DuPage Medical Group
Remote * (Downers Grove, IL, USA)
Job DescriptionDuPage Medical Group is the largest independent, multi-specialty physician group in the Midwest. We offer services in more than 70 specialty areas across 120+ locations. Our team is comprised of more than 750 physicians and 5,000 dynamic individuals who work collaboratively to transform healthcare for the thousands of patients we serve each day.Talent Acquisition Consultant - Clinical Recruitment Full-Time, 40 hours per week Monday- Friday; 8:00am-5:00pm Location: Downers Grove, IL/Remote DuPage Medical Group's mission is to enhance the physical well-being of the patients we serve by continuing to provide the highest quality medical care available. To accomplish this mission, we are expanding our team of talent professionals to attract the best talent to serve our patients. Driven by our mission and values, you will achieve staffing objectives by recruiting and evaluating job candidates; interviewing, advising and guiding managers, working with long term staffing...
Apr 14, 2021
Job DescriptionDuPage Medical Group is the largest independent, multi-specialty physician group in the Midwest. We offer services in more than 70 specialty areas across 120+ locations. Our team is comprised of more than 750 physicians and 5,000 dynamic individuals who work collaboratively to transform healthcare for the thousands of patients we serve each day.Talent Acquisition Consultant - Clinical Recruitment Full-Time, 40 hours per week Monday- Friday; 8:00am-5:00pm Location: Downers Grove, IL/Remote DuPage Medical Group's mission is to enhance the physical well-being of the patients we serve by continuing to provide the highest quality medical care available. To accomplish this mission, we are expanding our team of talent professionals to attract the best talent to serve our patients. Driven by our mission and values, you will achieve staffing objectives by recruiting and evaluating job candidates; interviewing, advising and guiding managers, working with long term staffing...
MILITARY VETERANS The Auditor, DRG Coding & Clinical Validation position has an extensive background in either facility-based nursing and/or inpatient coding and has a high level of understanding in reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Key Responsibilities: Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently. Effectively Utilizes Audit Tools. Utilizes...
Apr 17, 2021
MILITARY VETERANS The Auditor, DRG Coding & Clinical Validation position has an extensive background in either facility-based nursing and/or inpatient coding and has a high level of understanding in reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Key Responsibilities: Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently. Effectively Utilizes Audit Tools. Utilizes...
ProPharma Group MIS Limited
Remote * (New York, NY, USA)
Multilingual Medical Information Specialist - Danish speaking- REF7416W-Work from home (UK) Full-time Company Description ProPharma Group is an industry leading, single source provider for regulatory compliance, pharmacovigilance, and medical information services across the full development lifecycle for pharmaceutical, biotechnology, and medical device companies. Operating around the world with offices in Australia, Canada, Germany, Japan, the Netherlands, Sweden, United Kingdom, and the United States, ProPharma Groups fully integrated service offerings will provide clients with a comprehensive suite of global support services that are required to be competitive in todays dynamic markets. We build successful long-term relationships with clients by providing leading industry knowledge, experience, and proven processes. Job Description This Multilingual Medical Information Specialist position is responsible for providing a high quality Medical Information service...
Apr 17, 2021
Multilingual Medical Information Specialist - Danish speaking- REF7416W-Work from home (UK) Full-time Company Description ProPharma Group is an industry leading, single source provider for regulatory compliance, pharmacovigilance, and medical information services across the full development lifecycle for pharmaceutical, biotechnology, and medical device companies. Operating around the world with offices in Australia, Canada, Germany, Japan, the Netherlands, Sweden, United Kingdom, and the United States, ProPharma Groups fully integrated service offerings will provide clients with a comprehensive suite of global support services that are required to be competitive in todays dynamic markets. We build successful long-term relationships with clients by providing leading industry knowledge, experience, and proven processes. Job Description This Multilingual Medical Information Specialist position is responsible for providing a high quality Medical Information service...
