- State of Minnesota (Minneapolis, MN)
- …assessing plan of care. + Experience with clinical documentation and writing investigative reports. + Knowledge of federal and state regulations related to skilled ... compliance (such as CMS, infection prevention and control, incident and investigative reporting). + Effective leadership and communication skills (providing guidance… more
- Sedgwick (Cedar Rapids, IA)
- …and claims status either by phone, written correspondence and/or claims system . + Coordinates investigative efforts ensuring appropriateness; provides thorough ... timely payments/approvals and adjustments, medically managing disability claims; coordinating investigative efforts, thoroughly reviewing contested claims, negotiating return to… more
- UPMC (Pittsburgh, PA)
- …FWA. The SIU Investigator is also responsible for maintaining the FWA case system with accurate and detailed investigative activities related to assigned cases. ... Responsibilities: - Investigative actions include member/provider outreach, financial tracking, adhering to compliance regulations, and making healthcare oversight referrals. - Plan, organize and execute dental investigations or dental audits utilizing… more
- Veterans Affairs, Veterans Health Administration (Fort Harrison, MT)
- …serve as a Police Officer at the Fort Harrison, Montana Veterans Affairs Healthcare System . The Police Officer will perform a full range of police duties by ... forests, or other natural resource or recreational environments; in performing criminal investigative duties; or in other work that provided the required knowledge… more
- CareFirst (Baltimore, MD)
- …case reviews within departmental and communicated timelines. + Provide support to investigative teams as they perform all levels of healthcare fraud, waste, and ... communicate technical clinical information to non-clinical individuals. Collaborate with investigative teams to correlate review findings with appropriate actions… more
- State of Massachusetts (Boston, MA)
- …of financial assets and expenditures. Responsibilities include developing an investigative plan; locating and interviewing victims, witnesses and targets; locating, ... records; conducting background checks and searching open-source databases; preparing detailed investigative reports; and testifying as a summary witness in grand… more
- State of Montana (Helena, MT)
- …personnel, ultimately enhancing public safety and trust in the criminal justice system . **Job Overview**: *Position Summary* This attorney position is located in the ... evaluation criteria. Expert Legal Training: Delivers quality legal and investigative information in both classroom and scenario-based environments. Provides expert… more
- Serco (Ontario, CA)
- …but not limited to MTO Standards, Code of Conduct and Ethics, Serco Management System , PDR's, etc. + Responsible and accountable to meet the Project Agreement KPIs. ... + Experience in fraud mitigation, evaluation of fraud risk assessment and investigative work + Experience and understanding of contracts, SOW and labour agreements.… more
- City and County of San Francisco (San Francisco, CA)
- …+ Maintaining case information on applicable computerized case management system (s).Collaborating with families and stakeholders to develop behavioral case plans ... practices; theories of human behavior and group dynamics; interviewing, investigative and intervention techniques; child development, the aging process, parenting… more
- Sedgwick (Dublin, OH)
- …and claims status either by phone, written correspondence and/or claims system . + Coordinates investigative efforts ensuring appropriateness; provides thorough ... timely payments/approvals and adjustments, medically managing disability claims; coordinating investigative efforts, thoroughly reviewing contested claims, negotiating return to… more
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