Description The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating, negotiating, procuring and managing the care and needs of complex patients and their fa...

Description The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating, negotiating, procuring and managing the care and needs of complex patients and their fa...

Multi-Specialty Peer Review Committee Coordinator in San Francisco/Bay Area contract Opportunity! This Jobot Consulting Job is hosted by: Robert Reyes Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resu...

assurances of service delivery records Reviews all service delivery documentation Analyzes the delivery of services...

. This is a position in the Land Use Review division, which reviews and provides case management services for and from initial submission...

and process improvements Support Integrated Product Teams (IPTs) and participate in design reviews Represent engineering...

and debugging complex issues. This job also participates in code reviews to maintain high code quality and share knowledge...

clinical review note to support determination Concurrently monitors resource utilization, performing continued stay reviews... to grow core competencies across the teams. Performs other duties as required. Perform Auth Certifications and reviews...

, Recovery, and Enforcement Act of 1989 (FIRREA) and internal appraisal requirements Completion of appraisal reviews to JPMC...

resolution of escalated cases that may require special handling. Performs clinical reviews according to the policies... and software to manage cases and document reviews. Promotes business focus which demonstrates an understanding of the company...

Consultant (Registered Nurse) supports our community clinical staff through completing Licensed Health Professional (LHP) reviews...

: Performing reviews of appraisal reports for multifamily residential (5+ units) and/or commercial properties to determine the... to ensure that appraisal reviews are complete, accurate, adequate, relevant, and reasonable based on sound real estate appraisal...

outpatient reviews to determine financial responsibility for the client and its members. May also perform prior authorization... reviews and/or related duties as needed. Processes requests within required timelines. Requests additional information...

of traffic engineering design. Experience with driveway reviews, traffic signal studies, signing and marking recommendations... (i.e. rehire code), employee performance reviews, personnel file review (HR & Office Files), criminal background check, employment...

retrospective reviews, applying established clinical criteria, policies, and regulatory guidelines to determine medical necessity... necessity criteria tools such as InterQual or MCG. Extensive knowledge in claims reviews includes retrospective reviews, pre...

from an issue/project perspective. Conducts targeted, mandatory, or ad hoc control reviews for Retail Branch Network. Resolves...

reviews posted on major multifamily platforms such as ApartmentRatings, Apartments.com, Google, Yelp, and Facebook. Our team... train you on the nuances of responding to apartment community reviews and how to handle different types of feedback...

requirements of the county Land Development Codes. Reviews legal descriptions and instruments for plats, deeds, and easements...

. How you'll contribute A Utilization Review Specialist who excels in this role: Facilitate clinical reviews for all patient... for denied services. Coordinate with physicians to schedule peer-to-peer reviews with payers. Accurately track and report...

and into all entry points. Performs Medicare, Medicaid and all other payer requested reviews of patients who will be accessing or already.... Reviews all cases regardless of access entry point, including: emergency department, direct admissions, transfers...