- Appcast (Canton, MA)
- …This is Fully remote, but Massachusetts RN license required. Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that ... a clinically complex caseload of varied requests for services. The Clinical Reviewer is responsible for making the determination of medical necessity and,… more
- AmeriHealth Caritas Health Plan (Wilmington, DE)
- Role Overview Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient ... on clinical criteria. Using professional judgment, the Clinical Care Reviewer assesses the appropriateness of...cases are escalated to the Medical Director for further review . The reviewer independently applies medical and… more
- Optum (San Juan, PR)
- …production environment. Primary Responsibilities: Clinical Case Reviews -75% Perform clinical review of professional (or facility) claims vs. medical records ... and accuracy. Standards are defined by the department Provide clear and concise clinical logic to the providers when necessary Examine, assess, and document business… more
- Elevance Health (Cerritos, CA)
- …Position Title: Therapy Services Reviewer Job Description: The Therapy Services Reviewer is responsible for the review of medical records to determine ... regulations and requirements. *Researches and obtains additional data, consults with clinical reviewers and medical directors, when necessary. *Acts as a resource… more
- Integrated Home (Hollywood, FL)
- …procedures, ineffective treatment, or unnecessarily extensive home healthcare. Concurrent review of patient's clinical information for efficiency Ongoing ... situation Provide updates to Manager of Utilization Management for review What will you come with: State licensure as...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The Sleep Clinical Review Technician is responsible for clinical history, signs/symptoms, ... network if needed. Responsibilities A day in the life of a Sleep Clinical Review Technician at Hackensack Meridian Health includes: Review patient charts to… more
- Eisai, Inc (Nutley, NJ)
- …Clinical Programming manages and oversees JReview and SAS program development for clinical data processing, data review reports and listings. This includes ... and end user support to other areas of Data Operations, Data Management, Clinical Safety Data Review and Clinical team. The Assoc. Director of Clinical … more
- PandoLogic (Cunningham, TN)
- …to serve the Veteran community? Would you enjoy being able to review medical records and complete assessment questionnaires to help Veterans? Description We ... the VA's disability benefits process. In performing Disability Assessments, you will review behavioral health records electronically through a secure Web Portal and… more
- Eisai, Inc (Nutley, NJ)
- …If this is your profile, we want to hear from you. Director, Clinical Quality Assurance The Director, Clinical Quality Assurance position is responsible ... for design, delivery and execution of the North America (NA) Clinical Quality Assurance (CQA) strategy including audit and inspection management and oversight of the… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …trial (small size, standard complexity in design and geographic scope). Prepares clinical section of regulatory document. Collaborates as team member with AROs/CROs. ... documents under guidance of higher level. Reviews and oversee completion of clinical trial protocols. Provides medical and/or scientific direction to Clinical … more
- Hackensack Meridian Health (Hackensack, NJ)
- …collaboration with the principal investigator, clinical research coordinator, and clinical team, participates in the review of studies for feasibility ... and serve as a leader of positive change. The Clinical Research Nurse is responsible for coordinating and overseeing... Research Nurse is responsible for coordinating and overseeing clinical research operations for all assigned clinical … more
- NCH Healthcare System (Fort Myers, FL)
- …the clinical trials. This position executes its primary tasks by reviewing clinical patient data through an approved Institutional Review Board (IRB) partial ... Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders,...screening wavier prior to or in conjunction with physician review . This role enhances the efficiency of the Research… more
- JobAdX (Green Bay, WI)
- …be provided with support and extensive leadership training.About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient ... care is delivered while maintaining clinical operations. As the facility leader, you will be...auditing activities.Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.Manages clinic… more
- Appcast (Newton, MA)
- …family meetings as needed. * Participate in case conferences, treatment meetings and clinical review meetings.* Partner with the Program Director to develop ... JOB TITLE: CSS Clinical Supervisor - Inpatient setting (must be a...to clinicians, case managers, and counselors * Assess and review client electronic health records and conduct annual chart… more
- Appcast (Fresno, CA)
- Immediate need for a talented Clinical Documentation Specialist CDI in California. This is a 06+months contract opportunity with long-term potential and is located ... in California (REMOTE). Please review the job description below and contact me ASAP...and complete documentation, within an electronic medical record environment.Reviews clinical cases in collaboration with medical coding staff and… more
- Soliant (Lamar, CO)
- Minimum 1+ years pharmacy experience required.Travel Clinical Pharmacist Opportunity Southeast Colorado Join a welcoming critical access hospital in scenic southeast ... Colorado as a Clinical Pharmacist on a full-time, day-shift travel contract. This...Full Benefits + Weekly Non-Taxable Travel Stipends Key Responsibilities: Review and verify medication orders Supervise pharmacy technicians Compound… more
- Soliant (Torrance, CA)
- …of client progress and therapy sessions. Participate in supervision sessions and clinical meetings to review cases and receive feedback. Stay current ... New grads welcome! Position Overview: The Speech Language Pathologist Clinical Fellow (CF) will work under the supervision of a licensed Speech Language Pathologist… more
- Soliant (Kansas City, KS)
- …which offers great growth potential this job is for you! Job Details: Clinical Staff Pharmacist Setting: Inpatient Schedule: Full time - 36 hours/week or greater ... - Permanent Schedule: Days/Afternoons/Evenings/Nights - All shifts available Duties: Review , interpret and verify provider medication orders making any… more
- iRhythm Technologies (Deerfield, IL)
- …Assurance and process improvement. Duties include, but are not limited to, clinical complaint review , investigation reports, adverse event reporting, complaints ... following: Support Clinical Service Quality through maintaining and enforcing iRhythm's Clinical Quality Assurance System Review and evaluate clinical … more
- Stony Brook Medicine (Stony Brook, NY)
- Position Summary At Stony Brook Medicine, a TH Clinical Laboratory Technologist is a valuable member of our team, who provides clinical services to our patient ... our high standard of excellence. Duties of a TH Clinical Laboratory Technologist in the Blood Bank Department may...must also perform and understand all quality control procedures, review the accuracy of final test reports, recognize routine… more
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