- Jobleads-US (Washington, DC)
- …team. Job Summary Price Benowitz, LLP is looking to add a full-time Personal Injury Medical Case Manager to join its growing team at its Washington, DC ... headquarters. You will coordinate medical case management efforts across our department,...advice and support to legal team members as needed. Review and analyze clients' medical records and… more
- Genmab (Berkeley Heights, NJ)
- …Office Practice Management or Pharmacy. The ideal candidate has experience in case management, phone-based support work and the health insurance landscape. Patient ... in empathetic listening, soft skills and navigating patients through difficult and complex situations. Responsibilities:Act as the dedicated point of contact once a… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care **What you will do** + Coordination of Care -- - Complex case manager who manages each patient's transition through the system and ... use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as...toward that end, to avoid duplication and misuse of medical services, control costs by reducing inefficient services, and… more
- PharmaCord (Jeffersonville, IN)
- …Acquisition team immediately at ###@pharmacord.com When you join the team as the Case Manager / Patient Advocate (non-clinical), you'll have the opportunity to make ... navigate the tricky process to getting access to their complex medication. You'll compassionately deliver an exceptional experience to...focusing on the accuracy of the details of their medical records and your mastery of the program requirements,… more
- Stony Brook University (Stony Brook, NY)
- …from initial assess point. Follows cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to affect and ensure a ... RN Case Manager **Position Summary** At Stony Brook Medicine,...following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes… more
- Alameda Health System (San Leandro, CA)
- …The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and ... SLH Case Manager RN + San Leandro, CA +...his/her caseload in the following areas; admission criteria for medical necessity and appropriateness of care; continued stay criteria… more
- Alameda Health System (Alameda, CA)
- …Care Center Case Manager (RN) is responsible for providing comprehensive case management services to clients identified with complex wound conditions and ... AHD Wound Care Center Case Manager, RN + Alameda, CA + Alameda...of wound treatment plans and participates in performance improvement review activities. Acts within the guidelines of federal and… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …to enhance understanding of criteria application, benefit use, and the appeal, External Medical Review (EMR), and Fair Hearing processes + Coordinate: Ensures ... results-driven **UM RN Appeals Coordinator.** This role collaborates with clinical review staff, medical directors/physician reviewers, network physicians, and… more
- Insmed Incorporated (NJ)
- …continually improve internal processes to gain efficiency and regulatory compliance.Develop complex SAS Macros that help in reducing redundant programming and ... - SDTM & ADaM datasets, annotated CRF (aCRF), define.xml, reviewer guides (SDRG/ADRG).Performing statistical analysis, generating analytic reports, tables, figures,… more
- Rebekah Childrens Service (Gilroy, CA)
- …and Employment Benefits: Competitive Salary 401K matching plan 7.5% Bilingual Stipend Excellent Medical Benefits Up to 5 weeks of combined PTO and Sick Time accrual ... group, and family therapy as well as crisis and case management to clients ages 6-21 and their families....client charts in compliance with requirements of Phase II Medical Consolidation (Title 9, Chapter 11, Section 1810.440). Demonstrates… more
- Stanford Health Care (Menlo Park, CA)
- …Manager is responsible for managing the programming, planning and activation of complex projects under the general supervision of the Director. Ensures the ... status, manage issues, identify risks, and escalations. + Coordinate post-project review and lessons learned meetings following stabilization of projects. + Manages… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …call quality calibrations, provides feedback on quality assurance activities and case review Identify procedural deficiencies and opportunities for process ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk...liaison between the Technical Complaint Processors and Patient Safety Case Management, facilitating communication and addressing escalations to enhance… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …? Every day, we live by our philosophy, True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill ... at Olympus (https://www.olympusamerica.com/careers) . **Job Description** The Senior Director, Medical Service Marketing, will provide the strategic vision and… more
- DESC (Seattle, WA)
- …+ Schedule and conduct quarterly quality assurance reviews of charts of long-term case management consumers. + Supervise and review team clinical documentation ... Sunday **Shift:** Day **Insurance Benefits:** Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage) **Other Benefits:**… more
- Jobleads-US (Saddle Brook, NJ)
- …compliance regulations. Essential Duties & Key Responsibilities: Oversee assigned workers' compensation case portfolio of minor to complex claims in assigned ... for potential claim recovery are identified and pursued and manage lien recovery on case -by- case basis. Participate in claims review process and monitor… more
- Insmed Incorporated (NJ)
- …Indication/Development Lead, and clinical study team to ensure ongoing review of patient profiles and data listings.Proactively identifies potential resource ... needs to management.Participates in the development and review of department SOPs and process improvement initiatives.Qualifications:Bachelor's degree in the life… more
- Insmed Incorporated (NJ)
- …activities. The GRL will serve as the global regulatory lead for documentation review prepared by other technical functions and will act as the primary regulatory ... global regulatory requirements and submission formats (eCTD)Proven experience managing complex regulatory deliverables across product lifecycle stagesStrong submission writing… more
- Alameda Health System (San Leandro, CA)
- …years, experience in Case Management in an acute setting or utilization review at a medical group or health plan. Required Licenses/Certifications: Active ... including response to payor requests for concurrent and retrospective review information including Medicare and MediCal regulations/requirements, avoidable… more
- Stony Brook University (Stony Brook, NY)
- …who assist with transitional office operations. Individual works closely with Nurse Case Managers and Social Workers regarding payer delays, authorization and denial ... departments to improve department function and initiatives. Candidate will support case managers and social workers with discharge planning efforts, coordinate… more
- Port of Seattle (Seattle, WA)
- …be necessary for large public disclosure requests and litigation purposes. + You will review , interpret and analyze case law and redact exempt information from ... to relevant information and records. + You will manage a caseload of complex requests and consistently communicate with requestor regarding their records requests in… more
