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Clinical Review Specialist

Mass General Brigham • Somerville, MA, US • published 2026-09-28 20:55:42.500035

Description

Site: Mass General Brigham Community Physicians, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not\-for\-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high\-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. **Job Summary** The Clinical Review Specialist will assess the medical necessity and appropriateness of healthcare services. Primary Responsibilities: * Review medical records and treatment plans to ensure that they align with established guidelines and standards. * Participates in department quality improvement initiatives. * Reviews and applies analytical skills to designated patient population medical record documentation to assess the level of documentation accuracy and completeness. * Provides clinician\-specific education regarding quality, outcomes improvement, documentation standards, and actions to improve clinical processes. **Qualificatio...

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