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The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS, QARR, Medicare Advantage Star measures and quality improvement ...

: Job Title Independent Review & Challenge (IRC) - Operational Risk Corporate Title Director Location New York, NY Overview This role sits within the Strategic Remediation Control Office, which leads ...

Review patient records for chief complaints and sign and symptoms of disease to justify Medical Necessity for acute care treatment. * Ensure that patients are in the appropriate level of care based ...

The Case Manager is responsible for all aspects of discharge planning and utilization management/review for an assigned group of patients to determine the appropriateness of the admission and ...

Review incoming referrals and update medical chart + medical tracking * Schedule medical appointments * Complete, quarterlies, semi annuals and annual CFAs * Review and update individualized plan of ...

CVR Search is engaged with our client, a top-tier law firm with offices on 3 continents, to find an E-Discovery Review Attorney that can work out of their NYC or Washington, DC offices. This firm is ...

Review of required medical tests and documents pertaining to consultations and medical histories * Secure a thorough health history from the applicant and record findings * Arrange (but not ...

Reviews complaints and grievances made or filed by staff. Makes appropriate reports to the Nursing Manager/charge nurse as required or as may be necessary. * Ensures that staff participates in and ...

Review and evaluate the assessment and UAS information for members in the MLTC and MAP lines of business. Develop a working relationship with the PCP to be able to contact and discuss the care of the ...

Title and Survey Review: Conduct thorough title and survey reviews for commercial real estate transactions, identifying any issues and working closely with attorneys to resolve discrepancies

Review as needed for projects active in RFC and Bid & Award. * Assist in for all CIP projects active in Construction and Closeout * Review various internal reports and take related action as needed

... review of market environments. • Monitors portfolio to achieve the performance to meet the Fund's investment objectives by reviewing both portfolio and benchmark performance on a regular basis. • ...

This plan should be reviewed and revised as needed. * Integrates therapeutic intervention techniques into programs or home of person served through consultation with parent/guardian and staff at team ...

Responsibilities: - Review third-party valuation reports as part of the quarterly valuation process - Analyze and review the monthly and quarterly valuations as part of the monthly NAV close process ...

Let's connect when you have some time to review some of the details, the company, and the compensation package my client is offering. The job responsibilities and requirements are as follows (Direct ...

Conduct high risk customer EDD reviews and assess potential suspicious activity * Review and clear alerts generated by OFAC watchlist screening and 314(a) information requests in the BSA/AML ...

Review the loan documentation Restructure and workout underperforming transactions. Review Surveillance information and participate in Due Diligence reviews. Review credit applications and prepare a ...

On a day-to-day basis, tasks will include, but not be limited to, reviewing title reports, entity documents, loan documents, HUD/settlement statements, and granting funding approval. This is all ...

Review and evaluate the assessment and UAS information for members in the MLTC and MAP lines of business. * Develop a working relationship with the PCP to be able to contact and discuss the care of ...

RN Nurse Assessor - Hybrid JOB SUMMARY Ability to review health status questions and make evaluations and determinations based on UAS criteria for enrollment; ability to work with technology in the ...

Review and approve lab dips, wash panels (as needed) and print strike offs for seasonal development, ensure color and execution follows as per the design direction. * Work in PLM Webtech to upload ...

Risk Review Team: * Attend bi-weekly (every 2 weeks) 1 hour team meetings to review higher risk cases and make recommendations. Receiving Supervision/Training: * Attend weekly 1 hour group ...

File Review: Analyze files for clearance and review preliminary title reports with relevant parties. * Clearance Coordination: Collaborate with involved parties to secure necessary clearances for ...

Review large expenditures and revenue inflows, making sure we're keeping things on track. * Expenditure & Revenue Monitoring: Regularly review major expenses and large incoming payments, ensuring ...