Trabajos clinical reviewer en Austin, TexasCrear alertas

Job Title : Physician Reviewer Duration : 24 Months Assignment (Temp to hire) Locations : Fully Remote- (WFH) Start Date : ASAP Required hours: 39/week and weekend coverage (sat/sun as needed) Note: Position does not provide direct patient care or medical diagnosis.) Medical Director must reside in Texas. Job Profile Summary • Evaluates clinical service requests made by an organization's members and providers., • Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests., • May also provide clinical leadership in other areas of the organization., • Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member. Participates in the process to evaluate clinical service requests., • Practices anticipatory case management for members whose cases come for review, in partnership with case managers., • Participates in the Physician Review Units' appeal process of service denials., • Participates in the development of Physician Review Units' policies and procedures., • Actively participates in all unit continuous quality improvement activities., • Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background., • Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. EEO: “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”

As an Oncology Nurse Practitioner or Physician Assistant Reviewer, you will play a crucial role in administrative and clinical utilization management and quality improvement functions guided by our Chief Medical Officer.

The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests (i. Responsible for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including quantity limits, st

Job Description POSITION SUMMARY: The Medical Laboratory Scientist, Data Reviewer is a member of the Operations Department to review and analyze clinical test results. This individual collaborates with a team of CLS and laboratory personnel to maintain accurate records of test results and patient information, and perform any troubleshooting as needed. PRIMARY RESPONSIBILITIES: • Review clinical test results of molecular genetic testing received from laboratories for accuracy and translate into LIMS., • Review and analyze raw data files in proper software and resolve routine issues., • Verify the proper specimen analyzed for patients and reviews the test requisition forms to verify the correct tests were performed., • Work within several laboratory information systems to review patient demographics and make corrections as needed., • Responsible for understanding most current applicable standard operating procedures., • Ensures compliance with all regulatory agency requirements through documentation, audits, and corrective action and follows GLP (good laboratory practice)., • Given detailed instruction, can complete additional tasks assigned by lead, supervisor, or manager in a timely manner., • Comply with all company and department policies and procedures. This role works with PHI on a regular basis both in paper and electronic form and have an access to various technologies to access PHI (paper and electronic) in order to perform the job • Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire. • Must maintain a current status on Natera training requirements., • Performs other duties as assigned. QUALIFICATIONS: • 1-2 years of experience as a Medical Technologist or equivalent in a clinical laboratory environment. BS/BA degree in Medical Technology, Biological Sciences, or a related field Current MT/MLS/CLS/MB certification preferable from ASCP, AMT, or AAB. KNOWLEDGE, SKILLS, AND ABILITIES: • Excellent interpersonal, communication, computer, and troubleshooting skills., • Experience in Molecular Biology preferred., • Excellent oral and written communication skills., • Word processing and data management skills., • Ability to work well in a group, • Ability to work independently, with minimal supervision PHYSICAL DEMANDS & WORK ENVIRONMENT: • This position requires the ability to use a computer keyboard, communicate over the telephone and read printed material. Duties may require working outside normal working hours (evenings and weekends) at times., • Duties typically performed in office setting., • Standing or sitting for long periods of time may be necessary. The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.Austin, TX$20.92—$26.15 USD OUR OPPORTUNITY Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women's health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you'll work hard and grow quickly. Working alongside the elite of the industry, you'll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management. WHAT WE OFFER Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program! For more information, visit . Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide. All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws. If you are based in California, we encourage you to read this important information for California residents. Link: Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes. For more information: • BBB announcement on job scams, • FBI Cyber Crime resource page

Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the home, allowing you to focus fully on your patient and use your clinical judgment with confidence. Nurses who thrive here value autonomy, continuity of care, and the ability to del

The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evalu

Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the home, allowing you to focus fully on your patient and use your clinical judgment with confidence. Nurses who thrive here value autonomy, continuity of care, and the ability to del

Maintain accurate, timely, and thorough documentation in accordance with clinical, legal, and regulatory standards. Strong clinical knowledge of medical-surgical nursing practices and patient care standards. This position offers an excellent opportunity for professional growth in a dynamic clinical

Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the home, allowing you to focus fully on your patient and use your clinical judgment with confidence. Nurses who thrive here value autonomy, continuity of care, and the ability to del

As a physician practicing with a medical affiliate in the Unified network, you will see the benefit of being affiliated with a large, national women's healthcare company while knowing that physician governance and clinical decision making remains the exclusive domain of physicians.

Clinical responsibilities include prenatal and newborn consultations, attendance of high-risk deliveries and comprehensive management of neonates in the NICU and newborn nurseries throughout our multiple hospital units. Pediatrix-affiliated clinicians are committed to providing coordinated, compassi

American Family Care Urgent Care .Nurse Practitioners & Physician Assistants .Full-time, Part-time, & Per diem Outpatient Nurse Practitioner/Physician Assistant Opportunity.Work Schedule: 13 monthly shifts, flexible dates.Relocation Assistance Negotiable .Other Bonus Potential

Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an. Any Candidate/Associate who

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

This is a place where you grow — personally, professionally, and clinically.

Nurse Practitioner / Physician Assistant Part-Time.Veteran Medical Disability Exams (VA DBQs).Austin, DFW, Houston, San Antonio.Independent exam group conducting.VA disability determination exams.Review records as needed; submit DBQs.HCRI-leased, equipped medical offices.NP/PA Training / Coverage /

Autonomy over clinical decisions. Exclusive discounts and perks on clinical tools, professional resources, and wellness benefits.

We're currently looking for individuals across the country to take part in remote paid market research, including online focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing y

Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the home, allowing you to focus fully on your patient and use your clinical judgment with confidence. Nurses who thrive here value autonomy, continuity of care, and the ability to del

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other

Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the home, allowing you to focus fully on your patient and use your clinical judgment with confidence. Nurses who thrive here value autonomy, continuity of care, and the ability to del

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other

Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the home, allowing you to focus fully on your patient and use your clinical judgment with confidence. Nurses who thrive here value autonomy, continuity of care, and the ability to del

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

Must be able and willing to travel 50% Associates Degree or Bachelor’s Degree in Nursing is preferred Previous Home Health or Hospice Experience is preferred Previous experience with HomeCare HomeBase is preferred You will report to the Clinical Manager or Clinical Supervisor LI-NG1 Equal Employme

Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Can

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other

Continuous learning during weekly Clinical Rounds and through other modalities. Ongoing collaboration with in-office teammates via daily huddles, as well as with virtual clinical teams. Utilization of your specific clinical training and opportunities to perform in-office procedures.

Oversees and coordinates day-to-day activities of nursing personnel in patient care units, provides direction to Clinical Staff, implements work of assigned units and coordinates activities with other patient care units and related departments.

Remote Work From Home Customer Service Representative Agent - Part Time Market Research Panelists Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments.

Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Any Candidate/Associate with at least one year of acute care clinical experience in a simi

Call Center / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Knipper Health, you will: Promote meaningful relationships and brand loyalty through engaged and informed conversation with customers (health-care providers, office staff, pat

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other

Call Center / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Planet Home Lending, you will: Respond to borrower inbound calls concerning their account, ensuring high quality service and adhering to productivity and regulatory requiremen

Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line