16920 case reviewer jobs found

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 06, 2023 Req #: JR45514 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45517 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45516 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45516 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45514 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45516 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45517 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45512 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45517 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45512 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45512 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45512 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45516 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45517 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45514 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Job Family: Medical and Clinical Type: Full time Date Posted:Jan 03, 2023 Req #: JR45514 Location: California, California National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description AIM Specialty Health Case Reviewer - NP/PA Orthopedic Surgery Review (Joints) AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health's family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Job Summary Responsible for conducting pre-authorization, out of network and appropriateness of tests by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of required tests, medications, interventional procedures and surgeries to ensure quality member...

Who We Are Corebridge Financial helps people make some of the most meaningful decisions they’re ever going to make. We help them plan and take action to protect the future they envision, and respond to some of life’s most difficult moments through the solutions and services we provide. We do this through our broad portfolio of life insurance, retirement, and institutional products, offered through an extensive, multichannel distribution network. We provide solutions for a brighter future through our client centered service, breadth of product expertise, deep distribution relationships, and outstanding team of hardworking and passionate employees. Get to know the business Life and Retirement is a unique franchise that brings together a broad portfolio of life insurance, retirement and institutional products offered through an extensive, multichannel distribution network. It holds longstanding, leading market positions in many of the markets it serves in the U.S....

Who We Are Corebridge Financial helps people make some of the most meaningful decisions they’re ever going to make. We help them plan and take action to protect the future they envision, and respond to some of life’s most difficult moments through the solutions and services we provide. We do this through our broad portfolio of life insurance, retirement, and institutional products, offered through an extensive, multichannel distribution network. We provide solutions for a brighter future through our client centered service, breadth of product expertise, deep distribution relationships, and outstanding team of hardworking and passionate employees. Get to know the business Life and Retirement is a unique franchise that brings together a broad portfolio of life insurance, retirement and institutional products offered through an extensive, multichannel distribution network. It holds longstanding, leading market positions in many of the markets it serves in the U.S....

Duties 1. Serves as a reviewer or processor of actions in, but not limited to: officer, enlisted, boards, retirement, education, automation, personnel plans, mob-readiness, health services, and Soldier Family services. Performs complete review of records and other case documentation to ensure that they are procedurally correct, complete, and documentation is sufficient for action being taken and that all levels of legal, medical, and administrative review have been completed. Cases have major effects on career or service as they may result in unfavorable career separation or loss of status. Ensures that regulatory requirements related to the specific action are met. Identifies gaps or inconsistencies in the record and initiates action or interviews personnel to obtain needed data. Perform personnel and administrative actions related to deployment manning documents. 2. Provides administrative support for the programs assigned to the MILPO. Must be able to type military and...

Apply Print Share Save Summary THIS IS A NATIONAL GUARD TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a HUMAN RESOURCES ASSISTANT (MILITARY), Position Description Number D2017000 and is part of the AR ARNG DCSG1 PLANS AND ACTIONS BR, National Guard. NATIONAL GUARD MEMBERSHIP IS REQURED Learn more about this agency Help Overview Accepting applications Open & closing dates 01/24/2023 to 02/08/2023 Salary $46,696 - $60,703 per year Pay scale & grade GS 7 Help Location 1 vacancy in the following location: Camp J T Robinson, AR 1 vacancy Remote job No Telework eligible No Travel Required Occasional travel - You may be expected to travel for this position. Relocation...

Duties (1) Serves as a final reviewer or processor of actions, which may include but are not limited to: Research and draft responses to Legislative and IG inquiries, Evaluation Reports (NCOER/OER), accessions, promotions, reductions, discharges, transfers, separations, boards, evaluations, Simultaneous Membership Program (SMP), promotion eligibility, retirement eligibility, and actions that affect eligibility of educational or incentive benefits as well as sensitive, complex cases, which involve: allegations of inequitable, prejudiced, or similar treatment (e.g. issues of fraudulent enlistment or assignment; removal of military member from active or inactive status). Performs complete review of records and other case documentation to ensure that they are procedurally correct, complete, and documentation is sufficient for action being taken and that all levels of legal, medical, pay and administrative review have been completed. Cases have major effects on career or service...

Apply Print Share Save Summary THIS IS A NATIONAL GUARD TITLE 5 EXCEPTED SERVICE POSITION. This National Guard position is for a HUMAN RESOURCES ASSISTANT (MILITARY) (T5), Position Description Number T5808500 and is part of the AL DCSPER JFHQ, National Guard. LOCATION: DCSPER, MONTGOMERY, AL SELECTING OFFICIAL: MS. M. COMPTON Learn more about this agency Help Overview Accepting applications Open & closing dates 01/26/2023 to 01/31/2023 Salary $46,696 - $60,703 per year Pay scale & grade GS 7 Help Location 1 vacancy in the following location: Montgomery, AL 1 vacancy Remote job No Telework eligible No Travel Required Not required Relocation expenses reimbursed No Appointment...

Duties 1. Serves as a reviewer or processor of actions in, but not limited to: officer, enlisted, boards, retirement, education, automation, personnel plans, mob-readiness, health services, and Soldier Family services. Performs complete review of records and other case documentation to ensure that they are procedurally correct, complete, and documentation is sufficient for action being taken and that all levels of legal, medical, and administrative review have been completed. Cases have major effects on career or service as they may result in unfavorable career separation or loss of status. Ensures that regulatory requirements related to the specific action are met. Identifies gaps or inconsistencies in the record and initiates action or interviews personnel to obtain needed data. Perform personnel and administrative actions related to deployment manning documents. 2. Provides administrative support for the programs assigned to the MILPO. Must be able to type military and...

Apply Print Share Save Summary THIS IS A NATIONAL GUARD TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a HUMAN RESOURCES ASSISTANT (MILITARY), Position Description Number D2017000 and is part of the AR ARNG DCSG1 PLANS AND ACTIONS BR, National Guard. NATIONAL GUARD MEMBERSHIP IS REQURED Learn more about this agency Help Overview Accepting applications Open & closing dates 01/24/2023 to 02/08/2023 Salary $46,696 - $60,703 per year Pay scale & grade GS 7 Help Location 1 vacancy in the following location: Camp J T Robinson, AR 1 vacancy Remote job No Telework eligible No Travel Required Occasional travel - You may be expected to travel for this position. Relocation...