- General Dynamics Information Technology (Fairfax, VA)
- …QC of case received documents, attachments and materials. + Performing pre- reviewer duties to include QC of leads scheduled, assigned and accepted by field ... Required:** None **Job Family:** Quality Assurance **Skills:** Coverage Analysis,Documentation Review ,Editing,Microsoft Office,Microsoft Outlook **Experience:** 1 + years of related… more
- General Dynamics Information Technology (Fairfax, VA)
- …today is safe and tomorrow is smarter. Our work depends on a motivated BI Case Reviewer - casual joining our Personnel Vetting and Security team to support ... located in Chantilly, VA. At GDIT, people are our differentiator. As a BI Case Reviewer - casual you will support a large national background investigations… more
- 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 (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 (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
- CACI International (VA)
- DHS Experienced Case Reviewer Job Category: Investigation Time Type: Full time Minimum Clearance Required to Start: Top Secret Employee Type: Regular Percentage ... employees and contractors for security clearances. **POSITION** **SUMMARY:** The Reviewer scrutinizes reports of investigations submitted by Contract Field… 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 ... some of the nation's most sensitive missions. **POSITION SUMMARY:** The Reviewer scrutinizes reports of investigations submitted by Field Investigators and Record… more
- City of New York (New York, NY)
- …Office of Constituent Services (OCS) is seeking (2) 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 (New York, NY)
- …is recruiting for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer , who will: - Conduct medical reviews and analyses claims to ... calculate injury related Medicaid liens pursuant to SSL-104b on cases involving Medical malpractice, mass medical torts, lead paint poisoning, traumatic brain injury, or other catastrophic or medically complex cases. - Consult Medicaid payment records, bills… more
- City of New York (New York, NY)
- …information to ensure that data collected is complete, accurate and appropriate to the case under review . - Prepare manual budgets to replicate the actual ... Administrative Associate II to function as a Quality Control Case Reviewers, who will: - Be responsible for the...information in order to determine if discrepancies exist. - Review POS, HRA One Viewer of imaged/scanned documents, Welfare… more
- 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
- Treasury, Departmental Offices (Washington, DC)
- …of Foreign Assets Control. As a Government Information Specialist (Senior FOIA Reviewer ), you will be conducting quality assurance reviews of all of OFAC's ... and how to apply. Responsibilities As a Government Information Specialist (Senior FOIA Reviewer ), you will: Serve as the Senior FOIA Reviewer conducting quality… more
- Public Consulting Group (Columbus, OH)
- …reflection of our clients and the people they serve. **Responsibilities** **Onsite Reviewer (OH Department of Medicaid) in Ohio** **(Location - Cleveland/ Akron/ ... Canton/Youngstown/Columbus area)** **Onsite Reviewer Job Description:** The overarching responsibility for this position...by the Ohio Department of Medicaid (ODM). The Onsite Reviewer will operate on a solo basis, within a… more
- HCA Healthcare (Corpus Christi, TX)
- …Christi Medical Center Bay Area! **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position encompasses multiple responsibilities including ... about delivering patient-centered care?** Submit your application for Registered Nurse Clinical Reviewer position and spend more time at the bedside with the… more
- Centers Plan for Healthy Living (Margate, FL)
- RN - Grievance and Appeals Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #461 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to ... need for healthy living. JOB SUMMARY: The Grievance & Appeal Clinical Reviewer performs complex medical necessity reviewed on Initial Adverse Determinations or… more
- University of Miami (Hialeah, FL)
- …. The Clinical Documentation Integrity (CDI) Second Level Reviewer performs high-level, complex, secondary case reviews ... care. Serves as key resource for CDI/Coding/Quality. The CDI Second Level Reviewer works in collaboration with CDI & quality leadership, CDI specialists, coders,… more
- State of Minnesota (St. Paul, MN)
- **Working Title: SNAP Quality Control Reviewer ** **Job Class: Human Services Program Representative 1** **Agency: Human Services Dept** + **Job ID** : 76541 + ... meetings, conferences and trainings._ As a SNAP Quality Control Reviewer , you will work on a team that has...responsibility for two performance measures: Payment error rates and Case and Procedural Error Rates. Their findings have direct… more
- Centers Plan for Healthy Living (Queens, NY)
- Physical Therapy Reviewer Jamaica, Queens, NY, USA Req #1050 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ultimate healthcare ... their home to improve their quality of life. The Utilization Management Reviewer will assess and process Therapy authorization requests to determine medical… more
- Kepro (Lombard, IL)
- …the public sector. Acentra seeks an Internal Medicine or Family Practice Physician Reviewer (Illinois Remote, PRN) to join our growing team. Job Summary: The ... Internal Medicine or Family Practice Physician Reviewer will provide principal leadership and clinical expertise to...and clinical expertise to operations relating to the peer review process, utilization review activities, and other… more
- Actalent (Tampa, FL)
- …of concurrent review experience + 2 years of utilization review /management experience + Case management experience (Preferred) + Transition-of-care ... Clinical Reviewer Job Description As a Clinical Reviewer , you will play a pivotal role in recommending discharge plans, assisting with transition of care, and… more