Genetic Counselor, Clinical Reviewer
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Genetic Counselor Clinical Reviewer responsible for evaluating genetic testing requests and authorizing coverage. Ensuring expert advice is available for physicians and labs regarding genetic testing.
Responsibilities:
- Evaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic laboratory requests
- Comparing requests against established clinical protocols
- Authorizing coverage of services or referring requests for expert clinical review
- Be available as an expert advisor for physicians and labs on the appropriate use of genetic testing
Requirements:
- Master’s degree in genetic counseling
- Board certified American Board of Genetic Counseling or American Board of Medical Genetics
- Licensure (if available) in state of residence
- 2+ years of experience as a Genetic Counselor
- Strong interpersonal skills
- Comfort and familiarity with pediatric, adult, and perinatal genetics and related genetic tests
Benefits:
- Medical, vision, dental insurance
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
Similar Jobs
Senior Medical Reviewer
Team Lead for specialty programs, providing guidance and support to medical review staff. Overseeing quality assurance and compliance initiatives at Palmetto GBA, a BlueCross BlueShield subsidiary.
Medical Reviewer – Thai
Join Translated as a Thai medical reviewer focusing on women's health content. Validate medical terminology and ensure clinical soundness and accuracy in publication-ready materials.
Medical Reviewer, Swedish
Swedish medical reviewer ensuring accuracy and safety in women's health content for a global organization. Collaborate on flexible, project-based freelance content validation and review.
Medical Reviewer, Norwegian
Norwegian Medical Reviewer ensuring accuracy and consistency of medical content at Translated. Position involves reviewing specialized women’s health content for correctness and clarity.
Nurse Practitioner, Medical Reviewer – Reasonable Accommodations Program
Nurse Practitioner reviewing medical documentation for Reasonable Accommodations Program. Providing independent review and analysis to support RA determinations under the Rehabilitation Act of 1973.
RN Clinical Reviewer – IDR
Registered Nurse Clinical Reviewer responsible for conducting comprehensive medical-legal reviews remotely for a non-profit organization. Collaborating with administrative and clinical teams to ensure compliance and accurate determination.
Medical Claims Reviewer – Home Health
Medical Claims Reviewer at Broadway Ventures handling medical claims reviews and determinations based on clinical information. Supporting healthcare clients through expert review and decision documentation.
Medical Reviewer, LPN
Medical Reviewer LPN conducting pre-authorization reviews for HCSC. Focusing on utilization review and quality of care compliance.
Physician Clinical Reviewer – Allergy/Immunology
Physician Clinical Reviewer evaluating clinical cases while ensuring medical necessity guidelines compliance at Prime Therapeutics. Collaborates with physicians to resolve determinations and assists with appeals.
Physician Clinical Reviewer – Pediatric Oncologist
Clinical Reviewer for pediatric oncology at Prime Therapeutics, reviewing service requests and helping in clinical decision making. Engaging with healthcare professionals to ensure adherence to medical guidelines as part of utilization management.
Physician Clinical Reviewer – Pediatric Neurology
Physician Clinical Reviewer in pediatric neurology conducting medical reviews and collaborating with health professionals. Ensuring compliance with guidelines and regulations through documentation and communication.
Physician Clinical Reviewer – Urology
Clinical Reviewer for utilization management focusing on Urology. Engaging with physicians and patients to ensure adherence to clinical guidelines and rationales.
Physician Clinical Reviewer – Endocrinology
Physician Clinical Reviewer responsible for medical review of service requests in utilization management. Collaborating with physicians and health plan members to ensure compliance with guidelines.
Physician Clinical Reviewer – Pediatric Gastroenterology
Clinical Reviewer at Prime Therapeutics evaluating pediatric gastroenterology service requests and overseeing clinical determinations in a remote setting.
Physician Clinical Reviewer – Nephrology
Physician Clinical Reviewer reviewing medical necessity requests for Prime Therapeutics. Collaborating with healthcare professionals to ensure compliance with treatment guidelines and policies.
Physician Clinical Reviewer – Orthopedics
Physician Clinical Reviewer responsible for reviewing clinical determinations and liaising with healthcare providers. Engages in quality assurance and compliance with medical guidelines and regulations in a remote capacity.
Physician Clinical Reviewer – Cardiology
Physician Clinical Reviewer providing medical reviews for service requests at Prime Therapeutics. Engaging with physicians and participating in appeals, focusing on patient care and compliance.
Physician Clinical Reviewer – Oncologist
Clinical Reviewer-Oncologist providing timely medical review of service requests. Interacting with physicians and staff while ensuring compliance with medical necessity guidelines.
Physician Clinical Reviewer – Ophthalmology
Key member reviewing service requests that do not meet medical necessity guidelines. Interacting with healthcare professionals to ensure compliance and proper documentation in ophthalmology.
Physician Clinical Reviewer – Dermatology
Physician Clinical Reviewer specializing in Dermatology at Prime Therapeutics. Responsible for reviewing clinical service requests and interacting with healthcare providers in the remote capacity.