars and conferences, and participate in humanitarian missions Numerous positions are available