- Daiichi Sankyo, Inc. (Bernards, NJ)
- …issue and handles project. This position prepares trainings, supports CAPA investigations, case review , documentation reviews in collaboration with the ICSR ... management and CRO/Vendor oversight groups for case processing activities and reports to the Director of...and identifies areas of concern, arranges for remediation. Performs review of data entry convention documents, PVA reviews and… more
- Merck & Co. (North Wales, PA)
- …and validate as required, study designs, protocols, measurement questionnaires, case report forms, data analysis plans, and final reports/publications.Works with ... junior members of the team.- Present research plans and results to internal review and governance committees; to external experts and agencies (eg Public Health… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …(PV) service providers responsible for Call Center, individual safety case processing, and aggregate reporting for DSI products, both investigational ... and marketed. Maintains compliance with Global PV regulations for individual case safety and periodic reporting. Contribute as a key DSI contact for PV service… more
- Insmed Incorporated (San Diego, CA)
- …in the process execution within a Pilot Plant non-GMP manufacturing environment. Review batch records, SOPs, raw material specifications, protocols and author ... your contact information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries concerning a request for… more
- Novo Nordisk Inc. (Denver, CO)
- …by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Development Of People Supervisory. Ensure that reporting ... , 2025. The Company may however extend this time-period, in which case the posting will remain available on our careers website at www.novonordisk-us/careers.com… more
- City of New York (New York, NY)
- …is recruiting for (1) one Principal Administrative Associate II to function as a Quality Control Case Reviewer , who will: - Ensure the accuracy of the review ... by conducting preliminary WMS inquiries and case review ; utilize reports to verify that sample is auditable;...review and share documents with the Quality Control Case Review Supervisor to ensure the appropriateness… more
- City of New York (New York, NY)
- …the final report. CA PERT Sr. Reviewer prepares lawsuit packets for each case in the review for electronic transmission to NYC Corporation Counsel. - Conduct ... during customer interaction, and determine whether appropriate action was taken. - Review case file information, POS entries and WMS data to report on the… more
- City of New York (New York, NY)
- …for (1) one Principal Administrative Associate II to function as a NCA PERT Case Reviewer , who will: - Conduct NCA Supplemental Nutrition Assistance (SNAP) ... customer interaction and determine whether appropriate action was taken. - Review case file information, Paperless Office System (POS) entries and Welfare… more
- CVS Health (Columbus, OH)
- …it all with heart, each and every day. **Position Summary** The Care Plan Reviewer (Clinical Case Manager BH) utilizes advanced clinical judgment and critical ... Independent clinical license preferred: LPCC, IMFT, or LISW + Managed care/utilization review experience + Case management and discharge planning experience… more
- City of New York (New York, NY)
- …is recruiting for (1) one Principal Administrative Associate, who will function as a Senior Case Reviewer : - Conduct legally mandated case reviews to comply ... with all statutory, regulatory, and contractual standards. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with… more
- City of New York (New York, NY)
- …be eligible for continued employment. The Office of Constituent Services /Ombudsman Case Reviewer within the Medicaid Eligibility Information Services (EIS) is ... /Ombudsman is seeking two (2) Eligibility Specialist II's to function as EIS Case Reviewers who will: - Respond to inbound and outbound telephone calls received… more
- City of New York (New York, NY)
- …for (2) two Principal Administrative Associates II to function as a Quality Control Case Reviewers, who will: - Review POS, HRA One Viewer of imaged/scanned ... to ensure that data collected is complete, accurate and appropriate to the case under review . - Prepare manual budgets to replicate the actual amounts issued to… more
- City of New York (New York, NY)
- …legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Assurance & Fiscal Integrity (OQA&FI) / The Process Evaluation Review Team (PERT) is recruiting for (2) one Principal...one Principal Administrative Associates III, to function as Senior Case Reviewers who will: - Conduct legally mandated … more
- St. George Tanaq Corporation (Lansing, MI)
- Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... **About the Role** We are seeking a **Dispute Resolution Reviewer I (DRR I)** to support a contract with...anywhere in the United States. **Responsibilities** + Reviews medical records/ case file, writes a decision that is clear, concise,… more
- Elevance Health (Nashville, TN)
- …of patient and provider specific information. + Contributing to team projects aimed to ensure case review accuracy and efficiency, such as updating case ... **Genetic Counselor Reviewer ** The Genetic Counselor Reviewer (GCR)...review processes, reporting issues, and creating internal case review resources. **Minimum requirements:** + Requires… more
- AdventHealth (Altamonte Springs, FL)
- …collaboration with physicians, nursing and HIM coders, the Second Level Reviewer I strategically facilitates and obtains appropriate and quality physician ... complexity of care of the patient. The Second Level Reviewer I educates members of the patient care team...(ROM), and quality. . Completes accurate and timely record review to ensure the integrity of documentation compliance. .… more
- St. George Tanaq Corporation (Phoenix, AZ)
- Dispute Resolution Reviewer III Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... community and shareholders. **About the Role** We are seeking a **Dispute Resolution Reviewer III (DRR III)** to support a contract with our federal client. The… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …most appropriate decision within regulatory timeframes.The TeamAs an integral part of the Appeal Review team, the Clinical Appeals Nurse Reviewer will serve as a ... expert for member and provider submitted appeals. Working collaboratively with Physician review unit, Utilization Management, Case Management, Member appeals and… more
- BJC HealthCare (St. Louis, MO)
- …Surgeons National Quality Improvement Program (ACS NSQIP). This is accomplished through case inclusion screening, clinical chart review with application of ACS ... About the Role** BJC is hiring for a Surgical/Clinical Reviewer . This is a remote position. Must be located...correct application of the program's randomization protocol and timely case completion prior to registry lock dates. + Establishes… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets CMS compliance standards in the… more
