- Helio Health Inc. (Syracuse, NY)
- …or make referrals for medical services. + Develop, recommend, and review medical policies and procedures for all programs within Helio Health. ... medical consultation, assessment, examination, and treatment planning and review consistent with agency policy and requirements. + Other related assignments… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …efforts. * Support the (Health Effectiveness Data and Information Set) HEDIS Medical Records Review process, including performing chart reviews and over ... performance measurement reporting, based on ongoing data collection via electronic medical records, analysis, concurrent evaluation of the data, and continuous… more
- Abbott House (Irvington, NY)
- …if necessary. + Minimum of once a week visits to each residence to review documentation from recent medical appointments and make sure follow up appointments ... insure MD orders are being implemented, write up consults for future medical appointments, review Medication Administration Record compliance, prepare weekly… more
- Immigration and Customs Enforcement (Washington, DC)
- …national process changes identified by unit chart reviews, nursing incident reports, Medical Quality Management Unit (MQMU) review /reports, and any corrective ... HSA (in the absence of the NM) by providing training and completing onsite review of nursing competencies during TDY assignments to ensure they are following IHSC… more
- Lilly (Indianapolis, IN)
- …+ Review IIT proposals and publications, as requested by Director- Medical . **Scientific Data Dissemination/Exchange** + Knowledge of and compliance with local ... meetings, and other meetings with healthcare professionals. + Support medical information associates in preparation and review ...Support medical information associates in preparation and review of medical letters and other … more
- CVS Health (Lansing, MI)
- …referral to medical services staff. - Approve services that do not require a medical review in accordance with the benefit plan. - Performs non- medical ... years of Call Center experience. **Preferred Qualifications** - Familiarity with basic medical terminology and concepts used in care management. - 2-4 years… more
- Mount Sinai Health System (New York, NY)
- …tasks such as: visit status reminders, follow-up appointments, authorizations for medical review , coordination of specialty appointments and resolving billing ... degree or combination of education/relevant experience. Bachelor's degree preferred. Medical Terminology Certificate highly desirable. **Responsibilities** + Works cohesively… more
- US Tech Solutions (Columbia, SC)
- …available resources to promote quality, cost effective outcomes. + Performs medical or behavioral review /authorization process. Ensures coverage for appropriate ... first 1-2 weeks remote position after training. + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
- Molina Healthcare (Salt Lake City, UT)
- …care experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports (LTSS), or ... - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a formal appeals request… more
- Trinity Health (Newtown Square, PA)
- …consultant. Facilitates the overall quality, completeness, accuracy, and integrity of medical record documentation through extensive record review . Through ... other risk score coding. + Conducts pre and post encounter medical record review coding and documentation for accuracy and completeness. + Identifies… more