- Three Saints Bay (Atlanta, GA)
- …Case and administrative support services include: mailroom, data entry, application review and processing, case archiving, records management, helpdesk, and ... for managing and implementing the overall program requirements to provide case and administrative services to facilitate the timely processing of employer… more
- City of Boynton Beach (Boynton Beach, FL)
- …list, and other factors, such as moral character, may be considered on a case -by- case basis. Moral character may include, but is not limited to, factors ... general life experiences. These factors are considered on a case -by- case basis which may include, among other...rejected if requested information is not received. Please CAREFULLY review your application submission now. Have you reviewed and… more
- Datavant (Nashville, TN)
- …of information related telephone calls and inquiries accurately and timely. + Review , research, resolve and respond to inquiries that are received via telephone, ... (Testing to be given annually in accordance with employee review .) + Required to take and pass a 90-day...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- AON (Farmington, CT)
- …our colleagues and clients succeed. What the day will look like + Review and correct policy applications to meet insurance carrier's rules and guidelines. Work ... to meet Sales Rep payroll schedule. + Connect with case manager on quality of applications during enrollment period...to compare and complete deduction authorizations. + Perform additional review and follow up until all necessary data is… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review / Case Management/ Medical Management/Claims Review services to its clients. Care Coordinators facilitate ... care management and utilization review by performing data collection & data entry, and...collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, employers and claimants in regard to claimants'… more
- UPMC (Pittsburgh, PA)
- …face-to-face assessments that include a clinical assessment and treatment, a review of the medical, functional, behavioral, pharmaceutical, and social needs of ... the member, including instrumental activities of daily living. Review UPMC Health Plan data and EMR data, and...with members and providers. Presents or contributes to complex case reviews by the interdisciplinary team, summarizing clinical and… more
- City of New York (New York, NY)
- …relevant evidence packet and supporting documents to justify the challenged case action. Represents the agency at New York State Administrative Resolution/Settlement ... to FIA Operations, The Fair Hearing Tracking Monitoring and Review Unit (FHTMRU) or the Office of Central Processing...(CA), Supplemental Nutrition Assistance Program (SNAP) and Medicaid (MA) case actions, in order to assist in moving participants… more
- MyFlorida (Tallahassee, FL)
- …reporting systems and other computer links, as well as Quality Control (QC), statewide case review system and audit findings to determine problematic areas that ... with program objectives. + Has lead responsibility for continual review , analysis and enhancement of the statewide case... review , analysis and enhancement of the statewide case reading tool, QMS, and makes recommendations for improvement.… more
- CenterWell (Overland Park, KS)
- …of action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...+ Assesses staff education needs based on own the review of clinical documentation in addition to feedback and… more
- RWE Clean Energy (Austin, TX)
- …engineering activities, including project development support, project design, utility tariff review , energy use case model, development of single-line diagrams, ... a working knowledge of energy markets to ensure the optimal use case for projects in both front-of-the-meter and behind-the-meter applications. The candidate will… more