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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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Develop new and review completed clinical research informed consent and other ethics and regulatory related documentation. Develop and review completed new and amended clinical research protocols and related documentation throughout the lifecycle of the study, with special attention to the accuracy, consistency, and completeness of documents.
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Experience with clinical study data management, eCRFs, accurate reporting, Jasper Reports, Junit, Web Services, SoapUI, Maven, Struts, clinical research document review process, and integration with bio specimen barcode systems.
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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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Prepare pre-certification/authorization information to insurance utilization review team and subsequent concurrent review (continued stay) clinical reports per medical necessity criteria.
$90,000 - $100,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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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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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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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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Payment Integrity Product Areas- Clinical Claim Review, Payment Analytics, Fraud Capture and Utilization Review. The key areas of emphasis for this role are Corporate Financial Planning and Analysis and operational finance requiring knowledge of MedEcon, Analytics, Clinical Performance and Provider Finance.
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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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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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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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Or, 4 years utilization review/case management/clinical/or combination. Evaluate medical eligibility for benefits and clinical criteria, applying clinical expertise and administrative policies.
$30 - $38 an hourRemoteExpandApply NowActive JobUpdated Today
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