- Houston Methodist (Houston, TX)
- …is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care ... or concurrently determines the appropriateness of inpatient or observation services following review of relevant medical documentation, medical guidelines,… more
- UTMB Health (Webster, TX)
- …timeframe and implement measures to achieve target. + Presents LOS variances for review to Director and Inpatient Medical Director. Transfer Center (Hospital to ... monitoring patients with complicated treatment plans through multidisciplinary conferences and medical record review . + Facilitates clinical care progression of… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …teams + Utilize platforms like Veeva Vault, to manage content lifecycle and Medical Review submissions. + Track and report content usage and effectiveness, ... regional and affiliate medical teams. + Serve as a champion for Medical Review / Promotional review processes for materials + Manage content lifecycle… more
- Travelers Insurance Company (Austin, TX)
- …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
- Parexel (Austin, TX)
- …PV workflows and projects and participate in safety processing for studies including medical review of serious adverse events. * Support regulatory safety ... and interactions such as: --Consultancy on protocol development, drug development program etc. -- Medical review of various documents which might be audited by… more
- Centene Corporation (Austin, TX)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. + Supports effective implementation… more
- Centene Corporation (Austin, TX)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. + Supports effective implementation… more
- Elevance Health (Houston, TX)
- …an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens and supportive care. + Perform ... physician-level case review , following initial nurse review , of chemotherapy regimens. + Determine medical ...nurse review , of chemotherapy regimens. + Determine medical necessity of requests using guidelines and client-specific health… more
- Kelly Services (Austin, TX)
- …and issues that may occur during studies. + Participate in the development and medical review of recruitment and enrollment strategies and material. + Serve as ... **Senior Medical Director (Principal Investigator)** **Kelly(R) Science & Clinical**...ongoing professional development and conference participation. + Provide thorough review of protocol and other study materials. + Determine… more
- Evolent (Austin, TX)
- …with a focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates ... redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal role in… more