- Graham Windham (Brooklyn, NY)
- Case Record Reviewer Job Details Job Location 1 PIERREPONT PLAZA SUITE 901 - BROOKLYN, NY Position Type Part Time Education Level 4 Year Degree Salary Range ... staff, and develop program resources. About the Position PPP seeks a part-time Case Record Reviewer to support our Enhanced Family Foster Care (EFFC) and… more
- City of New York (New York, NY)
- …is recruiting for (1) one Principal Administrative Associate II to function as a Quality Control Case Reviewer , who will: - Ensure the accuracy of the review ... by conducting preliminary WMS inquiries and case review ; utilize reports to verify that sample is auditable;...summaries related to audit findings to be used for case error analyses. Prepare case records… more
- CACI International (VA)
- Case Reviewer (Experienced) Job Category: Investigation Time Type: Full time Minimum Clearance Required to Start: Top Secret Employee Type: Regular Percentage of ... Field Investigators, Record Searchers, and management * Work closely with review team members, field investigators, and record searchers to develop training… more
- City of New York (New York, NY)
- …pertinent to quality control eligibility criteria. Compares Paperless Office System (POS) case record , Welfare Management System (WMS) and One Viewer information ... Administrative Associate II to function as a Quality Control Case Reviewers, who will: - Review POS,... the information and documentation obtained from the POS case record , One Viewer, interviews, computer matches… more
- HCA Healthcare (Houston, TX)
- …and or if additional documentation is necessary. + Performs the medical record review for conflicting, imprecise, incomplete, illegible, or inconsistent ... and Qualifications** The Clinical Quality Improvement Specialist conducts a comprehensive current review of clinical documentation within the medical record to… more
- Elevance Health (Grand Prairie, TX)
- …of patient and provider specific information. + Contributing to team projects aimed to ensure case review accuracy and efficiency, such as updating case ... **JR139503 Genetic Counselor Reviewer ** The genetic counselor reviewer (GCR)...review processes, reporting issues, and creating internal case review resources. **Minimum requirements:** + Requires… more
- CVS Health (Columbus, OH)
- …setting such as ambulatory care or outpatient clinic/facility + Managed care/utilization review experience + Case management and discharge planning experience ... at risk for involvement in, multiple child-serving systems. The Care Plan Reviewer utilizes advanced clinical judgment and critical thinking skills to facilitate… more
- Magellan Health Services (Johnstown, PA)
- …Conducts reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records . Collects ... Critical/Adverse incidents related to clinical services. + Audits and reviews case manager and provider clinical documentation and telephone interactions against… more
- NJM Insurance (Trenton, NJ)
- …Premium Audit Reviewer is responsible for the quality and timely review of all premium audits, including complex, out-of-state and key accounts, in accordance ... the option to work remotely up to 2 days per week. Job Responsibilities: + Review and verify the accuracy of Commercial Lines policy audits. Ensure data entry is… more
- SSM Health (MO)
- …of services rendered. The CDI Specialist assesses clinical documentation through extensive review of the medical record , interaction with physicians, nursing ... and correct negative trends. Communicates with physicians, nurse practitioners, case managers, coders and other members of the care...need for accurate and complete documentation in the health record . + Attends department meetings to review … more
- SSM Health (MO)
- …improvement and the need for accurate and complete documentation in the health record . + Attends department meetings to review documentation related issues. ... the patient condition in the associated Diagnosis Related Group (DRG) assignments, case -mix index, severity of illness (SOI), and risk of mortality (ROM) profiling,… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Civil Case Status Clerk (Legal Records Clerk) Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4792946) Apply Civil Case Status ... and in person with miscellaneous inquiries; Maintains, stores, and ensures accessibility of case files; Assists the public requesting to review , and/or obtain… more
- City of New York (New York, NY)
- …applications and databases to record efforts and monitor the progress of case review activity. - Utilizes various databases and contracted sources to ... latitude for independent judgment, the Clerical Associate III, functioning as Case Review Specialist, is responsible for reviewing reports to correct and… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr- CMC-Clear Lake Center - shift 3:00 PM-11:00 PM - Monday-Friday **Webster, Texas, United States** **New** Nursing & Care Management ... patients with complicated treatment plans through multidisciplinary conferences and medical record review . + Facilitates clinical care progression of patient… more
- Baptist Memorial (Jackson, MS)
- …admission review against standard criteria per payer guidelines + Prioritizes observation case review + Assists with level of care in collaboration with ... education + Employee referral program Job Summary: Position: 19738 - RN-Utilization Review Facility: MBMC - Hospital Department: HS Case Mgmt Administration… more
- Morris Hospital (Morris, IL)
- …clinical guidelines. Performs duties in accordance with the Utilization Review Plan. Demonstrates thorough knowledge of performance measure requirements and ... reimbursement for services provided to patients. Role includes accessing medical records to perform ongoing performance improvement audits. + QUALIFICATIONS +… more
- The Salvation Army (Norristown, PA)
- …developments, as well as keep in-depth cases notes for each client. Other: + Serve on Resident Case Review Team and attend monthly meetings + Serve as a Level 1 ... Reviewer for Client Grievances relative to Case ...PA Child Abuse History Clearance, PA State Police Criminal Record Check and FBI Criminal Record /Fingerprint Check.… more
- Prime Healthcare (Lynwood, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of ... experience, education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189323/ case -manager utilization- review /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis Medical Center… more
- Veterans Affairs, Veterans Health Administration (Harlingen, TX)
- …Master Surgery & Endoscopy Schedule daily. This is a complex process requiring in-depth review of requests, alignment of procedure times based on historical case ... (flash) sterilization is appropriate and ensures OR portion of flash sterilization record is complete. SPS makes the final decision. Collaborates with OR/Endoscopy… more
- City of New York (New York, NY)
- … case determinations and take action to resolve outstanding issues. - Review case inquiries submitted by community-based organizations and conducts research ... supervision of the Case Resolution Supervisor, the Case Resolution Specialists review and resolve ...record and/or make computer entries; ensure that all records are complete and accurate and include all necessary… more