...the one who changes everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene... ...benefits including a fresh perspec Clinical, Clinician, Appeals, Medical Director, Practical Nurse, Vocational Nurse, Healthcare...
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...every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- GI - REMOTE
**Job Description Summary**
Key member of the... ....
+ Provides clinical rationale for standard and expedited appeals.
+ Provides assistance and act as a resource to Initial Clinical...
Suggested
Remote job
Work experience placement
Internship
Local area
...assessments of prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization... ...and provides assistance and/or clinical support to aid in appeal process.
Serves as resource to Case Management for...
Suggested
Relief
Remote job
Shift work
2 days per week
3 days per week
Monday to Friday
...Role - P hysician Medical Reviewer
Duration – Weekend job
Remote
Pre-service... ...Physician medical reviewer evaluates clinical service requests based on company... ...Participates in the Physician Review Units' appeal process of service denials.
Participates...
Suggested
Hourly pay
Holiday work
Full time
Remote job
Shift work
Weekend work
Sunday
Saturday
...world.
We're one global team driven by our common purpose to deliver a better world. Join us.
**Job Description**
**Schedule Review Lead**
AECOM is serving as the General Engineering Consultant on this first-ever Design-Build-Finance-Operate-Maintain contract for...
Suggested
Contract work
Remote job
Worldwide
Relocation
...explore the job opportunities we have to offer.
General Description and Classification Standards
The purpose of this job is to review construction plans to ensure compliance with regulatory codes, ordinances, and laws. Duties include but are not limited to...
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Temporary work
For contractors
...explore the job opportunities we have to offer.
General Description and Classification Standards
The purpose of this job is to review construction plans to ensure compliance with regulatory codes, ordinances, and laws. Duties include but are not limited to...
Suggested
Temporary work
For contractors
Overview:
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond....
Suggested
Overview:
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond....
Suggested
..., a "2023 Best Place to Work and Healthiest Employer", seeks a Review Nurse, PA/UM. The Review Nurse to conducts prior approval and... ...requests as per PAUM policy and procedures
Evaluate initial clinical information and approve cases that meet criteria. Document clearly...
Suggested
Contract work
...accessibility, integrity, and quality care are what is most important. We put a lot of emphasis on the thought that—in order for our clinical team to be accessible to clients—we must fully support our clinicians by allowing them to do what they are trained to do. We...
Suggested
Part time
Private practice
Relocation bonus
...Land Plan Reviewer I
Hours: Full-Time
Service Area: Urban Planning
Reports to: Deputy Southeast Officer Director and Principals in Support of City of Atlanta staff
Supervises: Not Applicable
Location: Atlanta
The...
Suggested
Full time
Contract work
Local area
Afternoon shift
...level management position that is responsible for providing strategic direction, leadership, and coordination of CAS's Credit Risk Review cyclical risk-based audit plans. As an Independent Risk Review function, Credit Risk Review provides independent assessment and effective...
Suggested
Holiday work
Temporary work
...precertification and medical necessity reviews on all designated referrals as well as targeted... ..., Claims, Contracts and Benefits - Appeals, Risk Management.
Essential... ...Experience
~ Minimum three (3) years of clinical nursing.
Education
~ High school...
Suggested
Permanent employment
Full time
Contract work
Local area
Shift work
...Innova Solutions is immediately hiring for an Clinical Development Lead, Infection and Immunity
Position type: Full-time; Contract... ...design of performance verification and troubleshooting experiments. Reviews the data from these experiments from a clinical perspective....
Suggested
Full time
Contract work
Temporary work
Work experience placement
Immediate start
Remote job
Worldwide
Flexible hours
$85k - $92k
...Lead a team of amazing Physical Therapists as the Clinic Director at Results in Midtown Atlanta
Results Physiotherapy is hiring for a Physical Therapist Clinic Director in Atlanta, GA 30309
Join our busy Midtown Atlanta Outpatient Clinic. We are looking for a motivated...
Holiday work
Full time
Temporary work
Local area
Relocation bonus
Flexible hours
...99 independent contractor.
JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions... ...manner. Discusses the appropriate disclaimers and appeal process with the providers.
• Attends orientation and training...
Contract work
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
...Behavioral Health Department is to provide skilled and appropriate clinical services that contributes to the well-being and success of... ...and providing adequate time for consensus-building, especially review, feedback and approval.
Strong teamwork and interpersonal communication...
Permanent employment
2 days per week
...Responsible for carrying out medical necessity reviews on all designated referrals for Home... ..., Claims, Contracts and Benefits - Appeals, Risk Management are responsibilities of... ...Experience
~ Minimum three (3) years of clinical nursing.
Education
~ B.S. in nursing...
Full time
Contract work
Local area
Immediate start
Shift work
Weekend work
...Innova Solutions is immediately hiring for an Clinical Supply Chain Manager
Position type: Full-time; Contract
Duration: 06+ Months... ...that would impact clinical supply chain.
Authors and reviews SOPs and labeling batch records required for distribution and clinical...
Full time
Contract work
Temporary work
For contractors
Work experience placement
Immediate start
Remote job
Worldwide
Flexible hours
...rare diseases and immune disorders.
Summary
The Director, Clinical Safety, will be a product safety lead or part of a product... ...including project-specific training and coaching of team members and review of team output cross-functionally.
Effectively represent the...
...Experienced Document Review Attorney – Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on...
Remote job
Hourly pay
Full time
Flexible hours
...passion and drives every decision we make.
**Job Posting Title**
Clinical PharmacyTechnician II
**Job Description Summary**
Evaluates... ...to Pharmacist when request requires extensive clinical review or denial.
+ Monitors telephone system to ensure adequate staffing...
Work experience placement
Local area
...procedures through OPAL Aesthetics.
Position Summary:
The Clinical Trainer handles training new and current technicians on exam... ...skills that may need refining.
Conduct new clinical hire 90 days review and contribute to annual performance reviews for all clinical...
Temporary work
...:
8am-4:30pm / Full-Time / 40 Hours
We're seeking a Clinical Quality Coordinator responsible for understanding the rules &... ...Identifying and reporting patient safety risks and events
Quality Review & Accountability: Executing measure requirements
Minimum...
Full time
Temporary work
...The incumbent will be responsible for ensuring execution of clinical studies across geographic regions, in adherence to Good Clinical... ...protocol profiles, final protocols and amendments Lead document review and coordination for the protocol and amendments. Additional medical...
Contract work
Interim role
...Precision Medicine services for sponsor and investigator-initiated clinical studies. Together with the Director, Precision Medicine,... ...clinical pharmacology.
Prepare and/or support the preparation and review of Precision Medicine product plans, clinical study reports,...
Remote job
Work from home
...defining a new standard of care for humankind.
Description:
The Clinical Specialist Pharmacist practices as a clinical expert in... ...drug therapy regimens and performs daily in-depth patient profile review to assess, monitor and recommend appropriate drug therapy as applicable...
Permanent employment
Outdoor
Shift work
...defining a new standard of care for humankind.
Description:
The Clinical Pharmacist I practices as a pharmacy generalist in one or more... ...documents. Performs daily in-depth patient profile review to assess, monitor and recommend appropriate drug therapy as applicable...
Permanent employment
Temporary work
Outdoor
Shift work
...reinvent it. Come, transform with us.
Are you the one we are looking for?
We are inviting applications for the role of Desk Reviewer
This position manages an inventory of managed repair program claim assignments. Communicates with contractors regarding...
Full time
For contractors