- Carrington (Boston, MA)
- …the action occurs. + Issue corrections identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss ... team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses were identified and the… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …and reviews cases for all TTUHSC El Paso schools. + Serve as a senior file review specialist and processes quality assurance reviews. + Prepare and edit ... **43088BR** **Extended Job Title:** Student Success Specialist **Org Level 1:** Texas Tech Unv Hlth...manuals to cover the conduct of the designated program(s); review and evaluate program(s), measuring impact on the success… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …Team to insure compliance with all funders, licensing and accrediting bodies. The Quality Review Specialist also prepares all agency annual reports/updates. ... In addition, researches change in policy, program, resources and regulations that effect Drueding Center constituency. CONNECTING TO MISSION: Drueding Center continues the legacy of the Sisters of the Redeemer and embodies the mission of Redeemer Health, to… more
- STG International (Rockville, MD)
- STGi is currently seeking a Registered Nurse-Case Review Specialist . The position is remote and open to candidates nationwide. JOB SUMMARY: Provides direct ... Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case review...fellow team members, internal, and external customers. Exam Processing Quality and Safety + Ensure case review … more
- MyFlorida (Tallahassee, FL)
- MANAGEMENT REVIEW SPECIALIST - SES - 73000265 Date: Nov 18, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 865381 Agency: Department of Revenue Working Title: MANAGEMENT REVIEW SPECIALIST - SES - 73000265 Position...systems, updates the Purchasing Office Share Point site, performs quality assurance related to the Department's data uploading to… more
- HCA Healthcare (Plano, TX)
- …**Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an ... you want to work as a Clinical Denial Coding Review Specialist where your passion for creating...and maintain established departmental performance metrics for production and quality + Maintain working knowledge of workflow, systems, and… more
- Koniag Government Services (Washington, DC)
- Koniag Government Services company is seeking a Correlation Review Specialist Level II to support our government customer in Washington, DC. Must be able to ... Koniag Government Solutions (KGS) is seeking an experienced Correlation Review Specialist Level II to support the...advanced image and correlation reviews while providing leadership and quality assurance for the NIBIN Program. As an Alaska… more
- MyFlorida (Orlando, FL)
- OPERATIONS REVIEW SPECIALIST - 60022447 Date: Nov 12,...providing the people we serve with the level and quality that we would demand and expect for our own ... No: 865038 Agency: Children and Families Working Title: OPERATIONS REVIEW SPECIALIST - 60022447 Pay Plan: Career...the courage to take responsibility for providing the highest quality of service to the vulnerable. We are a… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity and level of care using...the plan of care and services provided are patient-focused, high- quality , efficient, and cost-effective. Serves as a preceptor and… more
- HCA Healthcare (Blacksburg, VA)
- …Do you want to join an organization that invests in you as a Cash Post Review Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Cash Post Review Specialist like you to be a...and maintain established departmental performance metrics for production and quality + Maintain working knowledge of workflow, systems, and… more