Reviews prior authorization requests for medical necessity using evidence-based clinical guidelines, documents determinations, and refers cases that do not meet criteria to physician reviewers.
Remote Mid-level Clinical Operations Specialist Jobs
Search 245 active remote mid-level clinical operations specialist jobs. No recruiters, no spam - just real jobs from real companies.
245 total jobs
71 new jobs this week
Coordinate patient care by assessing needs, reviewing medical necessity and level of care, guiding patients through treatment decisions, and communicating with families, clinicians, insurers, and facility staff.
Licensed Clinical Intake Specialist
Conduct brief clinical intake consultations with adolescents and caregivers, assess safety and treatment needs, guide families toward appropriate PHP or IOP care, and coordinate next steps with clinical teams.
Coordinates nursing students’ clinical placements, documentation, schedules, and compliance tracking while working with students, faculty, clinical partners, and nursing leadership to support timely, effective learning experiences.
Supports clinical research study start-up by negotiating site budgets and clinical trial agreements, preparing site-specific contracts, tracking negotiations, and coordinating execution and documentation.
Admissions Coordinator (Remote)
Coordinate patient admissions by answering and routing calls, completing behavioral health prescreenings, documenting interactions, scheduling appointments, and following up on outstanding issues.
Study Start Up and Regulatory Affairs Specialist
Leads study start-up and regulatory activities for assigned countries or projects, coordinating site readiness, compliant documentation, agreements, timelines, and regulatory strategy across internal and external stakeholders.
Study Start Up and Regulatory Affairs Specialist
Leads study start-up and regulatory activities for assigned countries or projects, coordinating site initiation readiness, compliant documentation, agreements, timelines, and regulatory strategy.
Study Start Up and Regulatory Affairs Specialist
Leads study start-up and regulatory activities to achieve site initiation readiness, delivering compliant documentation, agreements, and milestones while coordinating with internal teams, clients, and external stakeholders.
Study Start Up and Regulatory Affairs Specialist
Leads study start-up and regulatory activities for assigned countries or projects, coordinating submissions, essential documents, site agreements, and regulatory strategy to achieve site initiation readiness and meet quality and compliance.
Coordinates healthcare intake for new ABA clients, managing eligibility information, BCBA assignments, insurance authorizations, staffing, schedules, and communication to help services begin smoothly.
Coordinate urgent patient referrals and start-of-care visits by matching patients with nurses, managing schedules and logistics, and communicating with patients, pharmacies, and care teams.
Coordinate urgent patient referrals and start-of-care visits by matching nurses, confirming schedules, and resolving issues across patients, specialty pharmacies, and care teams.
Diabetes Educator (Contractor)
Lead diabetes education for children, teens, and families through group sessions, individualized support, school partnerships, and community events, while helping improve curriculum and connect families with clinical resources.
Utilization Review Specialist – Behavioral Health (Remote)
Manage behavioral health insurance authorizations for PHP and IOP treatment, coordinating reviews, appeals, and payer requirements to support medical necessity and continuity of care.
Coordinates patient intake and appointments while dispatching technicians, managing routes, and maintaining accurate records across healthcare and scheduling systems.
Coordinate family intake for ABA therapy by answering enquiries, guiding families through paperwork and next steps, following up on referrals, and maintaining accurate records to support timely onboarding.
Document patient encounters in real time, prepare charts, enter authorized orders and referrals, and maintain accurate, complete clinical records while supporting physicians and clinical workflows.
Triage Medical Assistant (MA) / Registered Nurse (RN) - Virtual Care - Pediatrics
Triage pediatric patients through virtual messages and calls, provide caregivers with clinical assessments and guidance, coordinate with on-call primary care providers, and maintain vaccine and referral records.
Complete, code, review, and audit Minimum Data Set assessments in line with CMS and RAI Manual guidelines, maintaining accurate submissions that support reimbursement and quality reporting.
Begeleid gezinnen bij opvoedings- en ontwikkelingsvragen, onderzoek wat zij nodig hebben en versterk hun eigen mogelijkheden en netwerk om bij te dragen aan een veilige omgeving voor jeugdigen.
Schedule and coordinate telehealth appointments, guide patients through virtual visit preparation, maintain accurate records, and support a smooth, compassionate experience between patients and healthcare providers.
Pharmacovigilance Specialist (Medical/Clinical Safety)
Processes and reviews clinical safety cases and reports, supports pharmacovigilance compliance and signal monitoring, and coordinates with study teams and cross-functional partners to ensure accurate, timely safety reporting.
Senior Start Up Associate - Freelance in Greece
The Senior Start Up Associate manages study start-up activities at country and site levels, ensuring compliance with regulatory requirements and facilitating timely site activation.
