- Premera Blue Cross (Mountlake Terrace, WA)
- …Premera Blue Cross and with contracted practitioners/ facilities. + Participate in Inter- Rater Review process to ensure consistency in clinical decision-making. ... and contract language for health plan members, including review of clinical documentation using medical policy criteria, guidelines, and member contracts. In… more
- System One (Ozark, MO)
- Job Title: Psychometric Clinical Rater Location: Ozark, Missouri Type: Direct Hire Contractor Work Model: Onsite About the Role: The Psychometric Clinical ... of the required study assessments for subjects participating in a clinical trial. The Clinical Rater will have excellent interpersonal, communication, and… more
- ICON Clinical Research (Long Beach, CA)
- Clinical Rater ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving ... clinical research._** **Onsite - Long Beach, CA** **Job Description: Clinical Rater :** * Perform interview/ratings on study subjects to determine current… more
- The Cigna Group (Bloomfield, CT)
- …initiatives and committees. + Participates in quality processes such as audits, inter- rater reliability clinical reviews, and quality projects + Serves as ... performs medical review and case management activities. The physician provides clinical insight to the organization through peer review, benefit review,… more
- Weill Cornell Medical College (New York, NY)
- …strict confidentiality of all patient and study data. + Participate as a rater in clinical trials focused on memory and neurodegenerative conditions; follow ... assessments; experience with ADAS-Cog and prior experience as a rater in clinical trials is strongly preferred. + Strong computer proficiency, including… more
- Union County College (Cranford, NJ)
- …staff meetings. * Participate in on-going training as assigned by Director of Clinical Education to ensure inter- rater reliability * Document student progress ... Arts, Science and Applied Science degrees. Campus: Plainfield General Description: Clinical Instructors responsibilities include the supervision and evaluation of … more
- RELX INC (Raleigh, NC)
- …clinician SME participation with Evaluation SME Operations, including calibration and inter- rater reliability checks. + Synthesize findings into clear narratives and ... product performance. + Maintain audit-ready documentation for methods, datasets, rater guidance, analyses, and outcomes. Project Management: Plan and manage… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …System is looking for a Registered Nurse - Caregiver Support Program Clinical Assessor - Social Work Service Team! Responsibilities The Caregiver Support Program ... (CSP) Registered Nurse (RN) Clinical Assessor executes position responsibilities that demonstrate leadership, experience, and creative approaches to the management… more
- Guthrie (Sayre, PA)
- …responsibilities include performing a variety of concurrent and retrospective UM-related clinical reviews and revenue cycle functions ensuring appropriate status and ... and improving the UM program. Experience BSN with a minimum of five years' clinical experience in an acute health care setting preferred. RN with a minimum of… more
- Evolent (Oklahoma City, OK)
- …Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular ... Offer:** + A meaningful way to contribute to patient care beyond the clinical setting. + Opportunities for collaboration with a dynamic team of physicians, leaders,… more
- CVS Health (Springfield, IL)
- …is a remote based from from home role. The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight ... and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, consultative support to the P&T process, formulary development, drug… more
- Immigration and Customs Enforcement (Tacoma, WA)
- …evaluations, and prescribes medications. Requires licensure, certification, and 6+ years clinical experience. The Supervisory APP reports directly to the facility ... Clinical Director. This position is only open to USPHS...DUTIES AND RESPONSIBILITIES: Serves as the direct supervisor and rater to federal Advanced Practice Providers (APP) to include… more
- Evolent (Carson City, NV)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the ... to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance...and accurate manner. + Participates in on-going training per inter- rater reliability process. + On a requested basis, may… more
- Evolent (Salem, OR)
- …offer you a meaningful way to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance on a team that values ... when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. . Utilizes medical/ clinical … more
- Sharp HealthCare (San Diego, CA)
- …CA Board of Registered Nursing; Bachelor's Degree in Nursing; Certified Clinical Transplant Coordinator (CCTC) - American Board for Transplant Certification ... culture. **Required Qualifications** + Bachelor's Degree in Nursing + 5 Years Clinical experience (PCU or ICU preferred) + Experience entering, analyzing and… more
- Evolent (Jackson, MS)
- …offer you a meaningful way to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance on a team that values ... when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical … more
- Evolent (Nashville, TN)
- …offer you a meaningful way to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance on a team that values ... as, aids and acts as a resource to Initial Clinical Reviewers. **What You Will Be Doing:** + Serve...and accurate manner. + Participates in on-going training per inter- rater reliability process. + May assist the Senior Medical… more
- Evolent (Sacramento, CA)
- …offer you a meaningful way to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance on a team that values ... when available, within the regulatory timeframe of the request. + Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical … more
- Humana (Tallahassee, FL)
- …Develop, implement, and maintain a comprehensive QAPI program focused on clinical excellence, patient safety, and regulatory compliance. + Regulatory Compliance: ... home health services. + Quality Audits: Design and oversee audits of clinical documentation, care delivery, and patient outcomes; analyze findings to identify trends… more
- The Cigna Group (Bloomfield, CT)
- …conditions. + Should be available by phone and/or email to answer clinical concerns of the in-field providers. Assessments are typically only performed during ... the physician would need to be available by phone. + Improves clinical outcomes through interactions with providers primarily centered around chart review. +… more
