- Trinity Health (Rensselaer, NY)
- …Brings patient to exam room, takes appropriate vital signs and documents in electronic medical record. + Review and update medication list to ensure accurate and ... complete list in electronic medical record (EMR) available for provider review and submission. + Complete referrals and tracks patients' compliance. + Review … more
- Abbott (Kansas City, MO)
- …the business strategy for Workplace Services clinic, freight,** **lab** **and** ** medical review ** **networks to support** **fulfillment of transactions across ... the business strategy for Workplace Services clinic, freight,** **lab** **and** ** medical review ** **networks to support** **fulfillment of transactions across… more
- Sedgwick (Cedar Rapids, IA)
- …clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability. ... consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work. **ESSENTIAL FUNCTIONS and… more
- Bristol Myers Squibb (Madison, NJ)
- …matrix team environment working in partnership with Clinical Scientists (CS). + Conducts ** medical data review ** of trial data, including eligibility review . ... expertise & strategy: + Collaborates with CS on protocols, providing ** medical strategic oversight in protocol development** (input on inclusion/exclusion criteria… more
- Ozarks Medical Center (West Plains, MO)
- …integrated program spanning quality improvement, patient safety, enterprise risk/ medical malpractice, physician peer review , accreditation/regulatory readiness, ... infection prevention & control (IPC). The role partners closely with Medical Staff leadership, Nursing, Legal/Compliance, Operations, and Pharmacy to reduce harm,… more
- SUNY Upstate Medical University (Syracuse, NY)
- …2 will assist the manager with supporting technical staff with the coordination of medical record scanning, quality review and resolving various types of work ... scanning equipment. Must be able to bend, stretch, and lift 25 lbs. of medical records. Minimum Qualifications: For consideration for this title, you must meet one… more
- Carnival Cruise Line (Miami, FL)
- …team to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk and escalate ... care coordination and utilization reviews. Operationally, the role supports shipboard medical teams, participates in the 24/7 duty rotation, and manages ship… more
- Johns Hopkins University (Baltimore, MD)
- …billing accuracy through encounter verification ie, clinic schedules, encounter forms, I/P consults, medical records. + Review and resolve Epic Charge Review ... Practice Association, Office of Billing Quality Assurance to include review of documentation. **Specific Duties & Responsibilities** _Procedural Knowledge_ +… more
- Dartmouth Health (Lebanon, NH)
- …external service organizations, agencies and healthcare facilities. * Conduct concurrent medical record review using specific indicators and criteria as ... specific to the role of case management and utilization review : * Lead a collaborative process with the members...approved by the Department of Quality, Medical Staff, CMS and other state agencies. * Performs… more
- CVS Health (Tallahassee, FL)
- …referral from medical services staff. - Approve services that do not require a medical review in accordance with the benefit plan. - Performs non- medical ... every day. + **Position Summary** :- Supports comprehensive coordination of medical services including intake, screening, and referrals. - Promotes/supports quality… more