- Actalent (Austin, TX)
- Clinical Review Nurse - Concurrent Review Location: Remote - Compact Nursing License required; must be able to work CST hours Schedule: Tuesday-Friday, 10:00 ... basis Business Unit: Medicaid About the Role We are seeking a Clinical Review Nurse to perform concurrent reviews for Medicaid members, ensuring appropriate… more
- Actalent (Austin, TX)
- Clinical Review Nurse - Concurrent Review Location: Remote - Candidates can be live anywhere in the US but must be able to work CST hours Schedules ... + Sunday-Wednesday, 8:00 AM - 6:30 PM CST Position Overview We are seeking Clinical Review Nurses to join our remote team. In this role, you will perform… more
- HCA Healthcare (Plano, TX)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have ... caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is… more
- Houston Methodist (Houston, TX)
- …of regulatory and/or important safety related issues. + Perform high quality clinical review of regulatory forms and associated documentation (during internal ... regulatory processes such as local IRB submissions in compliance with Good Clinical Practices (GCP) and all local, state, and federal laws, regulations, guidance,… more
- Evolent (Austin, TX)
- …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
- Fresenius Medical Center (Paris, TX)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Prime Therapeutics (Austin, TX)
- …staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors telephone system to ensure ... Come build the future of pharmacy with us. **Job Posting Title** Clinical Pharmacy Technician Sr - Remote **Job Description** Evaluates and authorizes approval… more
- Edwards Lifesciences (Austin, TX)
- …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
- ManpowerGroup (Austin, TX)
- …a Registered Nurse, you will be part of the Operations Department supporting clinical review processes. The ideal candidate will have strong analytical skills, ... necessity requirements and applicable Texas Administrative Code (TAC) rules. + Strong review and documentation skills. + Proficiency in Microsoft Word (advanced). +… more
- Sumitomo Pharma (Austin, TX)
- …documentation and summarization of findings + Serve as the internal medical monitoring for clinical trials + Review and provide input for the design of the ... and experienced individual for the position of Senior Medical Director, Clinical Research (Ophthalmology) to join our R&D Organization. This individual will… more