• Clinical Review Nurse - Prior…

    Centene Corporation (New York, NY)
    …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... and cost effectiveness of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in… more
    Centene Corporation (11/22/25)
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  • Quality Management Clinical Nurse…

    UCLA Health (Los Angeles, CA)
    …with healthcare standards and regulations. This role involves evaluation clinical practices, identifying areas for improvement, and implementing quality improvement ... thorough facility site reviews and medical record audits, including inspections of clinical areas, patient care practices, and administrative processes + Review more
    UCLA Health (10/12/25)
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  • Clinical Documentation Integrity…

    Avera (Sioux Falls, SD)
    …workflows by coordinating documentation processes, managing denial tracking, and supporting clinical teams with non- clinical tasks. By handling essential ... administrative responsibilities, the Specialist enables clinical staff to concentrate on work requiring ... clinical staff to concentrate on work requiring clinical decision-making. **What you will do** + Coordinates daily… more
    Avera (11/27/25)
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  • Clinical Review Specialist II…

    UCLA Health (Santa Monica, CA)
    …for the identification, collection, and entry of quality data for the Clinical Registries, Patient Safety Indicators (PSIs), and Hospital Acquired Conditions (HACs) ... program. This will involve applying your clinical knowledge to analyze data and identify trends and...improvement. You will serve as a liaison between the clinical stakeholders, clinical registries, and outsourced registry… more
    UCLA Health (11/25/25)
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  • Pharmacy Clinical Review Specialist,…

    UPMC (Bridgeville, PA)
    UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and ... provides customer service to Rx Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx Partners works hand in hand with a licensed… more
    UPMC (10/30/25)
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  • Senior Director, Clinical Scientist…

    Arvinas (New Haven, CT)
    …the Clinical Scientist will have a substantial role in the development of the clinical documents, the review of scientific and clinical data and the ... study design elements and endpoints + Contribute to the clinical portion of investigator brochures review for...Reviewer activities, Central Lab on-boarding etc **Study Data Review and Analysis** + Lead development of Medical Monitor… more
    Arvinas (10/29/25)
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  • Sleep Clinical Review Technician

    Hackensack Meridian Health (Edison, NJ)
    …transform healthcare and serve as a leader of positive change. The **Sleep Clinical Review Technician** is responsible for clinical history, signs/symptoms, ... diagnosis code and test order review . Works directly with team members and ordering clinicians and their staff to educate and support appropriate documentation for coding, authorizations and appropriate testing. This position will offer a hybrid schedule.… more
    Hackensack Meridian Health (09/13/25)
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  • Clinical Study Physician

    Teva Pharmaceuticals (Parsippany, NJ)
    …protocol concept sheet, final protocol and protocol amendments. + Ensure continuous medical review of aggregated data during clinical trial conduct to identify ... events (AEs), serious adverse events (SAEs), and emerging safety signals. + Review documents supporting clinical development such as Investigator's brochure,… more
    Teva Pharmaceuticals (10/07/25)
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  • Clinical Data Review Systems-Senior…

    AbbVie (North Chicago, IL)
    …bringing people, process, and technology together to generate business value from clinical trials data. Our operational model is exemplified through execution and ... or equivalent. Master's preferred. + Must have 8+ years of experience with clinical database design, data loading, and database modeling concepts or 9+ years of… more
    AbbVie (10/18/25)
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  • Clinical Programmer, Integrated Data…

    J&J Family of Companies (Titusville, NJ)
    …Innovative Medicine is searching for the best talent for the position of ** Clinical Programmer** to join our Integrated Data Analytics and Reporting team (IDAR). ... NJ. We have multiple openings for this position. Position Summary: The Clinical Programmer is an individual contributor with knowledge of data structures, industry… more
    J&J Family of Companies (11/13/25)
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