- Evolent (Harrisburg, PA)
- …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Clinical Reviewer , Physical Therapy As a Clinical Reviewer , ... health outcomes. **Collaboration Opportunities: ** + Functions in a clinical review capacity to evaluate all cases,...that an approval cannot be rendered to the Physician Clinical Reviewer . In States where allowed, will… more
- St. Luke's University Health Network (Bethlehem, PA)
- …of a patient's ability to pay for health care. The Admission's Clinical Reviewer is responsible for the comprehensive medical review and screening of all ... and responds to all inquiries for admission to ARC + Completes thorough review of documentation and information and assesses a patient's appropriateness for ARC… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview: ;** The Clinical Appeals Reviewer is responsible for processing appeals and ensuring all milestones are met in compliance with regulatory ... a case for determination, interacting directly with providers to obtain additional clinical information, and with members or their advocates to understand the full… more
- Magellan Health Services (Somerset, PA)
- …Project management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer - Somerset-Bedford, PA Grade 25 Work Experience - ... need to reside in the PA area. Conducts reviews of clinical interactions and clinical documentation including reviews of case management records and provider… more
- Penn Medicine (Philadelphia, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... share this rewarding and **REMOTE RN** role! This role will focus primarily on utilization review which is why **we are seeking individuals who have between 3 to 5… more
- Pfizer (Collegeville, PA)
- …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
- University of Pennsylvania (Philadelphia, PA)
- …health and wellness programs and resources, and much more. Posted Job Title Clinical Research Coordinator A/B Job Profile Title Clinical Research Coordinator A ... a diverse group of investigators, involving work on a wide spectrum of clinical trials ranging from phase I to IV, investigator and industry initiated trials.… more
- CenterWell (Lancaster, PA)
- …policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by ... on-site at our Lancaster, PA branch location.** The **RN Clinical Manager** coordinates and oversees all direct care patient...Utilization Review staff. Upon completion of the assessment, creates and… more
- J&J Family of Companies (Spring House, PA)
- …activities, including but not limited to developing the clinical trial protocol, clinical trial materials, literature searches and review , medical review ... Clinical Scientist Intern curriculum, trial specific training, and the clinical database software and medical data review tool. **Responsibilities** **may**… more
- Penn Medicine (Philadelphia, PA)
- …develop/upkeep efficiencies/synergies within the Clinical Documentation department + Enter clinical review data and related anticipated follow-up in EPIC ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more