- Carle Health (Champaign, IL)
- Overview This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding ... trends related to denials. In collaboration with HIM coding management, the coder/ quality review analyst will assist with selection of coders and encounters to… more
- Aspirus Ironwood Hospital (Duluth, MN)
- …values Every. Single. Day. ASPIRUS ST. LUKE'S ADMINISTRATION in Duluth, MN is seeking a QUALITY REVIEW ANALYST to join our QUALITY MANAGEMENT team! Salary ... information visit aspirus.org. Click here (https://www.aspirus.org/about) to learn more. Position QUALITY REVIEW ANALYST- QUALITY MANAGEMENT Location Req… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Nurse, Quality Review Utilization Management (UM) is to evaluate clinical quality and procedures ... Collaborates with utilization management to develop procedures and reinforce quality standards to support critical-thinking skills and provide and/or facilitate… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- **Summary of the Position:** The Private Bank Quality Review Specialist position is comprised of the quality review of documents and assisting in ... which are ultimately sent to the customer for their signature. The job of quality review is a demanding one that requires extreme attention to detail and an… more
- RTX Corporation (Asheville, NC)
- …control of nonconforming material. + Make dispositions of parts or materials placed on Quality Review based on evaluation of technical requirements and end use, ... role for 12 months before applying. **What You Will Do:** + Evaluate Quality Notifications and related documentation for accuracy and completeness as received from… more
- SSM Health (MO)
- …Outcomes from Positive Experiences (HOPE), and/or ICD-10 queries. + Assists coders and quality review staff in performance of duties. + Maintains and reports ... and coding patient charts at the appropriate timepoints in care. This role will review assessments and plans of care to ensure that the coded diagnoses on patient… more
- George C. Grape Community Hospital (Hamburg, IA)
- Quality /Utilization Review Nurse Position Summary: The Quality /Utilization Review Nurse is responsible for evaluating the medical necessity, ... nursing experience (acute care preferred). o Prior experience in utilization review , case management, quality improvement, and infection control strongly… more
- City of New York (New York, NY)
- …is recruiting for (1) one Principal Administrative Associate, who will function as a Medicaid Quality Control Case Review Supervisor who will: - Review the ... Verify they capture the elements necessary to assist the Quality Control Case Reviewers in their eligibility review... Quality Control Case Reviewers in their eligibility review findings. - Assist the Medicaid Audit and … more
- City of New York (New York, NY)
- …FI is recruiting for (1) one Principal Administrative Associate to function as a Quality Control Case Review Supervisor, who will: - Supervise and provide ... and contractual standards. Within AO, is the Office of Quality Assurance & Fiscal Integrity conducts complex internal audits...Quality Assurance System (EQAS) or the State Case Review units. Provide guidance and clarification to QC Case… more
- Consolidated Electrical Distributors (Irving, TX)
- Summary Job title: Remote Position - Quality Control\Plan Review Specialist Job ID: null Department: Greentech Design Services Location: null-null Description ... (PV) systems. Greentech Renewables' Design Services Team is looking for a Quality Control\Plan Review Specialist to complete locally code-compliant plan-sets… more
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