review process and inter reviewer reliability (IRR) studies. Assist in training of medical review associates regarding..., graduate of approved School of Nursing Experience: If LPN or LVN, 7 years of clinical experience or equivalent combination...
. Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. Processes incoming... departments. Conducts clinical screening process. Minimum Requirements HS diploma or equivalent and a minimum of 2 years...
in clinical care, training, and research nationwide. The Department of Ophthalmology is one of the largest recipients of federal... and other requests PayConnex reviewer Applies financial concepts to process, review, and approve financial transactions: Submits...
of any applicable collective bargaining agreement, seniority, etc. This position is responsible for the review of clinical... coding workflows. Collaborates with coding reviewer by providing feedback regarding trends identified during the daily...
take to be successful in this role? Extensive clinical, vocational, behavioral health and/or ADA experience/knowledge Strong investigative...: Professional Registered Nurse, Certified Rehabilitation Counselor (CRC), ADA/HR Certification, Licensed Clinical Social Worker...
take to be successful in this role? Extensive clinical, vocational, behavioral health and/or ADA experience/knowledge Strong investigative...: Professional Registered Nurse, Certified Rehabilitation Counselor (CRC), ADA/HR Certification, Licensed Clinical Social Worker...
: Serve as author or technical reviewer of appropriate departmental procedures. Review documentation.... Each of us is empowered to apply our individual talents and unique perspectives in an inclusive culture, promoting diversity in clinical...
take healthcare and clinical research personally, with shared experiences that drive a passion to heal, cure and solve... from specs. Clinical trials including knowledge of applicable clinical research regulatory requirements; i.e., Good Clinical...
making skills, both clinical and administrative, which bring credit to the profession and serve to enhance the distinctive... evaluation. Stabilize all critically ill or injured patients. Participates as a peer reviewer process when requested. Admit...
(clinical) care practice experience required. Physician reviewer experience in the insurance industry preferred..., Medicare Supplement, and individual plans. Provides clinical expertise to promote the delivery of high quality, cost...
and that all questions have been addressed. Ensures each review is supported by clinical citations and references when applicable... and/or state mandates and is documented accurately on the case report. Verifies that the peer reviewer has attested to only the...
that can provide expertise, education, coaching, and guidance on clinical practice and documentation to improve our clinical... and facilitator within the clinical documentation integrity team and support the leadership team with the execution of the department...
Reviewer II is responsible for providing administrative case management as part of the Community Case Management Program... Members. As a member of a multidisciplinary team, the Nurse Reviewer II is responsible for assessing, planning, organizing...
of technical presentations & reports. Collaborate with project management, regulatory, clinical, etc. teams to stay aligned on key... approve technical reports as the “Technical Reviewer” as well as standard operating procedures without manager approval...
Review Board Reviewer and committee determination/approval. Review continuation submissions to determine appropriate review... addresses issues, including complaints. Work closely with the affiliates (i.e., Clinical Trial Office, Veterans Administration...
, medical necessity, and efficient utilization of health care services. The PA conducts clinical reviews on cases in accordance... with the hospital’s objectives for assuring quality patient care and effective clinical documentation. Responsibilities: The...
for regulatory compliance, medical necessity, and efficient utilization of health care services. The PA conducts clinical reviews... on cases in accordance with the hospital’s objectives for assuring quality patient care and effective clinical documentation...
Vir Biotechnology, Inc. is a clinical-stage biopharmaceutical company focused on powering the immune system... to transform lives by discovering and developing medicines for serious infectious diseases and cancer. Vir's clinical-stage...
Vir Biotechnology, Inc. is a clinical-stage biopharmaceutical company focused on powering the immune system... to transform lives by discovering and developing medicines for serious infectious diseases and cancer. Vir's clinical-stage...
/video abstracts, plain language summaries, and other materials requiring sound clinical judgment and excellent writing..., client specifications, and industry guidelines Incorporating feedback and revisions and addressing reviewer questions...