• Chestnut Health Systems (Albany, IL)
    …on and off site. Network to expand available contacts. Participate in regular case review meetings. Meet quality assurance standards as specified by QA ... division of Chestnut Health Systems, is seeking a full-time, independent contract, Case Tracker-Interviewer for our Chicago, IL facility. Chestnut Health Systems is… more
    JobGet (11/25/24)
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  • Chestnut Health Systems (IL)
    …for clients when assigned. Network to expand available agency contacts. Participate in case review meeting. Meet quality assurance standards as specified by QA ... Supervisor. Consult with Field coordinator and other case trackers on hard to find cases. Verify identification of clients in the field with the supervisor. Document… more
    JobGet (11/25/24)
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  • Chestnut Health Systems (Avondale, AZ)
    …monitoring to ensure intervention and data quality and integrity. Participate in case review meetings. Provide study information to potential referral sources ... people of color are less likely to apply for jobs when that's the case . Chestnut is committed to building a diverse, inclusive, and authentic workplace. If you're… more
    JobGet (11/25/24)
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  • Chestnut Health Systems (Carlock, IL)
    …Responsibilities Support agency management in billing and collections of accounts receivable. Review and submit claims for assigned payer and/or business line. Run a ... report; follow up on unpaid claim balances. Communicate with Utilization Review Coordinator regarding authorizations and appeals, documenting all communication in… more
    JobGet (11/25/24)
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  • Chestnut Health Systems (Twin Grove, KS)
    …inbox, and internal and external requests for patients' health records. Review patient charts for accurate clinical information/documentation. Review electronic ... people of color are less likely to apply for jobs when that's the case . Chestnut is committed to building a diverse, inclusive, and authentic workplace. If you're… more
    JobGet (11/25/24)
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  • Chestnut Health Systems (Downs, IL)
    …robust benefits! Responsibilities Greet patients, schedule appointments, and answer phones. Review patient charts to identify care gaps. Obtain outside records. ... people of color are less likely to apply for jobs when that's the case . Chestnut is committed to building a diverse, inclusive, and authentic workplace. If you're… more
    JobGet (11/25/24)
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  • Chestnut Health Systems (Eugene, OR)
    …Provide client transportation. Network to expand agency contacts. Participate in regular case review meetings. Complete duties outlined in data collection ... protocol within specified time frame. Consult with the Field Manager and other Field Trackers/Interviewers on hard-to-find cases. Conduct interviews on and off site. Maintain specified performance levels including quality assurance standards. Collect bodily… more
    JobGet (11/25/24)
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  • Case Reviewer

    City of New York (New York, NY)
    …within the Division of Child Protection (DCP) across each borough and zone. The Case Reviewer utilizes a standardized instrument to assess case practice. ... The duties and responsibilities of the Case Reviewer will include, but will not be limited to:...unaddressed safety and risk related concerns identified during the case review . - Complete a quality control… more
    City of New York (10/30/24)
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  • Case Reviewer

    City of New York (New York, NY)
    …The Office of Constituent Services (OCS) is seeking (1) Eligibility Specialist II to function as Case Reviewer . The Case Reviewer will: - Respond to ... (NAMI-Net Available Monthly Income) if institutionalized. - Interview and/or review documentation submitted by applicants/recipients (A/R) or authorized representatives,… more
    City of New York (10/28/24)
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  • Quality Control Case Reviewer

    City of New York (New York, NY)
    …for (1) one Principal Administrative Associate II to function as a Quality Control Case Reviewer , who will: - Conduct the preliminary monthly review ... the review sample by conducting preliminary WMS inquiries and case review ; utilize reports to verify that sample is auditable; identifies inconsistencies,… more
    City of New York (10/28/24)
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  • CA Pert Sr Case Reviewer

    City of New York (New York, NY)
    …the final report. CA PERT Sr. Reviewer prepares lawsuit packets for each case in the review for electronic transmission to NYC Corporation Counsel. - Conduct ... during customer interaction, and determine whether appropriate action was taken. - Review case file information, POS entries and WMS data to report on the… more
    City of New York (10/28/24)
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  • NCA Pert Case Reviewer

    City of New York (New York, NY)
    …for (1) one Principal Administrative Associate II to function as a NCA PERT Case Reviewer , who will: - Conduct NCA Supplemental Nutrition Assistance (SNAP) ... customer interaction and determine whether appropriate action was taken. - Review case file information, Paperless Office System (POS) entries and Welfare… more
    City of New York (11/14/24)
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  • Case Reviewer

    City of New York (New York, NY)
    …of Constituent Services (OCS) is seeking three (3) Eligibility Specialist II's to function as Case Reviewers. The Case Reviewer will: - Respond to inbound ... (NAMI-Net Available Monthly Income) if institutionalized. - Interview and/or review documentation submitted by applicants/recipients (A/R) or authorized representatives,… more
    City of New York (10/28/24)
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  • CA Pert Senior Case Reviewer

    City of New York (New York, NY)
    …legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Assurance & Fiscal Integrity (OQA&FI) / The Process Evaluation Review Team (PERT) is recruiting for (2) one Principal...one Principal Administrative Associates III, to function as Senior Case Reviewers who will: - Conduct legally mandated … more
    City of New York (09/25/24)
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  • Quality Control Case Reviewer

    City of New York (New York, NY)
    …for (2) two Principal Administrative Associates II to function as a Quality Control Case Reviewers, who will: - Review POS, HRA One Viewer of imaged/scanned ... to ensure that data collected is complete, accurate and appropriate to the case under review . - Prepare manual budgets to replicate the actual amounts issued to… more
    City of New York (11/22/24)
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  • CA Pert Senior Case Reviewer

    City of New York (New York, NY)
    …THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... for (2) two Principal Administrative Associates IIIs, who will function as Senior Case Reviewers: - Conduct legally mandated case reviews to comply with… more
    City of New York (09/27/24)
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  • Physician Reviewer BH PRU

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …At the request of the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also provides clinical leadership in other areas ... healthcare? Bring your true colors to blue. The Physician Reviewer is responsible for evaluating clinical service requests made...case management for members whose cases come for review , in partnership with case managers +… more
    Blue Cross Blue Shield of Massachusetts (11/13/24)
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  • OR Case Reviewer - Surgical…

    Henry Ford Health System (Jackson, MI)
    …Conducts audits of perioperative charges for Henry Ford Jackson Hospital. Defends charges (revenue) challenged by third-party insurance companies, ensures documented ... charges are correctly billed and are documented in EPIC. Proposes corrective action in charge capture problem areas. Participates in Clinical operational reviews. EDUCATION/EXPERIENCE REQUIRED: + High School diploma or GED equivalent is required in order to… more
    Henry Ford Health System (11/12/24)
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  • Quality Assurance Reviewer

    Arkansas Government Job (Little Rock, AR)
    …Assurance Reviewer is responsible for reviewing and analyzing client case records to determine eligibility for assistance programs and processing cases in ... QUALITY ASSURANCE REVIEWER Date: Nov 25, 2024 Req ID: 45247...agency/institution policy. Functions Receives, reviews, and verifies cases and case records, regarding food stamps, child care support, Medicaid,… more
    Arkansas Government Job (11/25/24)
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  • Utilization Management Reviewer

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …healthcare? Bring your true colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for members who may have complex ... the following personas: eWorker, mobile and resident. The Team The Clinical Utilization Reviewer is part of a highly dedicated and motivated team of professionals,… more
    Blue Cross Blue Shield of Massachusetts (10/25/24)
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