- UNC Health Care (Chapel Hill, NC)
- …Facilitates the Final rating clinic in collaboration with the NC Jaycee Burn center medical director monthly to review and close workers' compensation claims for ... to maximize independence and employability of burn-injured adults coping with medical , personal, social, and vocational difficulties that result from accidents.… more
- Granville Medical Center (Oxford, NC)
- Registered Nurse - Medical Surgical Location: Granville Health System, Oxford, NC About Granville Health System: For over a century, Granville Health System has been ... Health System has extended its services throughout Granville County, ensuring convenient medical care access for its residents. The Granville Health System main… more
- Fresenius Medical Center (Greenville, NC)
- …may arise. + Escalates issues to supervisor for resolution, as deemed necessary. + Review and comply with the Code of Business Conduct and all applicable company ... for future exams. + Assure confidentiality of patient information and medical records. + Sterilize instruments and maintain quality assurance documentation. PHYSICAL… more
- Matrix Providers (Jacksonville, NC)
- …exam experience is a plus but not required. Job Summary: + Review pertinent medical history documentation and provide one-time, non-treatment compensation ... pride. We are hiring a Optometrist to join our team of talented medical professionals to conduct a one-time, non-treatment Veteran Disability Exam in Jacksonville,… more
- Novant Health (Winston Salem, NC)
- …patient- centered medication recommendations + Participates in the management of medical emergencies + Provides discharge medication review , reconciliation, and ... the facilities in the Winston Salem Market including Forsyth Medical Center, Thomasville Medical Center, Clemmons ...Best Places to Work in Healthcare by Becker's Hospital Review + Recognized as Leaders in LGBTQ+ Healthcare Equality… more
- Highmark Health (Raleigh, NC)
- …**PREFERRED RESPONSIBILITIES** + Clinical operations analysis (monitors and analyzes medical management activities + Responsible for communicating review ... Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies,… more
- KPH Healthcare Services, Inc. (Greensboro, NC)
- …in all clinical activities as requited, including start of care prospective review of medical and drug histories, pharmacokinetic dosing, dosage monitoring ... for compromised patients, reviewing laboratory test results, attending patient care conferences, develop and update patient specific plan of care (POC), patient discharge consultation. + Participates in the referral acceptance/denial process and product,… more
- IQVIA (Durham, NC)
- …(SOPs) and customer requirements as well as to the agreed timelines. Performs senior review of all types of medical writing deliverables. Provides feedback and ... Writing initiative or cross-functional initiative. + May draft new Medical Writing Standard Operating Procedures (SOPs) for review... Medical Writing Standard Operating Procedures (SOPs) for review and act as reviewer for Medical … more
- Highmark Health (Raleigh, NC)
- …and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Elevance Health (Winston Salem, NC)
- …candidate will live in North Carolina. Alternate locations may be considered. The ** Medical Director** will be responsible for utilization review case management ... **Utilization Management Medical Director- NC Medicaid** Location: This role enables...reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and… more