- Staffing Solutions Organization (Canton, OH)
- …diverse workforce, which is a reflection of our clients and the people they serve. ** Onsite Reviewer (OH Department of Medicaid ) in Ohio** **(Location - ... overarching responsibility for this position is to ensure Ohio Medicaid providers are providing a legitimate service,...a comprehensive checklist approved by the Ohio Department of Medicaid (ODM). The Onsite Reviewer … more
- Cuyahoga County Board of Developmental Disabilities (Cleveland, OH)
- …in choosing providers as needed. + Assist with enrollment onto Medicaid waivers as appropriate. Complete all related paperwork accurately and in a timely ... obtain services and supports. Implement an ongoing system of review . The nature of work will include, but is...as needed. + Establish and maintain contact with service providers and natural supports as necessary to ensure that… more
- Elevance Health (Mason, OH)
- …investigating and processing and medical necessity appeals requests from members and providers . **How you will make an impact:** + Conducts investigations and ... and summarizes medical information for medical director, consultants and other external review . + Prepares recommendations to either uphold or deny appeal and… more