- Guidehouse (Bessemer, AL)
- **Job Family** **:** Medical Records **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + Perform daily review for ... of Deficiency Rejection and Discharge Validation Reports. + Daily review of discharges to ensure validation. + Generate listing...months from date of hire. + Experience working with Medical Records. + Ability to work onsite M -… more
- ABBTECH Professional Resources, Inc. (Reston, VA)
- …1 year of experience in providing professional expertise to DoD preferred. * Medical Expert in orthopedic rehabilitation with vocal cord atrophy as secondary skill. ... * Court certified expert of a certified independent medical examiner with knowledge of orthopedic rehabilitation. * Must...examiner with knowledge of orthopedic rehabilitation. * Must have medical expertise to provide a summary estimate of damages… more
- Novant Health (Winston Salem, NC)
- …- 8am - 4:30pm The Toxicology Review Officer Assistant III supports the Medical Review Officer (MRO) by managing drug and alcohol testing records, ensuring ... compliance with federal and state regulations, and assisting with accurate, timely reporting. Come join a remarkable team where quality care meets quality service, in every dimension, every time. #JoinTeamAubergine #NovantHealth Let Novant Health be the… more
- 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
- Trinity Health (Columbus, OH)
- …and internal policies. + Attends Joint Commission or other regulatory meetings related to medical staff review of OPPE. + Maintains confidentiality of all peer ... thing. **What we offer:** + Competitive compensation and benefits packages including medical , dental, and vision coverage + Retirement savings account with employer… more
- Takeda Pharmaceuticals (Boston, MA)
- …for assigned products and projects. + Regulatory advisor as the "R" in the core Medical , Legal, Regulatory review functions of the Commercial Material Review ... Material Review Process (MMRP) for both Commercial and Medical material development, review , approval, and implementation + Product or project business lead… 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
- Children's Mercy Kansas City (Kansas City, MO)
- …management of patients, including patient statusing processes, ongoing monitoring of medical necessity review functions utilizing InterQual and/or MCG screening ... quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome focused family… more
- Abbott (Maple Grove, MN)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO...We are looking for our next **Manager, Clinical Data Review ** to lead our team on-site out of our… more
- AmeriHealth Caritas (LA)
- …with members and providers to collect all information necessary to perform a thorough medical necessity review . It is within the BH UM Reviewer's discretion to ... Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the clinician… more