Job location: Phoenix, Arizona or remote, Work from home, United StatesUnder the supervision of the Director of Epic Systems and Technology, the Manager of Epic Clinical Applications is responsible for managing the team that designs and configures Epic's various clinical applications (includes Ambulatory, MyChart, Healthy Planet, Orders, etc.). In this role, you will plan, direct, and coordinate activities of systems projects to ensure projects and goals are accomplished. This is a working manager role and will be Epic certified, performing build in the Epic system. Responsibilities: Lead an application development team and ensure quality and productivity measures are consistently achieved.Collaborate closely with IT and the Business in the delivery of high-performing services. Executes the Epic roadmap in alignment with Business and IT Vision & Operating Plan.Manage the development, upgrade, and maintenance of all Epic Applications as well as select ancillary systems.Manages...
Apr 17, 2021
Job location: Phoenix, Arizona or remote, Work from home, United StatesUnder the supervision of the Director of Epic Systems and Technology, the Manager of Epic Clinical Applications is responsible for managing the team that designs and configures Epic's various clinical applications (includes Ambulatory, MyChart, Healthy Planet, Orders, etc.). In this role, you will plan, direct, and coordinate activities of systems projects to ensure projects and goals are accomplished. This is a working manager role and will be Epic certified, performing build in the Epic system. Responsibilities: Lead an application development team and ensure quality and productivity measures are consistently achieved.Collaborate closely with IT and the Business in the delivery of high-performing services. Executes the Epic roadmap in alignment with Business and IT Vision & Operating Plan.Manage the development, upgrade, and maintenance of all Epic Applications as well as select ancillary systems.Manages...
**Job Description** In partnership with the Quality Assurance Lead (QAL), the Quality Assurance Specialist (QAS) will support the implementation and management of the Quality assurance strategy across multiple studies, and/or countries. The QAS will utilize audit and inspection intelligence and risk mitigation plans to assure adherence to Good Clinical Practice (GCP) in the conduct of clinical trials, the quality and integrity of generated data, and the rights and welfare of subjects/patients. The QAS position is responsible for the execution of the global Quality Assurance (QA) audit activities on assigned studies/products/vendors/Country Offices (CO). This role is accountable for Good Clinical Practice (GCP) and/or Pharmacovigilance (PV) oversight, and for assuring the compliance of studies with our Company's Standard Operating Procedures (SOPs), policies, and all applicable worldwide regulations and guidelines (e.g., United States FDA, European Union Directives, ICH, and National...
Apr 17, 2021
**Job Description** In partnership with the Quality Assurance Lead (QAL), the Quality Assurance Specialist (QAS) will support the implementation and management of the Quality assurance strategy across multiple studies, and/or countries. The QAS will utilize audit and inspection intelligence and risk mitigation plans to assure adherence to Good Clinical Practice (GCP) in the conduct of clinical trials, the quality and integrity of generated data, and the rights and welfare of subjects/patients. The QAS position is responsible for the execution of the global Quality Assurance (QA) audit activities on assigned studies/products/vendors/Country Offices (CO). This role is accountable for Good Clinical Practice (GCP) and/or Pharmacovigilance (PV) oversight, and for assuring the compliance of studies with our Company's Standard Operating Procedures (SOPs), policies, and all applicable worldwide regulations and guidelines (e.g., United States FDA, European Union Directives, ICH, and National...
MedStar Health
Remote * (Arlington County, Arlington, VA, USA)
MedStar Physicians# Billing Services has several openings for experienced Patient Accounts Specialists (Level II) to join our expanding team and work remote from home!# To be successful, candidates must have a minimum of four years# of progressively responsible experience in hospital/physician patient accounts and collections in medical billing operations.# Join one of the largest health systems in the Maryland, Virginia and Washington, D.C., area and enjoy the benefits of a full benefits package including paid time off, health/vision/dental insurance, short # long term disability, tuition reimbursement and the benefits of remote work capability. Apply today and learn how MedStar Health can provide your next great career move! About MedStar Physician#s Billing Services: MedStar Physicians# Billing Services supports the employed and contracted providers of MedStar Health with their billing needs. In addition to the core billing services of Charge Entry, Claims Follow-up and Payment...
