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Works directly with investigators and study team members on the development and revision of clinical research protocols and Informed Consent Forms (ICFs), and facilitates the activities of writing and regulatory review with bi-directional dialogue and feedback.
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Psychiatric Nurse practitioners may participate in utilization review activities as needed to ensure patients are able to access necessary careThe Psychiatric Nurse Practitioner will fulfill all duties in compliance with Pioneer Rural Health procedures including 42 CFR, Part 2 (privacy regulations.
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This (MA) Medical Assistant Adjunct Instructor position reports to the Dean of Nursing and Allied Health and will be responsible for both classroom, lab and clinical instruction/supervision of selected courses of the MA program.
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As needed, support initial clinical and demographic data review generated by the system to prepare and finalize final care plan sign off and billing. Communicate with Director of Clinical Review on issues regarding quality, system capacity, and resource requirements, facility and/ or provider feedback.
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN. Access to our Clinical Nurse Liaison Team.
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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Washington, District of Columbia. The role of the case management nurse (RN) is to coordinate continuity of care for patients often as a liaison between the patient’s family and healthcare organization.
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Develops and oversees peer review systems for clinical staff, and coordinates the performance appraisal of the primary care physician. Ensures compliance with PACE provider regulations as they pertain to medical/clinical components of care.
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Performs a thorough on-site or telephonic assessment of referred patients, including chart review of the clinical physical assessment; interacts with the physicians, nurses, and therapists directly involved in the patient’s care to determine medical stability and readiness for program participation.
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Responsible for oversight and coordination of CRN clinical trials that are managed by the CRN CRO. Responsible for the oversight and coordination of chart review and follow-up activities in the data coordinating center.
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Mastery of utilization review principles to ensure continuity of care and clinical evaluations as needed for appropriate provision of intensive, crisis services and other levels of care.
$64,793.66 - $93,950.81 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS.
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Utilizes SQL/SAS to create and test reports, and listings, ensuring data consistency and facilitating data review. The Senior Clinical Database Programmer is responsible for ensuring that clinical study data is collected, processed, and validated in a consistent and appropriate manner that is consistent with BD’s QMS procedures, resulting in high quality data ready for statistical analysis.
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Review and facilitation of the Continuum of Care to achieve desired clinical outcomes. Performs clinical review, upon request of Patient Accounts, for appeals, and Medicaid Administrative Days. Completes appeal process for denial days that appear to be clinically justified.
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Or, 4 years utilization review/case management/clinical/or combination. Evaluate medical eligibility for benefits and clinical criteria, applying clinical expertise and administrative policies.
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Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases. Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information.
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review clinical jobs in Alexandria, VA
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