- BrightSpring Health Services (Dunbar, WV)
- …reviews, including, but not limited to Site Reviews, Record Reviews and review of other quality monitoring and improvement activities. + Completes documentation of ... operational review activities thoroughly and timely. + Prepares detailed summary...+ Maintains certification for company signature programs (YSIS, Site Reviewer , QIDP, etc.) + Supervises entry level QA position,… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... - Triages urgent needs for appropriate evaluation and treatment - Provides case management services for injured Employees & Volunteers - Coordinates with Safety… more
- Dignity Health (Bakersfield, CA)
- …of defined levels of hierarchy and composition of compliant denial notices to review medical records, authorize requested services and prepare cases for physician ... review based on medical necessity. The position partners with...as deemed appropriate. - Identify cases that require additional case management. - Composes denial letter in a manner… more
- ONE Gas (Tulsa, OK)
- …and SD-ACCESS. Configure, manage, and support multiple client VPN/remote access solutions. Review root cause analysis that has been performed at Tier II level ... I and Tier II personnel. Serves as advisor and reviewer of complex changes. Mentor Tier II staff during...Mentor Tier II staff during problem resolution and root case analysis to increase efficiency and knowledge of Tier… more
- AdventHealth (Daytona Beach, FL)
- …other conferences and training as appropriate. + Participates in Quality Assurance peer review , as a reviewer and reviewee. Timely correction of abstractions ... Institute across the Central Florida Division. The ODS-C completes case finding, abstracting, longitudinal patient follow-up, and completes additional activities… more
- Penn Medicine (North Brunswick, NJ)
- …referent relations, discharge planning, utilization management with insurance companies, and case management with social service support systems, schools and other ... clinical status and communicate to the appropriate member of the treatment team. Case Management Performs case management with internal and external entities… more
- Penn Medicine (Hamilton, NJ)
- …referent relations, discharge planning, utilization management with insurance companies, and case management with social service support systems, schools and other ... clinical status and communicate to the appropriate member of the treatment team. Case Management (when assigned) - Performs case management with internal and… more
- City of New York (New York, NY)
- …investigations involving NYCHA. The selected candidate will manage a varied case docket involving investigations of fraud, corruption, mismanagement, and employee ... 7. Prepare written reports, memoranda, referrals and policy recommendations for review by supervisors. 8. Collaborate with other law enforcement and/or prosecutorial… more
- Jacobs (Portland, OR)
- …civil standards, project standards, and project delivery processes. * Able to review and evaluate construction documents for accuracy and full compliance with client ... given tasks with ill-defined conditions of satisfaction, in which case the individual will be expected to take the...Embraces emerging technologies. * Established reputation as a Quality Reviewer . * Able to delegate work to other engineers… more
- Guthrie (Sayre, PA)
- …of all operational aspects for Care Coordination including, but not limited to Case Management, Utilization Review (UR), Utilization Management (UM), and Medical ... medicine + Overseas Corporate Compliance Workplan, and Secondary Medical Necessity Reviewer program Other Duties: It is understood that this description is… more