- Aequor (Irvine, CA)
- Job Description: Major Accountabilities: Review and investigate assigned technical and clinical customer complaints. Perform hands-on technical investigations and ... and completes associated technical documentation Assist complaint intake group through review and verification of initial complaint coding. Monitor post-market and… more
- Merck & Co. (San Diego, CA)
- …Affairs Europe (RAE) and local affiliate teams.Provide final regulatory review and approval of:Worldwide marketing applicationsClinical study protocols and ... LEAD) to provide strategic regulatory input and approvals.Conduct initial content review and approval for IND/CSA submissions to enable clinical trial… more
- Novo Nordisk Inc. (Corona, CA)
- …DCS maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other paramedical customers and ... Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify… more
- Merck & Co. (South San Francisco, CA)
- …a team of scientists in the research of metabolic diseases & obesity. Review and seek out potential external research collaborations and licensing opportunities to ... applicable.We offer a comprehensive package of benefits.- Available benefits include medical , dental, vision healthcare and other insurance benefits (for employee… more
- CVS Health (Sacramento, CA)
- …skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and ... 3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must have active and unrestricted RN license… more
- CVS Health (Sacramento, CA)
- …for guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on ... rework projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to… more
- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and… more
- BeOne Medicines (Emeryville, CA)
- …data & drafts response and manages approval of responses + Guides and leads medical review of SAEs and provides immediate input to escalated reports, determines ... input to CRFs + Leads the formulation safety criteria and review of study specific medical monitoring plans + Participates in investigator meetings, as needed,… more
- UCLA Health (Los Angeles, CA)
- …including inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health plan ... and safety. In this role, you will supports all Medical Group Health Education & Disease Management Programs utilizing...Travel to various clinic sites and schedule and conduct medical record and facility site audits + Conduct thorough… more
- Travelers Insurance Company (Sacramento, CA)
- …influences which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State ... regulations and medical guidelines to establish medical review policies. Works in close collaboration with the Claim leaders and in partnership with other … more
