- Kelly Services (Raleigh, NC)
- …your community and earn extra income? Join Kelly Government Solutions as a Physician Disability Reviewer , performing one-time Disability Evaluations ... **Become a Physician Disability Evaluator for Veterans - Raleigh, North Carolina and surrounding** ** Kelly Government Solutions: Make a Meaningful Impact for… more
- Evolent (Raleigh, NC)
- …Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/ Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance for ... with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United States. Acts… more
- Wolters Kluwer (Raleigh, NC)
- …on clinical practice with our expert contributors. **ESSENTIAL DUTIES & RESPONSIBILITIES:** Our physician editors review and edit the new contributions from our ... the literature for new developments and identifying topics that need updating. Physician Editors also systematically review existing topics for clarity,… more
- Parexel (Raleigh, NC)
- **Parexel FSP has an exciting opportunity for a Clinical Study Physician . This is a fully remote role! Oncology, Inflammation or CMR preferred** The Study ... Physician (SP) is a critical global role that is...important protocol deviations (iPD), providing input for compilation and review of trial iPD list from medical perspective, and… more
- Parexel (Raleigh, NC)
- The Study Physician (SP) is a critical global role that is created to take up medical responsibilities of clinical trials within Clinical Development & Operations by ... a qualified and clinically experienced physician . The SP is medically responsible at the trial...important protocol deviations (iPD), providing input for compilation and review of trial iPD list from medical perspective, and… more
- Evolent (Raleigh, NC)
- …for 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 ... **What You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management,...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Raleigh, NC)
- …Responsibilities** + **Clinical Review & Peer Collaboration** + Serve as the physician reviewer for oncology cases that do not initially meet medical ... focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization… more
- Evolent (Raleigh, NC)
- …`s input is needed or required. **What You Will Be Doing:** . Serve as the Physician match reviewer in Advanced Imaging cases, that do not initially meet the ... provides clinical rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Raleigh, NC)
- …`s input is needed or required. **What You Will Be Doing:** + Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Raleigh, NC)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not initially meet...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Raleigh, NC)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the specialty match reviewer in Vascular cases, that do not initially meet...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Parexel (Raleigh, NC)
- …and time per task contracted) and according to the assigned role (Global Lead Physician GLP or Regional Lead Physician RLP). Medical support includes but is ... related to assigned project/study. + Participate in the development and/or review of study documents, such as clinical protocols, Medical Monitoring Plans… more
- CenterWell (Raleigh, NC)
- …tests of function to patients in their homes or other settings to assist the physician in evaluating the patient's level of function. + Confer with the patient's ... physician and other health care team members and participate...coordination, range-of-motion and function or teach compensation measures. + Review /expand the retraining programs in a manner consistent with… more
- UNC Health Care (Raleigh, NC)
- …hospital and physician services. **Responsibilities:** 1. Create Hospital and Physician estimates using the Epic Patient Estimator, review eligibility and ... Track and trend collection amounts and template accuracy utilizing hospital and physician EOBs and refine process to enhance accuracy. Screen and assist patients… more
- Sunrise Senior Living (Raleigh, NC)
- …+ Resident Assessment/Evaluation process in accordance with state/provincial regulatory requirements + Review Physician Reports of all new residents as directed ... by RCD. + Review Physician Reports of all new residents...compensation that include: + Medical, Dental, Vision, Life, and Disability Plans + Retirement Savings Plans + Employee Assistant… more
- United Therapeutics (Research Triangle Park, NC)
- …Conduct medical monitoring activities for allocated clinical studies + Participate in review and approval of study protocols, with particular focus on study design, ... scheduled assessments, and protection of subject safety + Review and approve all versions of the patient information...clinical research organization or pharmaceutical company + MD - Physician - State Licensure + Able to make medical… more
- CenterWell (Raleigh, NC)
- …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all ... their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market care… more
- CenterWell (Raleigh, NC)
- …- SALARY The **Weekend Clinical Manager** is responsible for the receipt, input, review , and completion of all referrals and calls dispatched during the weekend. ... patient needs and expectations with patient and family and/or physician and are responsible for assuming compliance to regulatory...that these visits are scheduled and performed timely. * Review orders as they appear on the action screen.… more
- BioLife Plasma Services (Fayetteville, NC)
- …determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test ... as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with… more
- UNC Health Care (Smithfield, NC)
- …addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders, bed billing type, and medical necessity. This may include ... tasks, or other electronic communication and via telephone. Responsibilities: 1. Clinical Review Process - Uses approved criteria and conducts admission review… more