- Merck & Co. (Rahway, NJ)
- …will be responsible for some or all of the following core activities: Case review /approval for assigned productsExpedited case submission according ... managementSupport trainingProvide business support for pharmacovigilance database systems (eg, review validation documents and execute User Acceptance Tests (UATs)… 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 ... review sample by conducting preliminary WMS inquiries and case review ; utilize reports to verify that...summaries related to audit findings to be used for case error analyses. Prepare case records… more
- US Bank (Tempe, AZ)
- …feedback to Fraud Investigators Ensuring implementation of corrective action plans for case review findings Finalizing SAR determinations and ensuring SARs are ... from committing financial crimes using US Bank products and services. As a Centralized Review Team (CRT) Reviewer , you will analyze and interpret Fraud cases and… 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 Associates 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
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- …well as customer service programs. Responsibilities The Risk Manager Clinical Reviewer (RMCR) Registered Nurse (RN) is responsible for providing competent, ... Performs clinical reviews for Occurrence Screens and/or Tort Claims and recommends Peer Review when quality of care issues are recognized. Prepares the Peer … more
- APTIM (Santa Fe, NM)
- **Summary:** The Mid-Level Claims Reviewer supports the claims process by reviewing, evaluating, and documenting claims for disaster-related losses. This role ... activities within an organization including customer service, data management, records management, time management, workload balancing, data reporting and tracking,… more
- MyFlorida (Miami, FL)
- OPS MEDICAL DISABILITY CASE RECORD SPEC - 64858448 Date: Sep 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... . Requisition No: 860738 Agency: Department of Health Working Title: OPS MEDICAL DISABILITY CASE RECORD SPEC - 64858448 Pay Plan: Temp Position Number: 64858448… more
- GAP Solutions Inc (Arlington, VA)
- …+ _Administrative Division Support Services:_ + Perform a wide array of records management tasks such as intake, organization, review for completeness, ... responses maintain national security posture. + Other miscellaneous administrative, clerical, and records / case file management duties of a like type within this… more
- City of New York (New York, NY)
- …applications and databases to record efforts and monitor the progress of case review activity. - Utilize various databases and contracted sources to ... (OCSS) is recruiting four (4) Clerical Associate III's, functioning as Case Review Specialists, Under supervision of the Unit Supervisor of Data Integrity,… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr CMC- Clear Lake Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2505026 The ... patients with complicated treatment plans through multidisciplinary conferences and medical record review . + Facilitates clinical care progression of patient… more
- Serco (NH)
- **Position Description** Looking for an Operations Records Manager/Change Manager/ Records Manager/ Case Manager position at a place where you can make an ... protected characteristics. Click here to apply now (https://careers-sercous.icims.com/jobs/70447/operations- records -manager- records -manager-- case -manager--portsmouth%2c-nh/job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834477830) **New to… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …Workers' Compensation and other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care providers, employers, employees, ... experience in a clinical environment required. + Strong skills in medical assessment/medical record review . + Excellent customer service skills. + Ability to… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …Management Office Specialist provides clerical support to clinicians performing utilization review and case management for members hospitalized or receiving ... to navigate numerous electronic platforms such as electronic medical records , Microsoft Office, authorization systems, and electronic communication. This position… 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
- Stanford Health Care (Palo Alto, CA)
- …and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the ... America) **This is a Stanford Health Care job.** **A Brief Overview** Case Managers are licensed nursing professionals responsible for coordinating continuum of care… more
- Brockton Hospital (Brockton, MA)
- …and external review agencies, to coordinate activities involved in medical record review , denials, appeals and reconsideration hearings. Works closely with ... service delays through problem resolution and follow-up. Monitors on-site case managers and utilization review staff to...of Public Health. Ability to understand and interpret medical records , hospital bills and have a clear understanding of… more
- Mayo Clinic (Rochester, MN)
- …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status ... well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records , value based purchasing metrics,… more
- Rochester Presbyterian Home (Rochester, NY)
- …communicated and documented in the medical record . + Maintain Case Management/Wellness Plan review /update schedule. Complete Case Management ... RN Case Manager - Assisted Living Creekstone Memory Care...chart audits, and overall individual service plan completion and review . + Observe signs and symptoms and report to… more
- INTECON (Fort Meade, MD)
- …supporting documents. + Records Management & Compliance + Manage adjudication and case records in compliance with DoD retention schedules. + Support accurate ... This is an excellent opportunity for a mission-driven professional with strong case management, records management, and executive support skills who thrives… more
- Sharp HealthCare (San Diego, CA)
- …regulatory requirements.The plan and interventions will be documented in the electronic medical record (EMR), and case management software.The RN CM I will ... (RN) - CA Board of Registered Nursing; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification **Hours** **:**… more
