- HCA Healthcare (Reston, VA)
- …your career path, we encourage you to apply for our RN Clinical Coordinator Medical Unit opening. We review all applications. Qualified candidates will be ... have the career opportunities as a(an) RN Clinical Coordinator Medical Unit you want in your current role? We...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- AdventHealth (Castle Rock, CO)
- …patients physical, psychosocial, cultural, and spiritual needs through observation, interview, review of medical records & clinical data. Evaluates patients ... with patient care standards, guidelines, and the delegation of medical services as defined by State Medical Practice Act. May perform a variety of clinical tasks… more
- Molina Healthcare (Bowling Green, KY)
- …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... The position also entails producing audit reports for internal and external review . The position may also work with other internal departments, including Compliance,… more
- InGenesis (Columbia, SC)
- …with our client located in Columbia, SC. In this role, you will perform Medical Review of clinical information using established criteria or clinical guidelines. ... In this role, you will provide support and review of medical claims and utilization practices. This is a REMOTE opportunity for a LPN living in the state of… more
- Regeneron Pharmaceuticals (Tarrytown, NY)
- …specific GPS activities (mechanism of action etc.) + Act as a resource for medical review for complex ICSRs, and other data sources of assigned compounds ... + Ability to utilize GPS safety database for purposes of medical case review and simple queries. **\#MDJobsRA #MDJobs #GDPSJobs** Does this sound like… more
- Parexel (Annapolis, MD)
- …role.** We're currently seeking a highly experienced Clinical Regulatory Leader, Health Authority Medical Review Team Lead, Master/Senior Medical Review ... with a regulatory agency (such as the FDA or MHRA) as a Senior / Master Medical Review Officer, Team Lead, etc. or a related medical role is required. _Depth… more
- City of New York (New York, NY)
- …findings and determinations regarding the plan of care. - Provide consultation to HRA Medical Review Team and social service staff at HRA's request. - Complete ... self-audits of State approved assessments and medical review of charts. - Work toward obtaining PRI/screen certification and conduct assessments of clients… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …development specialist to develop standard work and expectations for the utilization review process, including timely medical necessity screening to ensure ... payers, as appropriate * May participate in the Utilization Review Committee to present medical necessity data and outcomes and partners with care management… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …will also function as the Agency Medical Officer (AMO) and as the Medical Review Officer(MRO) who will review all employee screenings and intakes. ... (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by...verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the… more
- HCA Healthcare (San Antonio, TX)
- …career path, we encourage you to apply for our Clinical Nurse Coordinator Medical Telemetry opening. We review all applications. Qualified candidates will be ... The available plans and programs include: + **Comprehensive benefits** for medical , prescription drug, dental, vision, behavioral health and telemedicine services +… more