Top 14 Clinical reviewer Jobs in Suwanee, Ga

Risk Management Coordinator
Northside Hospital Inc. —Cumming, GA
- Full-time
- Nursing
- Management
- RN License
13d
Manager, Accreditation - Association of Clinical Pastoral Education (ACPE)
Emory University —Atlanta, GA
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Master's degree
- Work from home
Senior Administrator, Data Safety and Monitoring Committee- Winship Cancer Institute
Emory University —Atlanta, GA
- Full-time
- Hybrid work
- 5 years
- Bachelor's degree
- Mentoring
Bioinformatician II
IHRC INCORPORATED —Atlanta, GA
- Online Application
- Bachelor of Science
- English
- Mid-level
Biostatistician Lead
Guidehouse Digital, LLC —Atlanta, GA
- $92,000 - $153,000 a year
- Full-time
- Azure
- Master's degree
- 8 years
- Commuter assistance
- Health savings account
2d
LPN Supervisory Visit Nurse
Douglas Services LLC —Suwanee, GA
- Part-time
- Hybrid work
- CPR Certification
- BLS Certification
- HIPAA
Quick Apply
Physician ED Claims Reviewer
Vytwo —United States
- Full-time
- Remote
- Mid-level
- 2 years
Quick Apply
Regulatory Affairs Specialist - AI Trainer
micro1 —United States
- $50 - $70 an hour
- Contract
- Remote
- 5 years
- Writing skills
- No experience needed
- Flexible schedule
9d
Epic Tapestry UM Analyst
Vytwo —United States
- $50 an hour
- Full-time
- Remote
- 5 years
- HIPAA
- Mid-level
Quick Apply

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clinical reviewer jobs near suwanee, ga

Risk Management Coordinator

Northside Hospital Inc. -
Cumming, GA

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Job Details

Full-time
13 days ago

Qualifications

RN License
Clinic experience
Patient care

Full Job Description

Overview:

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities:

PRIMARY DUTIES AND RESPONSIBILITIES

Reviews incident reports, assesses need for further investigation, and determines subsequent action.
Investigates incidents involving potential risk. Reviews relevant medical and hospital documents, conducts interviews with involved persons, and assesses present liability and future risk.
Determines appropriate action for current risk situations. May open active claim, adjust hospital bill, or negotiate settlement within given parameters.
Recommends planned interventions to prevent future risks, working with appropriate departments, such as recommending policy and procedure changes or providing educational in-services, as needed.
Works with hospital's defense attorneys and hospital's claims service to arrange interviews, obtain information, write reports, and provide other assistance as required.
Review incident reports via the on-line system. Monitors and evaluates success of planned interventions by comparing frequency, severity, and trend data.
Assumes supervisory responsibility for the hospital's risk management function. Assists in development of department goals and Quality Improvement Plan.
Serves on various hospital committees, such as Resuscitation/Code Blue Committee, Mortality and Morbidity Committee, P & T Committee, Infection Prevention Committee. Acts as liaison develops and presents reports and makes recommendations.
Assists in supervising the secretary including hiring recommendations, orienting, training, counseling, evaluating and discharging.
Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Immediately reports any mechanical or electrical equipment malfunctions, unsafe conditions, or employee/patient/visitor injury-accident to Manager.
Responsible for Incident Reporting system for assigned location including working with IT on updating users such as Gatekeepers and level 2 reviewers, adding or removing departments, and adding or removing categories, as approved.
Available after hours as a Risk Management resource to staff and physicians, as needed.

Qualifications:

REQUIRED

Registered Nurse with a Bachelor of Science in Nursing, or equivalent education or experience.
Three (3) years clinical experience in a clinic or hospital setting.

PREFERRED

Masters in Health Law, Nursing, or Business.
CPHRM certification.
Demonstrated computer knowledge.

Work Hours:: 8:30 a.m. - 4:30 p.m. Weekend Requirements:: No On-Call Requirements:: No

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clinical reviewer jobs in suwanee, ga

Risk Management Coordinator

Manager, Accreditation - Association of Clinical Pastoral Education (ACPE)

Senior Administrator, Data Safety and Monitoring Committee- Winship Cancer Institute

Bioinformatician II

Biostatistician Lead

LPN Supervisory Visit Nurse

Physician ED Claims Reviewer

Regulatory Affairs Specialist - AI Trainer

Epic Tapestry UM Analyst

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I want to receive the latest job alert for clinical reviewer in suwanee, ga

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