- Dane Street, LLC (Boston, MA)
- As Physician Reviewer /Advisor you will utilize clinical expertise and review insurance appeals, and prospective and retrospective claims. The Physician ... Reviewer will provide an interpretation of the medical necessity...sizes Provides copies of any criteria utilized in a review with the report in a timely manner Returns… more
- Dane Street, LLC (Minneapolis, MN)
- As Physician Reviewer /Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and ... retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity...sizes Provides copies of any criteria utilized in a review with the report promptly Returns cases on or… more
- Dane Street (Boston, MA)
- A recognized healthcare organization is seeking a Physician Reviewer /Advisor to utilize clinical expertise in the review of insurance appeals and claims. The ... ideal candidate will provide interpretations regarding the medical necessity of services based on specific client policies and national guidelines. Responsibilities include reviewing medical records, ensuring documentation supports decisions, and maintaining… more
- Dane Street, LLC (Seattle, WA)
- …medical reviewer with expertise in endocrinology. You will evaluate clinical cases, provide summaries, and engage in peer communications, all while enjoying ... the flexibility of a customizable schedule. Ideal candidates will be board certified in endocrinology and hold a current Washington Medical License. This independent consultant role emphasizes advisory services only, with no direct patient interactions,… more
- Dane Street, LLC (Boston, MA)
- …services provider located in Boston, Massachusetts, is seeking a Physician Reviewer /Advisor to utilize clinical expertise in reviewing insurance appeals ... and claims. The role requires board certification and offers flexibility in schedule and workload. Responsibilities include evaluating medical necessity and providing advisory opinions. Ideal candidates will have experience in quality assurance and be capable… more
- Dane Street, LLC (Santa Monica, CA)
- A healthcare assessments firm is seeking an expert reviewer in endocrinology to conduct remote evaluations of medical records. This role is designed for Board ... Certified professionals with at least 5 years of clinical practice experience. The contractor enjoys a flexible schedule tailored to their availability. Key… more
- Dane Street, LLC (Louisiana, MO)
- …their team. This telework role allows for schedule flexibility, where you will review medical records and provide clinical summaries. Candidates must be ... board-certified, have fellowship training in spine surgery, and hold an unrestricted Louisiana medical license. This position does not involve direct patient treatment but focuses on advisory services, supporting high-quality healthcare assessments.… more
- Dane Street, LLC (Santa Fe, NM)
- …flexibility, allowing for customization while evaluating medical records and providing clinical summaries. Ideal candidates must be Board Certified in Urology, hold ... an active New Mexico Medical License, and have over 5 years of clinical practice experience. Join a team committed to delivering high-quality healthcare assessments.… more
- New River Community College (Richmond, VA)
- …as necessary, as well as in a professional capacity in their field, eg, reviewer , conference organizer, etc. Clinical activities The faculty member will also ... have 50% ambulatory Primary Care clinical duties. Required Qualifications Medical degree and board certification in Family Medicine Experience with health services… more
- Christus Health (Alexandria, LA)
- …with physician leadership specific tools to support medical record physician documentation. Review clinical issues with coding staff to assign working DRG's. ... diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care. Review final DRG and compare with clinical data gathered… more
- Luminis Health (Lanham, MD)
- Title: Clinical Supervisor Job Code: 000747 FLSA Status: Non - Exempt Reports To : Clinical Director - Nursing Position Objective The Clinical Supervisor ... to hiring, evaluating performance, issuing final disciplinary actions under the review of Human Resources, and recommending discharge in collaboration with members… more
- Residential Home Health and Hospice (Basehor, KS)
- …and office staff. 2. Monitor clinicians via HCHB reports 3. Update Clinical Record on an ongoing basis as relates to communications, orders, re-hospitalizations, ... versus recertification and initiation of orders as appropriate. 8. Review and manage visit time exception requests. 9. ...with PSC of staff availability as well as proving Clinical Manger with projected productivity for staff once/week. Obtains… more
- Christus Health (Irving, TX)
- …have the necessary skills before sending an application. Summary: The Specialty Clinical Pharmacist is responsible and accountable for the provision of safe, ... effective, and prompt medication therapy. Specialty Clinical Pharmacists provide proficient direct patient-centered care in a decentralized practice setting. In this… more
- AHN Healthcare@Home (Finleyville, PA)
- …best delivered in a team-based environment, our Hme Health Registered Nurse Clinical Field Staff Supervisor collaborate to provide management and delivery of patient ... field and office staff. * Responsible for direct management of the POD's Clinical Field Staff, assigning tasks and objectives, and establishing clear measurables for… more
- Lamwork (San Francisco, CA)
- …care pathways, monitor performance metrics, and submit DHS statistics regularly. A Review of Professional Skills and Functions for Clinical Coordinator 1. ... Processing: Work strictly in a professional office setting to review , log, and process information concerning clinical ...to review , log, and process information concerning clinical studies. Data Management: Review study reports… more
- Childrens Hospital Of The Kings Daughter (Norfolk, VA)
- …please read the following job information. GENERAL SUMMARY The Respiratory Care Clinical Care Leader is responsible for developing and sustaining an environment that ... promotes excellence in clinical practice and patient / family satisfaction, while striving...not limited to quality assessment, shared governance, scheduling, quality review , and staff development in-services. Serves as a resource… more
- University of Texas MD Anderson Cancer Center (Houston, TX)
- …for patients by phone conversations or in writing to other physicians. Provide peer review for assessing the clinical practice of faculty within the department. ... healthcare excellence projects. Administrative and Service: Participate in investigation and review of best practice initiatives and clinical and institutional… more
- Pfizer, SA de CV (San Diego, CA)
- …study results. Support execution for all FIH programs through proof-of concept. Set the clinical data review strategy, ensure quality data and conduct review ... of emerging clinical data and trends; review and query data; present and discuss relevant data...bodies, and other internal and external stakeholders. Conduct data review , analysis and interpretation of clinical trials… more
- Revolution Medicines (Redwood City, CA)
- …development of project documentation, system set-up, User Acceptance Testing (UAT), routine data review through database lock of clinical trials. The Sr/CDM has ... The Senior Clinical Data Manager is responsible for all aspects...and performing UAT. Leads the development of internal Data Review Plan and coordinates cross functional team data listing… more
- LightHouse Behavioral Health Center, LLC. (Baltimore, MD)
- …standards (CARF, OHCQ, CSA) Strong leadership, communication, and documentation review skills Board-approved Clinical Supervisor credential Experience with ... Provide clinical oversight and supervision to licensed and unlicensed clinical staff Review and co-sign treatment plans, progress notes, assessments,… more
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