Apr 17, 2021
MedStar Physicians# Billing Services has several openings for experienced Patient Accounts Specialists (Level II) to join our expanding team and work remote from home!# To be successful, candidates must have a minimum of four years# of progressively responsible experience in hospital/physician patient accounts and collections in medical billing operations.# Join one of the largest health systems in the Maryland, Virginia and Washington, D.C., area and enjoy the benefits of a full benefits package including paid time off, health/vision/dental insurance, short # long term disability, tuition reimbursement and the benefits of remote work capability. Apply today and learn how MedStar Health can provide your next great career move! About MedStar Physician#s Billing Services: MedStar Physicians# Billing Services supports the employed and contracted providers of MedStar Health with their billing needs. In addition to the core billing services of Charge Entry, Claims Follow-up and Payment...
Arise Virtual Solutions
Remote * (West New York, NJ 07093, USA)
Hablasespaol? Bilingual Work-From-Home Opportunity for Spanish-speakers, Servicing Clients for Leading Medical Transportation Company Make some extra cash and put your Spanish-fluency to good use by supporting customers for a leading medical transportation company. This exciting customer service opportunity is perfect for fully-fluent bilingual English/Spanish speakers who can patiently deliver caring, compassionate service in both languages - all while working from the safety of your own home, using the Arise Platform! Benefits of registering to use the Arise Platform: Be your own boss, and work from home Schedule your work around your life, not the other way around Extra money for vacation or escape the 9-to-5 Medical Transportation Support Representative tasks include: Taking calls and answering questions from callers in need of Medical Transportation Services. Coordinating, updating, cancelling, and confirming appointments. Engaging with a wide demographic of callers, both in...
Apr 17, 2021
Hablasespaol? Bilingual Work-From-Home Opportunity for Spanish-speakers, Servicing Clients for Leading Medical Transportation Company Make some extra cash and put your Spanish-fluency to good use by supporting customers for a leading medical transportation company. This exciting customer service opportunity is perfect for fully-fluent bilingual English/Spanish speakers who can patiently deliver caring, compassionate service in both languages - all while working from the safety of your own home, using the Arise Platform! Benefits of registering to use the Arise Platform: Be your own boss, and work from home Schedule your work around your life, not the other way around Extra money for vacation or escape the 9-to-5 Medical Transportation Support Representative tasks include: Taking calls and answering questions from callers in need of Medical Transportation Services. Coordinating, updating, cancelling, and confirming appointments. Engaging with a wide demographic of callers, both in...
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...
Apr 17, 2021
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...
Crown Health is a fast-growing mobile healthcare practice with a unique approach to geriatric care. Based in Maple Valley, our Mission at Crown Health is to provide safe, compassionate, reliable primary care to vulnerable patients in the comfort of their home. Our amazing staff of Physicians, Nurse Practitioners, Physician Assistants, and Medical Assistants provide care through both in-person and telehealth visits. We are seeking a full time, experienced, and self-motivated Administrative Medical Assistant to join our team. This is a work from home , M-F, 8-5 position which may become an in-office role in 6-12 months. We prefer candidates from VANCOUVER/PORTLAND . Our main offices are located in Maple Valley or Spokane, WA. Reporting to a Lead Medical Assistant and the Regional Director of Clinical Operations, this individual will be responsible for providing support to the primary care practitioners with managing their patient caseloads. In this role you will: Work in a...
Apr 17, 2021
Crown Health is a fast-growing mobile healthcare practice with a unique approach to geriatric care. Based in Maple Valley, our Mission at Crown Health is to provide safe, compassionate, reliable primary care to vulnerable patients in the comfort of their home. Our amazing staff of Physicians, Nurse Practitioners, Physician Assistants, and Medical Assistants provide care through both in-person and telehealth visits. We are seeking a full time, experienced, and self-motivated Administrative Medical Assistant to join our team. This is a work from home , M-F, 8-5 position which may become an in-office role in 6-12 months. We prefer candidates from VANCOUVER/PORTLAND . Our main offices are located in Maple Valley or Spokane, WA. Reporting to a Lead Medical Assistant and the Regional Director of Clinical Operations, this individual will be responsible for providing support to the primary care practitioners with managing their patient caseloads. In this role you will: Work in a...
