- UCLA Health (Santa Monica, CA)
- …for the identification, collection, and entry of quality data for the Clinical Registries, Patient Safety Indicators (PSIs), and Hospital Acquired Conditions (HACs) ... program. This will involve applying your clinical knowledge to analyze data and identify trends and...improvement. You will serve as a liaison between the clinical stakeholders, clinical registries, and outsourced registry… more
- Evolent (Sacramento, CA)
- …and other CR's whenever input is needed or required. Job Summary Functions in a clinical review capacity to evaluate all cases, which do not pass the ... staff. Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process. Job Description… more
- Evolent (Sacramento, CA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the… more
- TEKsystems (San Bernardino, CA)
- …appeal submissions. Skills clinical data analysis, appeals, medical reimbursement, clinical review , collections medical Top Skills Details clinical ... Description We are seeking a dedicated Clinical Appeals Nurse to join our Revenue Cycle...team. The ideal candidate will be responsible for managing clinical denials related to medical necessity, level of care,… more
- Evolent (Sacramento, CA)
- …work 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 ... responsible for support and assistance for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices of… more
- Abbott (Menlo Park, CA)
- …new product/feature development and facilitates the translation into new projects through clinical review and evaluation. Works with field and medical personnel ... treating structural heart disease. We are seeking an **R&D Clinical Engineer** with experience to define user needs and...to define the benchmarks for evaluating the clinical performance of these products/features. + Gathers and analyzes… more
- Health Advocates Network (Susanville, CA)
- …the initial evaluation + Conducts clinically sound risk evaluations including clinical review , applying risk assessment protocols, pertinent data/chart reviews, ... Health Advocates Network is seeking a **Licensed Clinical Social Worker (LCSW)** to work at a...assess, diagnose and manage the presenting symptoms + Writes clinical reports regarding diagnoses and prognoses and develops treatment… more
- University of Southern California (San Diego, CA)
- …will include but are not limited to: + Develop and maintain study specific clinical monitoring documentation. Review and contribute to clinical monitoring ... needed. + Participate in eTMF filing efforts as needed. + Review study data in accordance with Clinical Monitoring Plan. Issue and resolves queries in a timely… more
- Pfizer (South San Francisco, CA)
- …results + Support execution for all FIH programs through proof-of concept + Set the clinical data review strategy, ensure quality data and conduct review of ... emerging clinical data and trends; review and query data; present and discuss relevant data...and other internal and external stakeholders + Conduct data review , analysis and interpretation of clinical trials… more
- Edwards Lifesciences (San Francisco, CA)
- …search strategies, manage associated documentation, and prepare literature summaries). + Independently review raw and summary clinical data for accuracy; resolve ... experience with maintaining current, in-depth product knowledge including current developments, clinical literature review , as well as therapeutic and product… more