- US Tech Solutions (Canton, MA)
- …extension)** Notes: Fully remote , MA license required.** **Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that ... more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …benefits, as well as regulatory and NCQA requirements. + Refer to RN or PT Clinical Utilization reviewer for more complex cases as appropriate or when question ... more
- PeaceHealth (Vancouver, WA)
- …knowledge of current Medicare part A and how it impacts DRG assignment to the review of clinical documentation. + Performs other duties as assigned. What You ... more
- AmeriHealth Caritas (Charleston, SC)
- …information necessary to perform a thorough medical necessity review . It is within the BH UM Reviewer 's discretion to retain requests for additional ... more
- SSM Health (MO)
- **It's more than a career, it's a calling** MO- REMOTE **Worker Type:** Regular **Job Highlights:** **Preferred Qualifications:** + CCDS certification + Proficiency ... more
- Elevance Health (Rancho Cordova, CA)
- …or requires physician review or override. + Clearly and concisely documenting clinical review and other case interactions in online database in adherence to ... more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to help us transform healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who ... more
- The Joint Commission (Oakbrook Terrace, IL)
- …Field Representatives, with minimal direction or supervision, survey and/or review health care organizations throughout the United States. Field Representatives ... more
- ManpowerGroup (Columbia, SC)
- **Utilization Management Nurse / Social Worker (Contract Position)** **Location:** Remote (Must Train Onsite for 1-2 Weeks) - Must Reside Within 3 Hours of ... more
- Zelis (TX)
- …records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based clinical criteria and client specific coverage policies. What you will do: + ... more
- Actalent (Dallas, TX)
- …and collaboration with key facility personnel within the healthcare setting. + Use clinical expertise to review clinical information and clinical ... more
- Medtronic (Fridley, MN)
- …design and associated statistical analysis development as well as assisting with other clinical evidence data sets within the Neuromodulation and Pelvic Health ... more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary:** Walgreens RWE (Real World Evidence) Clinical Trials is seeking a remote Account Manager, RWE Clinical Trials with ... more
- WCG Clinical (Cary, NC)
- Associate Clinical Scientist, eCOA ( Remote ) **General Information** **Location:** Cary, NC, Remote **Organization:** Medavante-Prophase, Inc **Job Type:** ... more
- Cedars-Sinai (Beverly Hills, CA)
- …surpluses. Negotiates with sponsors the final payment due for account closeout. May conduct review and/or audits of clinical trial budgets. Serves as a resource ... more
- UTMB Health (Galveston, TX)
- Clinical Documentation Specialist ( Remote -Texas Resident) - Clinical Data **Galveston, Texas, United States** Medical Administrative UTMB Health Requisition ... more
- Amgen (Washington, DC)
- …worldwide. It's time for a career you can be proud of. Join us. ** Clinical Research Medical Director, Endocrinology/Obesity - US Remote ** **What you will do** ... more
- Walgreens (Deerfield, IL)
- …for clinical trial design, protocol development, and execution including review of new business proposals, clinical trial data, feasibility analysis, ... more
- Medtronic (Chicago, IL)
- …to learn more about our Neuromodulation Product Portfolio. This position can be remote from anywhere within the United States or work a hybrid ... more
- Walgreens (Deerfield, IL)
- …Work with Operations team to implement, review and maintain tracking of incidents within the clinical trials, advising on CAPAs to be implemented and ensure ... more