- Molina Healthcare (Warren, MI)
- …set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience, ... responsible for review of documentation to ensure medical necessity and appropriate...quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review ,… more
- Penn State Health (Reading, PA)
- …to improve reliability of systems. Accountable for medical staff peer review coordination to support medical staff clinical quality professional practice evaluation. ... Perform review of medical records based on established definitions for peer review for identified cases, including mortality review , and support the peer … more
- Spectrum Billing Solutions (Skokie, IL)
- …most efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his ... or her knowledge and skills to review clinical information and obtain initial and continuing authorizations...a remote or office/home hybrid position. Your Responsibilities: + Review patient admission and clinical information to ensure medical… more
- University of Washington (Seattle, WA)
- …and Pathology department** has two outstanding opportunities for **VARIANT REVIEW SCIENTIST'S** (FULL-TIME, DAY-SHIFT). The positions location is hybrid; work ... **PRIMARY JOB RESPONSIBILITIES** Data Analysis + Generates data and responsible for review and interpretation of genomic test results under direction of clinical… more
- City of New York (New York, NY)
- …Staff Analyst NM III to function as a(n) Executive Director, Grant & Invoice Review Monitoring who will: - Lead both the Grant Monitoring and Non-Contracted Vendor ... Unit and the Secondary Review Team, by developing/providing management reports that accurately depict...agency compliance with grant requirements, vendor management, and invoice review activities. - Direct the review , analysis,… more
- City of New York (New York, NY)
- …also provide important community open spaces and a diverse wildlife habitat. Plan Review is a unit within the Division of Connections and Permitting that evaluates ... City water supply and sewer systems. For example, Plan Review analyzes the proposals for the development of private...compliance with DEP standards and engineering practices. The Plan Review group ensures that a network of city infrastructure… more
- City of New York (New York, NY)
- …(1) Principal Administrative Associate III to function as a Quality Control Case Review Supervisor who will: - Supervise and provide guidance to Quality Control (QC) ... Enhanced Quality Assurance System (EQAS) or the State Case Review units. Provide guidance and clarification to QC Case...Ensure that Case Reviewers assigned to the State Case Review unit evaluate and review all cases… more
- City of New York (New York, NY)
- …which ultimately hinders the case from obtaining a court order. Improving the review of case data facilitates productive data matches, which increases OCSS's ability ... (OCSS) is recruiting four (4) Clerical Associate III's, functioning as Case Review Specialists, Under supervision of the Unit Supervisor of Data Integrity, with… more
- FirstBank PR (GU)
- Loan Review Officer COMMERCIAL LOAN REVIEW DEPT. Our Company At FirstBank PR , we strive to be a trusted advisor to our clients and our employees are the ones ... FirstBank is the number one place for you. A Brief Overview The Loan Review Officer is responsible for independently evaluating the quality, risk, and compliance of… more
- Regions Bank (Atlanta, GA)
- …with Regions' Retention Schedule for a minimum of three years. You may review , modify, or update your information by visiting and logging into the careers ... section of the system. **Job Description:** At Regions, the Credit Risk Review Examiner continuously monitors and examines activities. This position assesses and… more