- Northrop Grumman (San Diego, CA)
- …several Agile development techniques and metrics to help manage team progress and quality throughout the life cycle. This position is a dual-hatted position that ... ensure that the software lifecycle is accomplished with high quality and efficiency. Supports budget and IMS task planning...rhythm defined by the program. Support program Initial Baseline Review (IBRs) and associated review as required… more
- Trinity Health (Fresno, CA)
- …maintaining current knowledge of clinical indicators and compliance requirements, conducting concurrent medical record review to ensure documentation compliance ... **Employment Type:** Full time **Shift:** **Description:** Reporting to the Manager Quality & Accreditation*, Quality Resource, this position offers vital… more
- University of Miami (Hialeah, FL)
- … review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Concurrent Quality Reviewer of our hospital ... CDIs, Coders, Quality , and other relevant multidisciplinary teams. The concurrent inpatient quality reviewer will assign a working DRG, as well as… more
- InnovaCare (San Juan, PR)
- …and resolution and confers daily regarding patient and physician related issues.8. Performs concurrent quality review and reports identified quality ... focus to the business. MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient… more
- Geisinger (Danville, PA)
- Job Summary A clinical concurrent reviewer applies clinical and coding knowledge to concurrently evaluate the clinical indicators, diagnoses, and treatment plan ... level reviewer (CDI SLR) is an advanced concurrent reviewer who uses his/her extensive Clinical...coding-on-coding opportunities. The CDI SLR will also respond to concurrent review requests from Clinical Documentation Integrity… more
- Point32Health (MA)
- …claims payment disputes, perform retrospective claims audits of medical records, and review potential quality of care issues and credentialing related to ... **- what you will be doing** **Utilization Management** + Performs clinical review of prospective, concurrent , and retrospective coverage requests for… more
- The Hartford (Alpharetta, GA)
- …using nursing judgment, treatment criteria guidelines and Physician Advisor/Peer Clinical Review referral process. Conduct first level prospective, concurrent , ... Medical Reviewer - CT08BE We're determined to make a...(Hartford, CT or Alpharetta, GA) that will perform Utilization Review for Work ers' Compensation Claims. An Initial Clinical… more
- Kepro (CA)
- …the linchpin for ensuring the accuracy and consistency of the Psychiatric Inpatient Concurrent Review process in alignment with the California Mental Health ... in the public sector. Acentra seeks a Utilization Clinical Reviewer to join our growing team in California. Job...must reside and work in California. Job Responsibilities: + Review and interpret patient records against established criteria to… more
- Fairview Health Services (St. Paul, MN)
- …teamwork with co-workers and other departments. + Subject matter expert for CDI Concurrent Review Teams. + Maintains professional competency in documentation and ... **Overview** The Second Level Reviewer , Clinical Documentation Integrity (CDI) Specialist, is a...at the system level including, but not limited to: Concurrent and retrospective medical record review for… more
- HCA Healthcare (Corpus Christi, TX)
- …multiple responsibilities including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is ... career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will be contacted… more
- HCA Healthcare (Weatherford, TX)
- …and other quality measures. The CD/CMA will work closely with the Concurrent Core Measure Reviewer to ensure core measures are abstracted appropriately and ... **Description** **Medical City Weatherford** **RN Clinical Reviewer ** **Full Time - Days** **Monday - Friday**...of all clinical data. works with the Director of Quality Risk management to annually review and… more
- Centers Plan for Healthy Living (Queens, NY)
- …are in need of additional care or support in their home to improve their quality of life. The Utilization Management Reviewer will assess and process Therapy ... Physical Therapy Reviewer Jamaica, Queens, NY, USA Req #1050 Monday,...support involved in the member's care. + Provides utilization review for preauthorization, concurrent and post service… more
- HCA Healthcare (Corpus Christi, TX)
- …Christi Medical Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities including Core ... Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews...encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications.… more
- Chinook Systems (Arlington, VA)
- …for you. The Work: We are currently seeking an experienced Architectural Plan Reviewer and Code Inspector for our government-focused team. This role is primarily ... projects. In this role, you will support Chinook's clients by providing plan review and code inspection services for both new and existing construction efforts… more
- Magellan Health Services (Honolulu, HI)
- …with mental health and substance abuse issues, and participates in special quality improvement projects. + Monitors inpatient and/or outpatient level of care ... triage, crisis intervention and emergency authorizations as assigned. + Performs concurrent reviews for inpatient and/or outpatient care and other levels of… more
- Point32Health (MA)
- …propose alternative plans of treatment. Work as a member of one of the Concurrent Review Team. **Key** **Responsibilities/Duties** **- what you will be doing** ... to everyone in our communities. At Point32Health, we are building on the quality , nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard… more
- SSM Health (MO)
- …specialist is responsible for facilitating the improvement in the overall quality and completeness of provider-based clinical documentation in the medical record. ... services rendered. The CDI Specialist assesses clinical documentation through extensive review of the medical record, interaction with physicians, nursing staff,… more
- Centene Corporation (Sacramento, CA)
- …based on diagnoses, prognoses, resources, and/or preferences + Manages and maintains concurrent review findings, discharge plans, and actions taken on member ... overall health and appropriate level of care + Reviews quality and continuity of care by reviewing acuity level,...determinations or provide recommendations based on requested services and concurrent review findings + Provides education to… more
- Centene Corporation (New York, NY)
- …needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... overall health and appropriate level of care + Reviews quality and continuity of care by reviewing acuity level,...determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing… more
- Concurrent Technologies Corporation (St. Mary's County, MD)
- …edge technology, educational opportunities, and recognition for quality work. https:// concurrent -technologie (https:// concurrent ... DATA SCIENTIST Concurrent Technologies Corporation St. Inigoes, MD Minimum Clearance...Design, develop and support geospatial software applications. * Automate, review , and labeling of overhead imagery. * Help develop… more
