- GPI (University Buffalo, NY)
- …survey staff Responsible for survey calculations, analysis and final map checking, review of title data, record drawings research, and client relations Monitor ... while working Summary GPI offers excellent benefits, including a 401(k) plan, ESOP, medical /dental/vision plans, paid time off, and more. GPI is an equal opportunity… more
- Bristol Myers Squibb (Princeton, NJ)
- … Safety Review Physicians (MRSPs) and oversight for vendor activities regarding Medical Review (MR) of all products within the assigned therapeutic area ... to achieving industry-leading quality, compliance, and cost effectiveness. Collaborates to build Medical Review capabilities in all global PVOpS sites. Drives… more
- Bristol Myers Squibb (Madison, NJ)
- …sites. Develops departmental strategy for best practice in delivering excellence in the Medical Review (MR) of Adverse Event reports for all BMS development ... BMS products, and BMS regulatory compliance. **Position Responsibilities** Strategic: Decides Medical Review strategy with regard to driving continuous… more
- Gilead Sciences, Inc. (Foster City, CA)
- …**Job Description** Job Description You will establish visions and objectives for the Medical Review (MR) group taking into consideration of the departmental ... long-term goals, lead the MR group to deliver timely and high-quality medical review , ensure the MR process and procedure in alignment with regulatory… more
- University of Utah (Salt Lake City, UT)
- …**Requisition Number** PRN39526B **Job Title** PS Program Assistant **Working Title** Medical Review Coordinator **Job Grade** C **FLSA Code** Nonexempt ... 18.00-21.00 **Close Date** **Priority Review Date** **Job Summary** The Medical Review Coordinator ( MRC ) is responsible for the completion of transplant… more
- Ansible Government Solutions (Albuquerque, NM)
- Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting Medical Review Officer Assistants to support Sandia National Laboratories located at ... Sandia's Drug Testing Database and assure results are disseminated to the Medical Review Officer + Shall administer and track all quality assurance procedures;… more
- Bristol Myers Squibb (Madison, NJ)
- …in accordance with relevant guidelines. + Ability to demonstrate leadership within the medical review team to help drive best practices aligned with strategic ... or the pharmaceutical industry. + Demonstrates thorough understanding of medical writing and medical review of promotional materials in the pharmaceutical… more
- Rising Medical Solutions (Chicago, IL)
- …years of clinical experience in acute care, surgery and/or orthopedic + Workers' Compensation medical bill review experience a major plus + Understanding of CPT ... Have you ever looked a medical bill and immediately noticed something was wrong?...business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who… more
- ConvaTec (South Easton, MA)
- …guideline requirements needed to set up and maintain client accounts of 180 Medical . + Review received documentation to determine insurance requirements are met. ... + High level of comprehension and critical thinking with quick recall of review requirements + Flexible and adaptable to change in environment and industry +… more
- St. Luke's Health System (Boise, ID)
- …of the department, including organizing and conducting programs and establishing procedures for medical staff peer review functions across the health system. + ... Liaison and resource for medical staff peer review committees and the committee chairs across the St. Luke's Health System for peer review process… more
- Takeda Pharmaceuticals (Lexington, MA)
- …to the best of my knowledge. **Job Description** **Senior Manager, US Medical Ad/Promo Regulatory Review ** **Takeda Pharmaceutical** **Lexington, MA or Exton, ... PA** **About the role:** Join Takeda as a Senior Manager, US Medical Ad/Promo Regulatory Review where you will serve as an internal expert on FDA regulations,… more
- Henry Ford Health System (Detroit, MI)
- The Medical Director of Utilization Review is responsible for the medical oversight of activities related to appropriateness of Henry Ford Hospital (HFH) ... of hospital resources, and continued stays of inpatients. The Medical Director of utilization review will ensure the most efficient use of the institution's… more
- The Arora Group (Bethesda, MD)
- …providers in gathering clinical information and may also provide education on the medical review process. + The Contractor performing as the License Practical ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse...their families, and retirees at Walter Reed National Military Medical Center . Scheduled hours are from 0700AM -… more
- CaroMont Health (Gastonia, NC)
- …daily reviews of medical necessity will be performed and documented in medical review , including daily status update while patient is in observation status. ... Job Summary: Completes initial review for medical necessity for all admissions in assigned area(s), applying established criteria within 24 hours of admission.… more
- Prime Healthcare (Ontario, CA)
- …leadership, hospital C-suite and Clinical departments including Clinical Documentation Improvement, Medical Review and Appeals, Business Office and Clinical ... new members to join our corporate team! Responsibilities VP Utilization Review and Clinical Denials Management will provide strategic leadership, direction and… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …or identified concerns to the treatment team, Director of Utilization Management, and the Medical Director. + Review charts at identified review points and ... medical necessity to Physician Advisor for determination. + Review clinical and diagnostic interventions for appropriateness and timeliness to achieve… more
- UCLA Health (Los Angeles, CA)
- …standards. Your clinical expertise will be essential as you manage the end-to-end peer review process-from data analysis and medical record review to ... The Department of Medicine is seeking to hire a dynamic and experienced Peer Review RN Coordinator to drive excellence in quality improvement for our Ambulatory Care… more
- US Tech Solutions (Columbia, SC)
- …Utilizes available resources to promote quality, cost effective outcomes. Performs medical or behavioral review /authorization process. Ensures coverage for ... healthcare needs of our members. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
- Hackensack Meridian Health (Hackensack, NJ)
- …educational lectures and engage in frequent informal meetings ii. Retrospective Medical Record Documentation Review iii. Clarifying ambiguous or conflicting ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in...determinations - OBS vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital… more
- Hackensack Meridian Health (Hackensack, NJ)
- …educational lectures and engage in frequent informal meetings** **ii. Retrospective Medical Record Documentation Review ** **iii. Clarifying ambiguous or ... **Overview** **The Utilization Review Physician collaborates with the healthcare team in...determinations - OBS vs. Inpatient** **c. Liaison to the Medical Staff supporting Utilization Management Committee processes** **d. Hospital… more
