- Novo Nordisk Inc. (West Lebanon, IN)
- …records to certify compliance with specifications and procedures Releases product based on Quality Assurance record review and approval by QA Manager Performs ... to a better tomorrow for our patients. Ethics and quality are held in the highest regard, and a...products. This position has QA signature authority on the review of individual batch records, supporting test records and… more
- Magellan Health Services (Johnstown, PA)
- …supervision. Project management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer , Licensed /Remote in PA ... reporting. Interacts with multiple stakeholders internally and externally. Provides clinical reviews of Quality of Care (QOC)... Psychology License and Certifications - Required LCSW - Licensed Clinical Social Worker - Care Mgmt,… more
- The Cigna Group (Bloomfield, CT)
- …to Care Managers, Clinical Managers, Providers and other Peer Reviewers in clinical quality improvement process. + Acts as behavioral health consultant in ... Performs peer review and case management activities. Delivers clinical expertise to the organization through peer review , decision making, training,… more
- Magellan Health Services (Baton Rouge, LA)
- …other clinical staff. + Provides training, interpretation and support for QI Clinical Reviewer staff. + Audits and validates internal audit results and/or ... according to medical necessity criteria. General Job Information Title Clinical Reviewer III (Baton Rouge, LA or...- Preferred License and Certifications - Required LCSW - Licensed Clinical Social Worker - Care Mgmt,… more
- Kepro (AR)
- …Preferred Qualifications/Experience: + Utilization Review /Utilization Management experience. + Clinical quality review experience with medical records. ... vital partner for health solutions in the public sector. Acentra is looking for a Clinical Reviewer - Behavioral Health - PRN (Remote within Arkansas) ** The… more
- Trinity Health (Livonia, MI)
- …Collaborative Quality Initiative (CQI). This is accomplished through high- quality clinical screening, data compilation, documentation, and entry into ... with the physician champion and appropriate hospital leadership to identify opportunities for clinical quality improvement and other special projects as may be… more
- Pfizer (Collegeville, PA)
- The Clinical Data Reviewer (CDR) is highly specialized to perform clinical data review , most often in a submission timeline. The studies supported by the ... RESPONSIBILITIES + The CDR is routinely responsible for the clinical data review of one or more...with applicable training requirements, constantly seeking further improvements in quality and efficiency of clinical procedures. +… more
- SSM Health (MO)
- …(CDI) specialist is responsible for facilitating the improvement in the overall quality and completeness of provider-based clinical documentation in the medical ... as well as the level of services rendered. The CDI Specialist assesses clinical documentation through extensive review of the medical record, interaction with… more
- Centers Plan for Healthy Living (Garden City, NY)
- HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... and plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation of… more
- ManpowerGroup (Columbia, SC)
- **Title: Medical Reviewer ** **Location:** **4101 Percival Road Columbia SC 29229 US (Onsite)** **Duration: 03+ Month's Contract** **Shift: Monday to Friday, 8 AM - 5 ... $20.00 to $23.00/hr.** We are looking for a "Medical Reviewer " to join one of our Fortune 500 clients....of our Fortune 500 clients. **Job Summary** The Medical Review and Utilization Management Specialist is responsible for performing… more
