- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- Clinical Review Manager - The BlueAdvantage Inpatient Utilization Management department is looking for an RN with at least 3 years of clinical experience to ... join our team. This position reviews clinical for hospital and post-acute admissions for the adult...and member appeals, denial interpretation for letters, retrospective claim review , special review requests, and UM pre-certifications… more
- Actalent (St. Paul, MN)
- Clinical Review Pharmacist (100% Remote) Job Description In this role, you will utilize your clinical skills to conduct utilization management reviews, ... productivity goals. Requirements 2+years of experience in retail, managed care, or clinical pharmacy. Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy… more
- Eisai, Inc (Nutley, NJ)
- …Clinical Programming manages and oversees JReview and SAS program development for clinical data processing, data review reports and listings. This includes ... and end user support to other areas of Data Operations, Data Management, Clinical Safety Data Review and Clinical team. The Assoc. Director of Clinical … more
- Merck & Co. (Rahway, NJ)
- …chain deliverables and prepares , analyses , and/or develops mitigation strategies for review with clinical partners and senior leaders.- - Works directly in ... Job DescriptionThe Global Clinical Supply (GCS) organization is accountable for managing...(GCS) organization is accountable for managing the 'end-to-end' integrated clinical supply chain across the full c ompany's Research… more
- Merck & Co. (Rahway, NJ)
- …supply chain deliverables and prepares, analyzes, and/or develops mitigation strategies for review with clinical partners and senior leaders. -Responsible and ... Job DescriptionThe Global Clinical Supply (GCS) organization is accountable for managing...(GCS) organization is accountable for managing the 'end-to-end' integrated clinical supply chain across the full Research & Development… more
- Merck & Co. (Rahway, NJ)
- …on the clinical trial team. Leading medical monitoring team in review and interpretation -of clinical data/medical protocol deviations in collaborations with ... scientific -pl anning and execution of one or more clinical trials or significant aspects thereof . In this...Job Responsibilities - Responsible for leading specific aspects of clinical /scientific execution of clinical protocol(s) . This… more
- Optum (San Juan, PR)
- …production environment. Primary Responsibilities: Clinical Case Reviews -75% Perform clinical review of professional (or facility) claims vs. medical records ... and accuracy. Standards are defined by the department Provide clear and concise clinical logic to the providers when necessary Examine, assess, and document business… more
- Highmark Health (Wexford, PA)
- …Reviews pharmacy utilization management (UM) coverage requests and prepares such cases for clinical review by a pharmacist and/or medical director when required. ... pertinent facts, and cites applicable internal policies and guidelines. (20%) Resolves non- clinical issues independently and acts as a liaison between our customer… more
- Eisai, Inc (Nutley, NJ)
- …If this is your profile, we want to hear from you. Director, Clinical Quality Assurance The Director, Clinical Quality Assurance position is responsible ... for design, delivery and execution of the North America (NA) Clinical Quality Assurance (CQA) strategy including audit and inspection management and oversight of the… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …trial (small size, standard complexity in design and geographic scope). Prepares clinical section of regulatory document. Collaborates as team member with AROs/CROs. ... documents under guidance of higher level. Reviews and oversee completion of clinical trial protocols. Provides medical and/or scientific direction to Clinical … more
- Marshall Health Network (Huntington, WV)
- …Experience is preferred The kind of position-related experience includes: - Clinical chart review and abstraction experience - Demonstrates knowledge ... Cabell Huntington Hospital is seeking a temporary full-time Bariatric Clinical Reviewer for the Bariatric Surgery Department. The Clinical Reviewer will serve as… more
- Glycomine (Boston, MA)
- …are performed prior to each site activation. Work closely with the Director of Clinical Operations to review the study timelines and milestones are being met. ... site trial agreements, and other necessary budgetary information for clinical trial operations Review site visits per Oversight Plan and conduct study oversights… more
- Takeda Pharmaceutical Company Limited (Boston, MA)
- …of logistics study planning and implementation Consistent with membership of the Clinical Review Board Committee, responsible for critical review ... Strategy (IDAS) and overall Integrated Global Development Plan (IGDP). Responsible for review of synopses, other relevant clinical study documents and Critical… more
- Success Education Colleges (Riverside, CA)
- …setting. Develop and monitor clinical assignments and schedules for students. Visit clinical sites to review and evaluate students' clinical performance ... employment and career advancement POSITION SUMMARY The Diagnostic Medical Sonography Clinical Coordinator Provides direct clinical education and technical… more
- AdventHealth (Altamonte Springs, FL)
- …Resource Manager provides leadership and consultation to company facilities in the clinical review , evaluation and procurement of products and leads ... utilization programs and initiatives. This position works closely with the Office of Clinical Effectiveness and teams representing all hospital sites to review … more
- Kestra Medical Technologies, Inc (Detroit, MI)
- …*Support follow-up tasks for renewals, discharge dates, delivery documentation, and clinical documentation. * Review CareStation reports for patient triggered ... and their care teams harmoniously monitor, manage, and protect life. The Clinical Account Specialist (CAS) will be responsible for providing high quality touchpoints… more
- Healthcare Staffing Professionals (Lancaster, CA)
- …the initial evaluation *Conducts clinically sound suicide risk evaluations including clinical review , applying suicide risk assessment protocols, pertinent ... Staffing Professionals has an immediate need for a Licensed Clinical Social Worker (LCSW). The candidate will be asked...be asked to provide mental health services to inmates/wards. Clinical social workers maintain order and supervise the conduct… more
- UnitedHealth Group (Minneapolis, MN)
- …with medical director teams focusing on inpatient care management, clinical coverage review , member appeals clinical review , medical claim review ... are currently seeking a Utilization Management Medical Director to join our Clinical Performance team. This team is responsible for conducting hospital and… more
- Aveanna Healthcare (Brookfield, WI)
- …Participates in Performance Improvement activities including but not limited to clinical record review , quality indicator monitoring, and quality management ... Position Overview: The Assistant Clinical Manager - Home Health , will evaluate...the team. Act as a resource and support for clinical staff and facilitate collaborative teamwork on the unit… more
- Beth Israel Lahey Health (Burlington, MA)
- …the Extracorporeal Life Support Organization (ELSO) database for all ECMO runs. Performs clinical review of all ECMO cases, providing feedback to care teams. ... the Cardiac Care Unit. The Extracorporeal Oxygenation (ECMO) Program Clinical Manager works collaboratively with interventional cardiology, cardiothoracic surgery,… more
