- Corewell Health (Grand Rapids, MI)
- … pharmacy functions including prior authorization and appeal reviews. + Uses clinical expertise to make coverage determinations and ensure adherence to ... a variety of services including developing and implementing evidence-based clinical programs and quality-oriented drug management services, instituting practices to… more
- Rush University Medical Center (Chicago, IL)
- …a billing plan for all medical procedures and services required in a clinical research project. * Review clinical research protocols and determine which ... AM - 5:00:00 PM) **Summary:** This position will create coverage analyses in accordance with Medicare's Clinical ...analyses with budget overlay in a timely manner. * Review clinical trial protocols and related regulatory… more
- Rush University Medical Center (Chicago, IL)
- …a billing plan for all medical procedures and services required in a clinical research project. * Review clinical research protocols and determine which ... Trials Research Revenue Cycle, this position will create coverage analyses in accordance with Medicare's Clinical ...analyses with budget overlay in a timely manner. * Review clinical trial protocols and related regulatory… more
- CVS Health (Columbus, OH)
- …interventions.* Work with medical director teams focusing on inpatient care management, clinical coverage review , member appeals clinical review ... , medical claim review , and provider appeals clinical review .* Actively participate in scheduled team meetings and leadership meetings, at the health… more
- Centene Corporation (New York, NY)
- …be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... in accordance with national standards, contractual requirements, and a member's benefit coverage . Provides recommendations to the appropriate medical team to… more
- CDPHP (Albany, NY)
- …share these values and invites you to be a part of that experience. The Clinical Review and Coding Nurse is responsible to attain procedure and diagnosis coding ... and consistency on referred cases. The RN will perform and coordinate the clinical component of the provider appeal function including communication of the decision… more
- University of Colorado (Aurora, CO)
- …resource for other directors and facility leadership. + Manages the Institute's outside medical process through clinical review and authorization of ... resource for other directors and facility leadership. + Manages the Institute's outside medical process through clinical review and authorization of… more
- Actalent (Newark, DE)
- …Experience in InterQual Milliman Understanding State Policies Skills: Prior Authorization, Clinical review , Licensed Practical Nurse, LPN, Interqual About ... in accordance with national standards contractual requirements and a member's benefit coverage . Provides recommendations to the appropriate medical team to… more
- Actalent (Tampa, FL)
- …to their home faster and safer, via our network of home health, durable medical equipment and home infusion providers, all of whom are supported by our CareCentrix ... and adherence to establish health care goals and care * Using clinical expertise, reviews utilization information concerning patient care and matches those needs… more
- Albany Medical Center (Albany, NY)
- Department/Unit: Clinical Neurophysiology Lab Work Shift: Day (United States of America) Salary Range: Min. $18/hr - Max $23.79/hr Essential Duties and ... + Interact with a diverse patient population. + Utilize the electronic medical record to maintain patient records via registration process and scan functionality.… more
- HCA Healthcare (Denver, CO)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for ... candidate is hired below midpoint of the range. **RN Clinical Nurse Coordinator** ** Medical Oncology Unit** **Sign...career path, we encourage you to apply for our Clinical Nurse Coordinator opening. We review all… more
- HCA Healthcare (Mckinney, TX)
- …we encourage you to apply for our Clinical Nurse Coordinator - Medical Telemetry opening. Our team will promptly review your application. Highly qualified ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services...gain certifications and job skills. Apply today for our Clinical Nurse Coordinator - Medical Telemetry opening… more
- HCA Healthcare (Austin, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for ... colleagues in their positions. Join our Team as a(an) Medical Surgical Neuro Clinical Nurse Coordinator and...Clinical Nurse Coordinator opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Plano, TX)
- …career path, we encourage you to apply for our Medical Oncology Clinical Nurse Coordinator opening. We review all applications. Qualified candidates will be ... **Description** ** Clinical Nurse Coordinator - Medical Oncology**...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services… more
- Rush University Medical Center (Chicago, IL)
- …received and accurate based upon agreed costs. * Review accuracy of the Clinical Research Coverage Analyst and Clinical Research Financial Analyst daily ... Review / audit of daily activity of the Clinical Research Coverage Analyst and Clinical...clinical trial management system(s) (CTMS) as well as medical billing software (ie OnCore, EPIC). * Excellent verbal… more
- Amgen (Washington, DC)
- …patients worldwide. It's time for a career you can be proud of. ** Clinical Research Medical Director, Rare Disease, Late Development, US-Remote** **Live** **What ... clinical development executional activities involved in currently running Phase 3 clinical studies. This includes conducting related data review activities,… more
- Commander, Navy Installations (Norfolk, VA)
- Summary Serve as a Non- medical Clinical Counselor within Commander, Navy Installations Command (CNIC), Fleet and Family Readiness Department (N9), Family ... any case presenting suicidal or homicidal risk. Provides after-hours coverage for the FFSP, when required. Performs FAP Case...Tier II qualified as outlined in Navy FFSP Credentials Review and Clinical Privileging requirements. These include:… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** Kidney Transplantation **Work Type:** Full Time (Total FTE ... Schedule:** 12 Hr (6:45:00 PM - 7:15:00 AM) **Summary:** The Organ Placement Clinical Coordinator is a registered nurse trained in the evaluation of deceased donor… more
- Weill Cornell Medical College (New York, NY)
- Title: Clinical Research Specialist-CCTO Location: Upper East Side Org Unit: GU Work Days: Monday-Friday Exemption Status: Exempt Salary Range: $70,000.00 - ... Hired for NYC Offices **Position Summary** Under general direction, the Clinical Research Specialist is responsible for the administration, execution, and overall… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Assistant Professor of Clinical will have clinical and research responsibilities...and treatment of adult patients with infectious diseases on medical and surgical services. This includes outpatient care, as… more