- PharmaCord (Jeffersonville, IN)
- The Quality Specialist is responsible for performing various types of audits, acting as a subject matter expert, creating documentation, and reporting for ... operational quality. Responsibilities: The Quality Specialist responsibilities include, but are not limited to the...are not limited to the following: Conduct call and case audits for individual team members Provide feedback to… more
- Monster (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... denials for experimental, coding or other issues that may require record review . Provides billing with information needed to obtain payment of claims.Remote within… more
- Monster (Poughkeepsie, NY)
- SUMMARY: Under the direct supervision of the Family Support Specialist Supervisor, the Family Support Specialist is responsible for optimizing the home ... full access to vehicle during work hours. Establishes a case plan with goals, objectives and activities to assist...development curricula. Meets with Supervisor on weekly basis to review cases and evaluate client status; attends staff meetings… more
- Secretary of the Navy Offices (SECNAV) (Arlington, VA)
- Summary You will serve as a HUMAN RESOURCES SPECIALIST (EMPLOYEE RELATIONS/HUMAN RESOURCES DEVELOPMENT) in the Secretariat Human Resources Office of ASSTSECNAV M-RA ... M-RA WASHINGTON DC. Duties Help You will utilize a wide range of HR case law, principles, practices, and regulations sufficient to perform detailed analyses and draw… more
- Monster (Nashville, TN)
- …recommendations to attorneys. Manage casework, ensure timely documentation, and oversee case resolution. Perform legal research, review legal documents, and ... draft documentation accurately. Work across multiple databases to extract and analyze information. Participate in team meetings and contribute to workgroup discussions. Provide support to leadership as required. Required Qualifications Bachelor's or… more
- Monster (Miramar, FL)
- …following Loan Operations applications: Exception Tracking, Imaging, Loan Servicing App, Case Management App, FCM Image Centre, Simplifile, NCino, BakerHills, FIS ... loans. Verify documents were received to clear exceptions in tracking system. Review recording information in UCC-1 received from the Post Closing Coordinator team… more
- Health eCareers (Philadelphia, PA)
- …medical specialist and inpatient care. Communicates and follows up with specialist regarding outcome of visit. Review medical outcomes to establish best ... plan of care developed by the interdisciplinary team.Refer participants to medical specialist as indicated. Manages all care of participants in the nursing home:… more
- Monster (Pasco, WA)
- …site or through daily one-on-one interaction. Additionally, the OMR will participate in weekly case management review meetings as necessary. As an OMR, you will ... this position, you will work closely with the WHS site manager, WHS specialist , and occasionally the Injury Prevention Specialist (IPS). This includes attending… more
- Monster (Walton, KY)
- …and among health care professionals, such as Primary Care Physician, CSN Case Mangers, and medical specialist , ie (cardiologist, orthopedists, psychiatrist, ... that all person supported records meet DIDD requirements. 6. Review and sign off on all medication variances weekly....needed. 16. Be available and on call when the Case Manager is on Vacation or unavailable. 17. Coordinate… more
- Monster (Merrifield, VA)
- …fields. Works on the most complex, high impact projects. Serves as a technical specialist or advisor to the IAM transformation and compliance team. Acts as a liaison ... ServiceNow, Access Directories (AD/RACF/LDAP, etc.), HR, Application, to provide use case input to stakeholders. Support business and technical stakeholders in… more
- Health eCareers (Lake Panasoffkee, FL)
- …While there is no set number of required cases, the Chief of Surgery will review case logs to ensure sufficient documentation of trauma OMFS competency. The ... with proprietary algorithm\r\n\u0009\u0009\u0009\u0009Rapid credentialing with Axuall Digital Wallet\r\n\u0009\u0009\u0009\u0009Concierge support with a dedicated clinician deployment specialist \r\n\u0009\u0009\u0009\u0009Digital hub for assignment… more
- Health eCareers (Bismarck, ND)
- …healthcare professionals.Participate in interdisciplinary team meetings and case discussions.Provide consultative services to other healthcare providers.Quality ... Improvement:Participate in quality assurance and improvement initiatives. Review and analyze clinical outcomes for continuous improvement.Implement changes to enhance… more
- Health eCareers (Bismarck, ND)
- …healthcare professionals.Participate in interdisciplinary team meetings and case discussions.Provide consultative services to other healthcare providers.Quality ... Improvement:Participate in quality assurance and improvement initiatives. Review and analyze clinical outcomes for continuous improvement.Implement changes to enhance… more
- Health eCareers (Texarkana, TX)
- …his/her specialty. However, agrees to see patients outside of his/her specialty, in case of emergency, or other special situations as determined by the Chief Medical ... Officer.Refers those cases that require specialist services, but will maintain responsibility for assuring that...area of responsibility. Assists management as necessary, including periodic review to ensure that the practice is efficient and… more
- Health eCareers (Fort Wayne, IN)
- …team, which consists of MFM, OB Hospitalist, GYN/ONC, IR, Urology and Colo-Rectal, that review each case and plan accordingly. Our accreta team has become ... is currently seeking a 3rd Board Eligible or Board Certified Maternal Fetal Medicine Specialist to join our practice in Fort Wayne, Indiana as we expand the service… more
- City of New York (New York, NY)
- …Integrity, with latitude for independent judgment, the Clerical Associate III, functioning as Case Review Specialist , is responsible for reviewing reports to ... correct and reconcile the data integrity of electronic case files. The Case Review Specialist researches and enters data into OCSS's child support system… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …Office Specialist provides clerical support to clinicians performing utilization review and case management for members hospitalized or receiving other ... levels of care. The UM office specialist will perform a variety of activities towards quality...delivered to members, families, providers, and facilities. The office specialist will assist in ensuring appropriate care delivery by… more
- City of New York (New York, NY)
- …of Central Locate and is responsible for the daily operational activities of the Case Review Specialist engaged in reviewing and updating child support ... procedural guidelines. Maintain and update status and statistical reports of unit's case review activities and output of work on a weekly basis for statistical… more
- Loyola University Chicago (Chicago, IL)
- STUDENT RIGHTS, RESPONSIBILITIES & CONFLICT RESOLUTION CASE MANAGEMENT SPECIALIST Thank you for your interest in Loyola University Chicago. To view open ... Position Details Job Title STUDENT RIGHTS, RESPONSIBILITIES & CONFLICT RESOLUTION CASE MANAGEMENT SPECIALIST Position Number 8101810 Job Category University… 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 ... Community Outreach is recruiting for two (2) Job Opportunity Specialist I to function as Case Resolution...supervision of the Case Resolution Supervisor, the Case Resolution Specialists review and resolve … more
