Advocates for Workplace Excellence and Equality
Nurse Practitioner, Medical Reviewer – Reasonable Accommodations Program
Location
District Of Columbia
Posted
31 days ago
Salary
$150 - $160 / hour
Seniority
Senior
Job Description
Nurse Practitioner, Medical Reviewer – Reasonable Accommodations Program
AdNet/AccountNet Inc.
• Provide independent medical documentation review and functional capacity analysis • Review and summarize medical documentation • Identify functional limitations tied to medical conditions • Prepare structured written assessments • Recommend follow-up questions for RA coordinators • Identify and escalate complex multi-system cases to physician reviewer when appropriate
Job Requirements
- Licensed Nurse Practitioner (NP)
- Master's degree or higher from an accredited Nurse Practitioner program
- Active unrestricted license in U.S. jurisdiction
- National certification in an appropriate area is required
- Minimum 3 - 5 years of NP clinical experience
- Experience in medical record review, functional assessment, or chronic disease management
- Ability to evaluate whether medical documentation supports stated limitations
- Familiarity with occupational health, disability review, functional limitations, or federal workplace accommodation processes is preferred
Related Guides
Related Categories
Related Job Pages
More Medical Reviewer Jobs
Role Description Under the direction of management or an experienced Proposals lead, the Proposals & Contracts (“P&C”) Specialist - Regulatory & Medical Writing is responsible for the development of proposals and contracts for new and existing business, in consultation with the Sales Team. S/he gathers and provides increasingly complex information for proposals with oversight from P&C lead. The P&C Specialist- Regulatory & Medical Writing may begin to lead proposals of minimal complexity. Make an Impact at Veristat! - Join a global team with more than 30 years of expertise accelerating life-changing therapies to patients worldwide. - 105+ approved therapies for marketing applications prepared by Veristat. - 480+ oncology projects in the past 5 years. - 350+ rare disease projects delivered in the past 5 years. - Flexible, inclusive culture — 70% remote workforce, 66% women-led teams. Qualifications - Bachelor’s Degree in a related field (Science, Business, Clinical Research) required. - 3 – 5 years of Proposal/Contract experience in the clinical research industry, preferably with a Contract Research Organization (CRO), required. - Understanding of the functional relationship between CROs and Sponsors required. - Work with Medical and Regulatory proposal budget and writing requested. - Excellent interpersonal, communication and time management skills required, including strong detail orientation. - Ability to work creatively and multi-task in a fast-paced environment required. - Ability to learn quickly and assimilate the detail of project requirements required. - Comprehensive knowledge of relevant software (Word, Excel, Outlook) required, and proficient experience with Salesforce required. Requirements - Automated Decision Making: All applicants are reviewed by a member of the Veristat Talent Acquisition team; Veristat does not utilize an automated decision-making process. Benefits - Veristat is an equal opportunity employer. - We celebrate diversity and are committed to creating an inclusive environment for all employees.