Evicore Healthcare
Remote * (Los Angeles, CA, USA)
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...
Apr 17, 2021
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...
Evicore Healthcare
Remote * (Los Angeles, CA, USA)
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Surgery - Orthopedics, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past...
Apr 17, 2021
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Surgery - Orthopedics, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past...
Job Overview:The Clinical Data Manager I can be remotely (home-based) located anywhere within the United States or Canada. Serve as the technical leader on all data management aspects for project(s) including start-up, maintenance, and completion activities. Develop [Global] Data Management Plans and Quality Management (QM) Plans that will deliver accurate, timely, consistent, and quality clinical data. Identify and implement solutions to project data management issues and concerns, including proactive prevention strategies based on metrics and forecasts. Serve as the project and client liaison including management and provision of project specific data management status, cycle time, and productivity metrics. Coordinate and participate in the development of the clinical data model and/or database design and annotate the CRF (eCFR) according to these specifications. Review data acquisition conventions and data review guidelines / diagnostic specifications consistent with the clinical...
Apr 17, 2021
Job Overview:The Clinical Data Manager I can be remotely (home-based) located anywhere within the United States or Canada. Serve as the technical leader on all data management aspects for project(s) including start-up, maintenance, and completion activities. Develop [Global] Data Management Plans and Quality Management (QM) Plans that will deliver accurate, timely, consistent, and quality clinical data. Identify and implement solutions to project data management issues and concerns, including proactive prevention strategies based on metrics and forecasts. Serve as the project and client liaison including management and provision of project specific data management status, cycle time, and productivity metrics. Coordinate and participate in the development of the clinical data model and/or database design and annotate the CRF (eCFR) according to these specifications. Review data acquisition conventions and data review guidelines / diagnostic specifications consistent with the clinical...
Job Overview:The Clinical Data Manager I can be remotely (home-based) located anywhere within the United States or Canada. Serve as the technical leader on all data management aspects for project(s) including start-up, maintenance, and completion activities. Develop [Global] Data Management Plans and Quality Management (QM) Plans that will deliver accurate, timely, consistent, and quality clinical data. Identify and implement solutions to project data management issues and concerns, including proactive prevention strategies based on metrics and forecasts. Serve as the project and client liaison including management and provision of project specific data management status, cycle time, and productivity metrics. Coordinate and participate in the development of the clinical data model and/or database design and annotate the CRF (eCFR) according to these specifications. Review data acquisition conventions and data review guidelines / diagnostic specifications consistent with the clinical...
Apr 17, 2021
Job Overview:The Clinical Data Manager I can be remotely (home-based) located anywhere within the United States or Canada. Serve as the technical leader on all data management aspects for project(s) including start-up, maintenance, and completion activities. Develop [Global] Data Management Plans and Quality Management (QM) Plans that will deliver accurate, timely, consistent, and quality clinical data. Identify and implement solutions to project data management issues and concerns, including proactive prevention strategies based on metrics and forecasts. Serve as the project and client liaison including management and provision of project specific data management status, cycle time, and productivity metrics. Coordinate and participate in the development of the clinical data model and/or database design and annotate the CRF (eCFR) according to these specifications. Review data acquisition conventions and data review guidelines / diagnostic specifications consistent with the clinical...
Evicore Healthcare
Remote * (Los Angeles, CA, USA)
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the...
Apr 17, 2021
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the...
Crawford & Company
Remote * (Mason City, IA 50401, USA)
Excellence In Everything We Touch Position Summary This is a work from home position requiring local field case management travel. Candidates must reside within the Cedar Rapids, Iowa region. RN required and National Certification highly preferred! To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSAStandards of Practiceand Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability and Disability. Responsibilities + Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individuals medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. + Render opinions regarding case costs, treatment plan, outcome and problem...
Apr 17, 2021
Excellence In Everything We Touch Position Summary This is a work from home position requiring local field case management travel. Candidates must reside within the Cedar Rapids, Iowa region. RN required and National Certification highly preferred! To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSAStandards of Practiceand Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability and Disability. Responsibilities + Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individuals medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. + Render opinions regarding case costs, treatment plan, outcome and problem...
