- PruittHealth (Atlanta, GA)
- …management care plan for each patient based on a thorough history and clinical record review , including the attending physician's plan, the recommendations of ... **JOB PURPOSE:** Responsible for the oversight of clinical care management of community based long-term care...a managed care setting focused on experience in utilization review /case management and at least two years case management,… more
- System One (Concord, NC)
- …staff. Responsibilities + Provide medical and regulatory oversight for dermatology-focused clinical studies. + Review and approve study protocols, ... Job Title: Clinical Principal Investigator (Dermatology, PRN) Location : Concord,...with sponsors, IRBs, and auditors; ensure inspection readiness. + Review and sign adverse-event reports, CRFs, and final study… more
- Molina Healthcare (Ann Arbor, MI)
- …member benefits, and medical records to document relevant findings of a post pay clinical review . This position manages documents and prioritizes case load to ... applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review . + Communicate and participate in meetings related to cases.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions of ... **The Senior Utilization Review Specialist collaborates with the healthcare team in...Certification.** **2. At least two years experience in Utilization Review processes including knowledge of** **regulatory requirements relative to… more
- Hackensack Meridian Health (Hackensack, NJ)
- …University Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions ... The Utilization Review Physician collaborates with the healthcare team in...Certification. 2. At least two years experience in Utilization Review processes including knowledge of regulatory requirements relative to… more
- University of Pennsylvania (Philadelphia, PA)
- …and reconciled. + Meet with PIs and study team on a bi-monthly basis to review clinical trial revenue, expense and fund balance reports. Ensures timely posting ... receivable for clinical research projects. In collaboration with the Internal Review Board (IRB) and Office of Research Services (ORS) work to ensure all… more
- Alaka'ina Foundation Family of Companies (Frederick, MD)
- … and follow current literature to maintain state-of-art-methodology and technologies in the Clinical Laboratory field. Review and write SOPs in accordance with ... MD. DESCRIPTION OF RESPONSIBILITIES: + Responsible for the overall performance of clinical high complexity and general laboratory testing in support of the SPL… more
- Philips (Malvern, PA)
- …with patient-reported symptoms or events and thoroughly documenting all observations for clinical review . + Ensures strict adherence to quality assurance ... ** Clinical Monitoring Technician I (Malvern, PA)** As a Clinical Monitoring Technician, you'll play a key role in improving patient care by analyzing ECG data… more
- Molina Healthcare (Long Beach, CA)
- …care management, behavioral health and/or long-term services and supports (LTSS) non- clinical review /auditing experience. To all current Molina employees: If ... JOB DESCRIPTION Job SummaryProvides support for non- clinical healthcare services auditing activities. Responsible for performing audits for non- clinical … more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …and Group Home Levels, high end, and specialized placement settings. 2. Comprehensive Clinical Review : In partnership with the Behavioral Health and MDT ... to less restrictive settings, collecting and analyzing data, and providing clinical recommendations and guidance to Out-of-Home Care Specialists, foster families,… more