Case Coordinator (32251)

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    "description": "<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">The <strong>Case Coordinator</strong> is responsible to ensure reports are of the highest quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to assist with quality assurance questions and provide overall support to the Quality Assurance Department.</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-size:13px\">Several schedules available&nbsp; <strong>Mon-Fri, Tue-Sat, Wed-Sun, Thu-Mon 9-6 PM PST</strong></span></span><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Pay Range: <strong>$19.00 per hour</strong></span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>ESSENTIAL DUTIES AND RESPONSIBILITIES:</strong></span></span></p>\n\n<ul>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Performs quality assurance review of reports, correspondences, addendums or supplemental reviews.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures that all client instructions and specifications have been followed and that all questions have been addressed.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures the provider credentials and signature are adhered to the final report.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Assists in resolution of customer complaints and quality assurance issues as needed.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures all federal ERISA and/or state mandates are adhered to at all times.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Promotes effective and efficient utilization of company resources.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Participates in various educational and or training activities as required.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Performs other duties as assigned</span></span></li>\n</ul>\n",
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Looks for ways to improve and promote quality and monitors own work to ensure quality is met.\\n\\tMust demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.\\n\\tMust be able to work independently, prioritize work activities and use time efficiently.\\n\\tMust be able to maintain confidentiality.\\n\\tMust be able to demonstrate and promote a positive team-oriented environment.\\n\\tMust be able to stay focused and concentrate under normal or heavy distractions.\\n\\n\\n\\n\\n\\nWHO WE ARE\\n\\nAdvanced Medical Reviews (AMR) is setting the industry standard in providing quality independent medical reviews and physician-level peer review services that are timely, customizable and affordable. AMR offers a single-source solutions for all of our clients&#39; medical and billing review needs covering all specialties and subspecialties nationwide. 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This position is required to assist with quality assurance questions and provide overall support to the Quality Assurance Department.\\n\\nSeveral schedules available&nbsp; Mon-Fri, Tue-Sat, Wed-Sun, Thu-Mon 9-6 PM PSTPay Range: $19.00 per hour\\n\\nESSENTIAL DUTIES AND RESPONSIBILITIES:\\n\\n\\n\\tPerforms quality assurance review of reports, correspondences, addendums or supplemental reviews.\\n\\tEnsures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.\\n\\tEnsures that all client instructions and specifications have been followed and that all questions have been addressed.\\n\\tEnsures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.\\n\\tEnsures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.\\n\\tEnsure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.\\n\\tVerifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.\\n\\tEnsures the provider credentials and signature are adhered to the final report.\\n\\tIdentifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.\\n\\tAssists in resolution of customer complaints and quality assurance issues as needed.\\n\\tEnsures all federal ERISA and/or state mandates are adhered to at all times.\\n\\tProvides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.\\n\\tPromotes effective and efficient utilization of company resources.\\n\\tParticipates in various educational and or training activities as required.\\n\\tPerforms other duties as assigned\\n\\n\",\"employmentType\":\"FULL_TIME\",\"hiringOrganization\":{\"@type\":\"Organization\",\"name\":\"IME RESOURCES LLC\",\"logo\":\"https://www.paycomonline.net/v4/ats/web.php/application/style/logo?clientkey=DE7F1DB117D9CA98C9234E97B3F23ED8\"},\"jobLocation\":{\"@type\":\"Place\",\"address\":{\"streetAddress\":\"3780 Kilroy Airport Way Suite 530\",\"addressLocality\":\"Long Beach\",\"addressRegion\":\"CA\",\"postalCode\":90806,\"addressCountry\":\"USA\"}},\"qualifications\":\"EDUCATION AND/OR EXPERIENCE\\n\\n\\n\\tHigh school diploma or equivalent required. \\n\\tA minimum of two years clinical or related field experience, or equivalent combination of education and experience. \\n\\tKnowledge of the insurance industry preferably claims management relative to one of more of the following categories: workers compensation, no-fault, liability, and/or disability.\\n\\n\\n\\nQUALIFICATIONS\\n\\n\\n\\tMust have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.\\n\\tMust be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.\\n\\tMust be a qualified typist with a minimum of 40 W.P.M\\n\\tMust be able to operate a general computer, fax, copier, scanner, and telephone.\\n\\tMust be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.\\n\\tMust possess excellent skills in English usage, grammar, punctuation and style.