- Walgreens (Deerfield, IL)
- …**Job ID:** 1627429BR **Title:** Quality Assurance Manager, RWE Clinical Trials ( Remote ) **Company Indicator:** Walgreens Boots Alliance **Employment ... QMS initiatives (eg, Vendor Management Process, CAPA) + Manage Clinical Trials Standard Operating Procedure development, review ...+ Bachelor's degree and 4 years of experience in Pharma/ Clinical Quality Management OR High School/GED and… more
- TEKsystems (Dallas, TX)
- Job Title: Clinical Quality Assurance Coordinator Location: Remote Pay Rate: RN - $29/hour | LPN - $24/hour Shift: 11:30AM - 8PM EST Training: 9am-5:30PM ... 4-6 weeks Overview: We are seeking Clinical Quality Assurance Coordinators to support the review ...clinical knowledge to support accurate reviews + Previous remote work experience is a plus Pay and Benefits… more
- Evolent (Helena, MT)
- …mission. Join a mission with a company behind it. **What You'll Be Doing:** As a Clinical Reviewer , Nurse, you will be a key member of the utilization management ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse, you will routinely interact...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- ChenMed (Miami, FL)
- …to join our team. The Physician Reviewer is the primary physician reviewer for Clinical Appropriateness Reviews cases in our organization. Other duties ... for our patients. The position will also participate in Process and Quality improvement in our developing area of Delegated Utilization Management. **ESSENTIAL JOB… more
- BJC HealthCare (St. Louis, MO)
- …relevant work experience) **Additional Information About the Role** BJC is hiring for a Surgical/ Clinical Reviewer . This is a remote position. Must be ... medical schools in the country. **Preferred Qualifications** **Role Purpose** The Surgical Clinical Reviewer (SCR) is responsible for abstracting and sharing… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …I Qualifications) + A minimum of 3 years progressive HEDIS experience as per diem clinical reviewer . + Recognized as a HEDIS, QARR, and QRS hybrid subject matter ... Job Description: Summary: In constant pursuit of improving quality outcomes for the Health Plan, this position exists to retrieve and abstract data from medical… more
- HCA Healthcare (Brownsville, TX)
- …Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has committed up ... the course of three years. **This position is fully remote /work from home!** **Schedule: Monday-Friday Day Shift** **Must have...a difference. We are looking for a dedicated Coding Quality Audit Reviewer like you to be… more
- AmeriHealth Caritas (Washington, DC)
- …SIGN ON BONUS** **Role Overview:** Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for ... on clinical criteria. Using professional judgment, the Clinical Care Reviewer assesses the appropriateness of...cases are escalated to the Medical Director for further review . The reviewer independently applies medical and… more
- AdventHealth (Orlando, FL)
- …Second Level Reviewer I strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to ... completeness and accuracy for severity of illness (SOI), risk of mortality (ROM), and quality . + Completes accurate and timely record review to ensure the… more
- Ochsner Health (Slidell, LA)
- …surgeries in the hospital. Works closely with Departments to identify opportunities for clinical quality improvement and other special projects as may be ... a nationally validated, risk-adjusted, outcomes-based program to measure and improve the quality of surgical care; and assumes chief responsibility to collect and… more
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