reviews through intensive medical record review. Core Competencies Ensures other requirements from a regulatory...

of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external...

and collaborating with referring professionals for continuity of care. Complete concurrent reviews for mental health and dual diagnosis...

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

for migraines, spasms, dystonia, and hyperhidrosis. This role reviews medical records for clinical necessity, verifies benefits...

if the request meets medical necessity criteria, including Admission reviews Continued stay reviews Transitional care... reviews (Skilled Nursing Facility, Inpatient Rehabilitation Facility, Long-Term Acute Care Hospital) Related follow-up...

Audit Staff/Audit Senior (Reviews & Compilations) Dallas, TX (Hybrid) Salary: $85,000 – $125,000 + bonus (based... on experience) About the Role Growing CPA firm looking to add an Audit Staff or Audit Senior who enjoys a mix of audit, reviews...

Audit Staff/Audit Senior (Reviews & Compilations) Dallas, TX (Hybrid) Salary: $85,000 – $125,000 + bonus (based... on experience) About the Role Growing CPA firm looking to add an Audit Staff or Audit Senior who enjoys a mix of audit, reviews...

Claims Review Specialist conducts post-conveyance FHA insurance claim reviews involving complex documentation, regulatory... Claims Review Conduct end-to-end reviews of FHA insurance claims submitted by mortgagees. Evaluate expense categories...

program. This position will facilitate case plan development meetings and semi-annual (SAR) case plan reviews with families... and completes case reviews, including but not limited to, initial Case Plan Family Team meetings, quarterly Family Team meetings...

members and their families. What You'll Do: Conduct independent, remote case reviews evaluating medical necessity... depending on case complexity Most cases take 1-3 hours to complete; shorter reviews may take less than 1 hour Strong written...

; and all post claim or post service reviews. Ensure proper referral to medical director for denial authorizations through... cases to case management, wellness, chronic disease and Nurturing Together program. Complete documentation for all reviews...

reviews through intensive medical record review. Core Competencies Ensures other requirements from a regulatory...

Audit Staff/Audit Senior (Reviews & Compilations) Dallas, TX (Hybrid) Salary: $85,000 – $125,000 + bonus (based... on experience) About the Role Growing CPA firm looking to add an Audit Staff or Audit Senior who enjoys a mix of audit, reviews...

requirements Completion of appraisal reviews to JPMC's minimum appraisal and evaluation standards and appropriate regulatory...

Do: Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care. Provide evidence... take 1-3 hours to complete; shorter reviews may take less than 1 hour Strong written communication skills and attention...

, construction and development plan reviews and inspections; approves infrastructure acceptance and project closeouts; reviews... and correspondence; reviews, analyzes and evaluates information; and develops, approves and implements recommendations. Prepares...

excellence across the teams responsible for notice of admission, concurrent medical necessity and level of care reviews, UR... related patient notices and post discharge reviews including clinical denials/appeals management. Director is accountable...

necessity reviews for hospitalized patients and discharged medical record review as needed for appropriate patient status... / service and plan of care. Assists in timely completion of denial reviews and assists to identify any trends. Promotes the...

Credit Analysis & Risk Management Perform in-depth reviews of credit files, including dealers, corporates, and other credit... to support credit decisions. Support credit approvals, renewals, limits, and ongoing credit reviews in accordance with policy...