Average salary: $110,278 /yearly
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...guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment.
Primary Responsibilities:
Clinical Case Reviews -75%
Perform clinical review of professional (or facility) claims vs. medical...
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Contract work
Monday to Friday
$11 per hour
Image Reviewers AUTOEXPRESO Location Guaynabo, PR : We are hiring Image Reviewers to work at AUTOEXPRESO - GUAYNABO, P.R.
~$11.00 p/h + incentives
~ Monday to Friday 8:00 am - 4:30 pm or 7:00 am - 5:30 pm
~30 min. of lunch and 24 min of rest
Requirements...
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Hourly pay
Full time
Relocation
Shift work
Monday to Friday
...to start Caring. Connecting. Growing together.
The Sr. Clinical Quality Consultant (CQC) will drive consistency, efficient processes... ...weekly, Monthly, Bi-monthly, Quarterly and/or Annual business Review meetings related to STAR activities which summarize provider...
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Full time
Shift work
Monday to Friday
...Description POSITION SUMMARY
This position reports to the Clinical Specialist II - Formulary. The Clinical Specialist I – Formulary... ...operations support for planning, creating, maintaining, and reviewing formularies and utilization management restrictions.
ESSENTIALS...
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...Job Description
Job Description Overview
Uses clinical expertise to provide account sales support and continuing education in direct contact to patients, physicians and their staff on the technical use of insulin pump therapy and special considerations related...
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...Job Description
Job Description Benefits:
Competitive salary
Flexible schedule
Clinical Psychologist to conduct diagnostic interviews
Are you a Clinical Psychologist looking for a lucrative job (or side hustle) that offers flexibility and simplicity?...
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Contract work
Freelance
Work from home
Flexible hours
...Resumen:
Bajo la dirección y supervisión del/la Director(a) de Enfermería y del/la Directora(a) de Nursing Destination School, el/la Clinical Liaison ofrece sus servicios en carácter de Instructor(a) a tiempo completo con funciones como enlace para las experiencias clí...
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Job Description
Job Description Giddy is a dynamic and rapidly growing e-commerce company dedicated to providing innovative solutions in the sexual health and wellness space. Our flagship product is an ED device called Eddie, which is an FDA Registered Class II medical...
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Temporary work
Local area
...develop a corrective plan.
WHAT YOU'LL DO
Evaluates and reviews rates for new groups (proposals) and active groups (renewals).... ...guidelines established. Communicates with the account representatives, clinical personnel, and others to obtain further information, before...
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...paperwork, tests, products and services
Attentive to details; reviews prescriptions and/or patient information carefully; identifies... ...and answers any questions the patient may have.
Utilizing clinical and product knowledge, provides coaching and guidance to patients...
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Minimum wage
Part time
Local area
...Support Physical Health Assessments of military personnel.
Review health history, service member medical records, and medical questionnaires... ..., we’ve set a new standard of care delivery through our fixed-clinic, mobile treatment center, telemedicine, and portable deployment...
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For contractors
Local area
Remote job
Weekend work
Weekday work
...the recovery of organs for transplant.
Responsibilities
Review in detail all organ donor charts to quality assesses documentation... ...Degree in health related area.
Previous experience in a clinical or hospital setting, quality processes / department, working with...
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..., acuity and any unusual issues with entire transport team.
Reviews dispatch sheet with Flight Coordinator, noting special instructions... ...Communicates quality issues on occurrence form. Director of Clinical Operations is to be notified immediately if priority/urgent...
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Hourly pay
Immediate start
Gangs
...related to pharmacy benefits, authorization requests, drug use review, among others, to ensure that claims are correctly and timely adjudicated... ...pharmacotherapies, in order to make accurate assessments of clinical cases.
· Personal computer experience should include working...
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...Provides a monthly availability schedule
Notifies Director of Clinical Operations if unable to be on call on predetermined days... ...completed AvStar program, Wellness form, EMS Rules and Regulations review, Hazardous materials recognition and response review
Does not...
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Work from home
Worldwide
Gangs
..., supplies and related processes.
**_Accountabilities:_**
+ Review medical orders, promote use hospital protocols and politics.... ...of prescriptions and those policies are followed.
+ Provide clinical consultations to physicians, nurses and staff of the Pharmacy in...
Relief
Local area
Weekend work
...medical knowledge to process according to a workflow that requires the review and evaluation of the service request as per SOP.
For this role, you must be familiar with Medical Policy, Familiar with Clinical service requests, correspondence inquiries and image reviews and...
...Kelly® Science & Clinical is seeking Specialist QA * for contract position at Pharmaceutical client in * Puerto Rico East area.
FUNCTIONS
Review and approve product MPs.
Approve process validation protocols and reports for manufacturing processes. - Request...
Holiday work
Contract work
Temporary work
Local area
Shift work
...Responsibilities
The Utilization Review Coordinator (URC) is responsible for initial clinical review. URC may approve requests for admissions, procedures, and services that meet clinical review criteria. For homebound services, the URC may approve requests when...
Local area
...order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare... ...to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly....
Remote job
Full time
Temporary work
Part time
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