Program Integrity Clinical Reviewer II, Readmission Experience Preferred
CareSourceThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
• Conduct claim reviews against medical records to determine claim accuracy for claims payment • Conduct meetings to present identified clinical issues and associated research to Medical Directors and physician experts for validation • Conduct, participate or contribute to on-site audits and investigations of medical professionals, subcontractors, and contracted entities • Assist the audit and investigative teams in the development of clinical and coding based audit tools • Draft proposed provider education and formal corrective action plans for clinical and coding deficiencies • Collaborate with other departments including Pharmacy, Medical Management, Provider Relations, Claims, Contracting, Case Management and Legal • Responsible for maintaining confidentiality of all sensitive investigative information • Develop and maintain SIU specific clinical and investigative training materials to include processes (SOPs)
Role Description The role of Data Reviewer is to support our Laboratory teams in ensuring the integrity and quality of laboratory and chromatographic data and reports. - Ensures analyses are following validated or experimental analytical procedures. - Compares results to methodology, protocol and product specifications, Standard Operating Procedures (SOPs), acceptance criteria, and Good Manufacturing Practices (GMP). - Reviews data entered into databases and reports. - Monitors the quality of the laboratory data. - This is the perfect job for someone who has strong review experience and is looking to move away from hands-on lab duties. A day in the Life: - Ensures the quality of laboratory data and reports. - Reviews chromatographic data, related notebooks, and sample results for scientific soundness, completeness, accurate representation of the data, and final reported results. - Evaluates data to ensure compliance with analytical methods, client criteria, Good Laboratory Practices (GLP), and Good Manufacturing Practices (GMP). - Delivers review findings noting deficiencies within the analytical data or reports in a clear and concise manner. - Communicates with laboratory staff to proactively address the quality of laboratory documentation. - Prepares QC statements noting deficiencies with the analytical data set or notebooks. - Reports deficiencies to the project leader for correction. - Facilitates conversations with lab staff on best documentation practices and addressing quality findings. - Advocates for quality and review process changes. - Identifies and supports process improvement initiatives. Qualifications - BSc in Science or related field required. - 2+ years of QA/QC analytical experience is essential, gaining thorough knowledge of chromatography and including experience in reviewing analytical data/results. - Thorough knowledge of SOPs and Federal Regulations to include GLP and GMP. - Strong verbal and written communication skills. - Strong technical knowledge including an understanding of laboratory procedures, methodology, and standards. - Ability to independently review laboratory reports and analytical methods. - Strong attention to detail. - Ability to provide clear and concise feedback and/or documentation of results. Requirements - Able to communicate, receive, and understand information and ideas with diverse groups of people in a comprehensible and reasonable manner. - Able to work upright and stationary and/or standing for typical working hours. - Able to lift and move objects up to 25 pounds. - Able to work in non-traditional work environments. - Able to use and learn standard office equipment and technology with proficiency. - May have exposure to potentially hazardous elements, including infectious agents, typically found in healthcare or laboratory environments. - Able to perform successfully under pressure while prioritizing and handling multiple projects or activities. Benefits - Support for a healthy and balanced work environment. - Opportunities for career growth and development.
Nurse RA
Teladoc HealthTeladoc Health International somos la marca líder en el mundo en asistencia sanitaria virtual. Nuestros servicios abarcan todo el espectro de necesidades de atención médica, desde simples hasta complejas. Conectamos a nuestros usuarios con la atención primaria, salud mental y experta.
Role Description ¿Eres enfermero/a? ¿Te sientes motivado por la calidad y la seguridad del paciente? ¿Te interesa una jornada que facilite la conciliación entre la vida laboral y familiar? Estamos ampliando nuestro equipo de enfermería. Tu misión será ayudar a los pacientes con diferentes patologías, realizando educación sanitaria para el manejo de su día a día, promoviendo la motivación al cambio de hábitos de vida saludables. Qué harás en tu día a día: - Realizar encuestas sobre salud para recopilar datos útiles acerca del estado de salud y bienestar de los encuestados. - Comprender la salud en general, los factores que repercuten en cierta enfermedad, la opinión sobre los servicios médicos proporcionados y los factores de riesgo asociados con la salud del individuo. - Obtener una evaluación general acerca de la salud del paciente, teniendo en cuenta su historial médico. - Recopilar los datos de salud de acuerdo con los estándares de calidad establecidos a nivel interno. - Transcripción de información clara y ordenada, completa y comprensible. - Ayudar a paciente con desconocimiento sobre sus antecedentes médicos. Qualifications - Licenciatura/Grado en Enfermería (Colegiatura en España). - Experiencia de mínimo 6 meses en el ámbito sanitario. - Habilidades informáticas nivel usuario. Benefits - Contrato temporal directamente por empresa. - Jornada laboral de lunes a viernes: turno de tardes o mañanas (depende de tu disponibilidad). - Formación inicial y continuada. - Posibilidad de desarrollarte en la empresa referente a nivel mundial en servicios. - Posición 100% en remoto.



