- Caring Transitions (Lutz, FL)
- …you. Position Summary: We're looking for a detail-oriented and self-motivated Online Auction Review Specialist to help ensure the quality and accuracy of our online ... mission, we would love to have you on our team! Key Responsibilities + Review auction lots and provide feedback on missing details (eg, dimensions, model numbers,… more
- 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 ... customer service to Rx Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx Partners works hand in hand with a licensed pharmacist… more
- Sysco (Houston, TX)
- …viewpoints and requests + Accountable for driving data integrity and performs "logical" review to catch errors in defined global data fields and escalates or ... conversion and creation + At least 2 years' experience with process review , design and implementation. + 5-7 Years of progressive, relevant leadership experience… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and other governmental or… more
- Amentum (Washington, DC)
- …variety of computer applications, including word processing, databases (such as document review and file management systems), spreadsheets, and imaging. + Role also ... tools and knowledge of eDiscovery procedures and resources. + Experienced with document review in Relativity This is a remote position that requires the worked to… more
- Abbott (Maple Grove, MN)
- …routine fingersticks. **The Opportunity** We are looking for our next **Manager, Clinical Data Review ** to lead our team on-site out of our Maple Grove, MN or ... continually evaluate their effectiveness and appropriateness. The Manager, Clinical Data Review will exercise judgment in planning, organizing and performing work;… more
- Guidehouse (Bessemer, AL)
- …Required** **:** None **What You Will Do** **:** + Perform daily review for completion of manually entered physician deficiencies. + Monitoring incomplete/deficiency ... including monitoring of Deficiency Rejection and Discharge Validation Reports. + Daily review of discharges to ensure validation. + Generate listing of physicians… more
- US Tech Solutions (May, OK)
- …clinical policy, regulatory and accreditation guidelines. . Responsible for the review and evaluation of clinical information and documentation. . Reviews ... and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref.… more
- SSM Health (MO)
- …and coding patient charts at the appropriate timepoints in care. This role will review assessments and plans of care to ensure that the coded diagnoses on patient ... Positive Experiences (HOPE), and/or ICD-10 queries. + Assists coders and quality review staff in performance of duties. + Maintains and reports statistical… more
- Gilead Sciences, Inc. (Foster City, CA)
- …change over time, our initial need is for an expert in Material Review platforms (Veeva MedInquiry, VeevaVault, MedDocs, etc). Responsibilities include but are not ... + Hands on experience administering and deploying platforms for Material Review (Veeva MedInquiry, VeevaVault, MedDocs) preferred. + Additional certifications in… more