Job Title Software Quality Engineer QA Lead Engineer Location Waukesha, Wisconsin Duration 24 Months (This role is remote for now but may need to come onsite at a later time.) Shift Hours Shift Days 8am-5pm, Monday Friday Role SummaryPurpose A Quality Engineer who is a Medical Device Subject Matter Expert and is responsible for providing manufacturing andor engineering process support for the development, implementation, improvement and continuous reinforcement of established procedures and prac
Apr 17, 2021
Job Title Software Quality Engineer QA Lead Engineer Location Waukesha, Wisconsin Duration 24 Months (This role is remote for now but may need to come onsite at a later time.) Shift Hours Shift Days 8am-5pm, Monday Friday Role SummaryPurpose A Quality Engineer who is a Medical Device Subject Matter Expert and is responsible for providing manufacturing andor engineering process support for the development, implementation, improvement and continuous reinforcement of established procedures and prac
Couple your attention to detail and critical thinking skills with our proprietary technology to match oncology patients with suitable clinical trials. You will: * * Use your expertise in oncology to understand our clinical trials, discuss research studies and enroll patients appropriately. * Screen patients utilizing our proprietary system * Work with oncologists to complete and track VTB (virtual tumor board) reports for patients. Strong communication skills, e.g. discuss/review/explain the reports. * Work with our tech team to identify and resolve system issues for improved performance. * Communicate and report results to clients and management. * Screen and fast track patients for high priority clinical trials. If you: * Are an RN * Have worked in oncology for 2 or more years * Are impatient to make an impact every day * Understand clinical research * Have a passion for patient care * Able to work remotely within the United States Lets talk. Apply to be contacted by...
Apr 17, 2021
Couple your attention to detail and critical thinking skills with our proprietary technology to match oncology patients with suitable clinical trials. You will: * * Use your expertise in oncology to understand our clinical trials, discuss research studies and enroll patients appropriately. * Screen patients utilizing our proprietary system * Work with oncologists to complete and track VTB (virtual tumor board) reports for patients. Strong communication skills, e.g. discuss/review/explain the reports. * Work with our tech team to identify and resolve system issues for improved performance. * Communicate and report results to clients and management. * Screen and fast track patients for high priority clinical trials. If you: * Are an RN * Have worked in oncology for 2 or more years * Are impatient to make an impact every day * Understand clinical research * Have a passion for patient care * Able to work remotely within the United States Lets talk. Apply to be contacted by...
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Surgery - Orthopedics, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...
Apr 17, 2021
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Surgery - Orthopedics, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...
View all jobs REMOTE Utilization Management Nurse Reviewer - Nurse Practitioner Miramar, FL Healthcare Our client is an integrated homecare service provider focused on meeting the needs of Health Plans by serving their members through a single source solution. We engage in risk based (e.g. capitation, shared savings) deals with health plans and other risk bearing groups to provide home health, DME, and home infusion services at low cost and high quality. Our delivery model has served over one million health plan members nationwide, contributing to higher star rankings and lower healthcare costs.We are hiring several Utilization Management Nurse Reviewers in our Miramar, FL office. These positions will have flexibility to work remote after initial onsite onboarding. The utilization management Nurse performs prospective, concurrent and reviews for home care services, durable medical equipment and ancillary services. The purpose and goals of utilization management are to assure that...
Apr 17, 2021
View all jobs REMOTE Utilization Management Nurse Reviewer - Nurse Practitioner Miramar, FL Healthcare Our client is an integrated homecare service provider focused on meeting the needs of Health Plans by serving their members through a single source solution. We engage in risk based (e.g. capitation, shared savings) deals with health plans and other risk bearing groups to provide home health, DME, and home infusion services at low cost and high quality. Our delivery model has served over one million health plan members nationwide, contributing to higher star rankings and lower healthcare costs.We are hiring several Utilization Management Nurse Reviewers in our Miramar, FL office. These positions will have flexibility to work remote after initial onsite onboarding. The utilization management Nurse performs prospective, concurrent and reviews for home care services, durable medical equipment and ancillary services. The purpose and goals of utilization management are to assure that...
