- Aequor (New York, NY)
- …nursing professional Minimum experience of 1-3 years in case management, utilization review and/or quality assurance Experience in episodic care, wellness care and ... counseling of adults Proficiency in use of electronic medical record keeping systems desirable BLS certification required Optional: Case Management and COHN-S certificationsMajor Responsibilities: Assist in coordination of clinical operations, including… more
- Novo Nordisk Inc. (South Houston, TX)
- …standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications A Bachelor's or equivalent degree is ... D 3+ years of relevant diabetes clinical experience preferred Registered Nurse , Registered Dietitian, Physician Assistant, Nurse Practitioner, Pharmacist, or… more
- Novo Nordisk Inc. (Wheaton, IL)
- …Externally, the DCS maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other paramedical ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent degree, and/or Pharm… more
- Novo Nordisk Inc. (Milwaukee, WI)
- …include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized ... sites; ensuring effective coordination and facilitation of studies to ensure timely review , initiation, and completion, as well as publication of study results.… more
- Merck & Co. (Sacramento, CA)
- …distribution (Oncology group purchasing organizations, wholesalers, and specialty pharmacies). Review and evaluate patterns for products purchased and prescribed ... with the in-scope customer team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. -… more
- Novo Nordisk Inc. (Los Angeles, CA)
- …good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records.; May be required to work company holidays and ... Bachelor's degree required* (science related discipline preferred): *Alternatively, a Registered Nurse with a minimum of 3 years of on-site monitoring experience… more
- Merck & Co. (New Orleans, LA)
- …drug distribution (Oncology group purchasing organizations, wholesalers, and specialty pharmacies). Review and evaluate patterns for products purchased and prescribed ... the in-scope customer team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more.… more
- CHRISTUS Health (Alamogordo, NM)
- …timely manner. Maintains house wide Employee Health policies and assures review /revision annually. Adheres to infection control practices. Manages and control fiscal ... resources within department budget and according to hospital guidelines. Directs the operation of hospital employee health program. Maintains and keeps current all employee health files. Directs employee exposure program according to regulation Works with… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …to train and support clinical trial sites Ensures ongoing collection and review of relevant documentation eg, related to protocol amendments, site staff and ... weekends. Qualifications A Bachelor's degree (science-related discipline preferred) or a Registered Nurse (RN) degree is required A minimum of 3 years of experience… more
- Marion County (Salem, OR)
- …identify priorities.Coordinate and facilitate weekly IDT (Inter-Disciplinary Team) meetings to review treatment progress of residents, as required by OARs. All ... with consultation with Supervisor and Prescriber (Psychiatric Mental Health Nurse Practitioner (PMHNP) or Psychiatrist), appropriateness of continued enrollment in… more
- HCA Healthcare (Corpus Christi, TX)
- …Corpus Christi Medical Center Bay Area! **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position encompasses multiple responsibilities ... **Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Clinical Reviewer position and spend more time at the… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical ... position requires strong clinical and medical coding skills to review claims for medical necessity, appropriate coding, and pricing...integral part of the Complex Claims team, the Claims Nurse Reviewer will serve as a liaison… more
- HCA Healthcare (Corpus Christi, TX)
- …path, we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates will be contacted ... **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer PRN you want in...Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities including… more
- Elevance Health (Rancho Cordova, CA)
- ** Nurse Reviewer I** **Location: The ideal candidate for this role will live in one of the following states:** + California + Washington + Nevada **Shift** : An ... from 9:30 am - 6 pm **P** **ST** The ** Nurse Reviewer I** is responsible for conducting...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Elevance Health (Palo Alto, CA)
- ** Nurse Reviewer I** **Location:** Within 50 miles of a pulse point in the following states: + California + Colorado + Nevada + Tennessee **Shift** : Tuesday - ... Saturday, 10:30 am - 7:00 pm **C** **ST** The ** Nurse Reviewer I** is responsible for conducting...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Elevance Health (San Juan, PR)
- …providing information technology and business operations services for health plans._ ** Nurse Reviewer I** **Location:** This position will work on-site ... time zones that the unit will be supporting. The ** Nurse Reviewer I** is responsible for conducting...meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review … more
- Liberty Healthcare Corporation (Nashville, TN)
- …Healthcare Corporation is hiring Registered Nurses for new PASSR Clinical Reviewer positions. Flexible part-time and traditional full-time schedules are available. ... As a Reviewer with Liberty Healthcare, you will help ensure that...work specifically involves using the Preadmission Screening and Resident Review (PASRR) tool to evaluate people for serious mental… more
- Liberty Healthcare Corporation (Fayetteville, TN)
- …Corporation is hiring Licensed Practical Nurses for anticipated new PASSR I Clinical Reviewer positions. As a Clinical Reviewer with Liberty Healthcare, you will ... work will involve using the Preadmission Screening and Resident Review (PASRR) Level I tool to evaluate people for...+ Licensed professionally in Tennessee as a Licensed Practical Nurse (LPN) + Experience providing practical nursing services to… more
- HCA Healthcare (Houston, TX)
- …HCA Houston Healthcare Northwest!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities including Core ... **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your...Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is… more
- Public Consulting Group (Albany, NY)
- **Overview** ** Nurse Reviewer - Quality Assurance in Albany, NY** Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting ... the Bureau of Quality and Surveillance Director, the Registered Nurse will complete tasks including, but not limited to:...will complete tasks including, but not limited to: + Review of potential Immediate Jeopardy/ Substandard Quality of care… more