\\n\\tAbility to&nbsp;accurately follow instructions and respond to directions from&nbsp;upper management.\\n\\tDemonstrates accuracy and thoroughness. 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Our proprietary technology and strong quality assurance ensures the highest quality standards throughout the review process.&nbsp;\\n\\nWHO WE ARE\\n\\nAdvanced Medical Reviews (AMR) is setting the industry standard in providing quality independent medical reviews and physician-level peer review services that are timely, customizable and affordable. AMR offers a single-source solutions for all of our clients&#39; medical and billing review needs covering all specialties and subspecialties nationwide. Our proprietary technology and strong quality assurance ensures the highest quality standards throughout the review process.&nbsp;\\n\\nEqual Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.\\n\\nEqual Opportunity Employer - Minorities/Females/Disabled/Veterans\\n\\nAdvanced Medical Reviews&nbsp;offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.\\n\\n&nbsp;\\n\\n&nbsp;\\n\",\"experienceRequirements\":\"EDUCATION AND/OR EXPERIENCE\\n\\n\\n\\tHigh school diploma or equivalent required. \\n\\tA minimum of two years clinical or related field experience, or equivalent combination of education and experience. \\n\\tKnowledge of the insurance industry preferably claims management relative to one of more of the following categories: workers compensation, no-fault, liability, and/or disability.\\n\\n\\n\\nQUALIFICATIONS\\n\\n\\n\\tMust have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.\\n\\tMust be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.\\n\\tMust be a qualified typist with a minimum of 40 W.P.M\\n\\tMust be able to operate a general computer, fax, copier, scanner, and telephone.\\n\\tMust be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.\\n\\tMust possess excellent skills in English usage, grammar, punctuation and style.\\n\\tAbility to&nbsp;accurately follow instructions and respond to directions from&nbsp;upper management.\\n\\tDemonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.\\n\\tMust demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.\\n\\tMust be able to work independently, prioritize work activities and use time efficiently.\\n\\tMust be able to maintain confidentiality.\\n\\tMust be able to demonstrate and promote a positive team-oriented environment.\\n\\tMust be able to stay focused and concentrate under normal or heavy distractions.\\n\\n\\n\\n\\n\\nWHO WE ARE\\n\\nAdvanced Medical Reviews (AMR) is setting the industry standard in providing quality independent medical reviews and physician-level peer review services that are timely, customizable and affordable. AMR offers a single-source solutions for all of our clients&#39; medical and billing review needs covering all specialties and subspecialties nationwide. 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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.\\n\\nEqual Opportunity Employer - Minorities/Females/Disabled/Veterans\\n\\nAdvanced Medical Reviews&nbsp;offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.\\n\\n&nbsp;\\n\\n&nbsp;\\n\",\"validThrough\":\"-0001-11-30\"}",
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    "qualifications": "<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>EDUCATION AND/OR EXPERIENCE</strong></span></span></p>\n\n<ul>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">High school diploma or equivalent required. </span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">A minimum of two years clinical or related field experience, or equivalent combination of education and experience. </span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Knowledge of the insurance industry preferably claims management relative to one of more of the following categories: workers compensation, no-fault, liability, and/or disability.</span></span></li>\n</ul>\n\n<p><br />\n<span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>QUALIFICATIONS</strong></span></span></p>\n\n<ul>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be a qualified typist with a minimum of 40 W.P.M</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be able to operate a general computer, fax, copier, scanner, and telephone.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must possess excellent skills in English usage, grammar, punctuation and style.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ability to&nbsp;accurately follow instructions and respond to directions from&nbsp;upper management.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be able to work independently, prioritize work activities and use time efficiently.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be able to maintain confidentiality.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be able to demonstrate and promote a positive team-oriented environment.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be able to stay focused and concentrate under normal or heavy distractions.</span></span></li>\n</ul>\n\n<div style=\"text-align:center\">\n<hr /></div>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>WHO WE ARE</strong></span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Advanced Medical Reviews (AMR) is setting the industry standard in providing quality independent medical reviews and physician-level peer review services that are timely, customizable and affordable. AMR offers a single-source solutions for all of our clients&#39; medical and billing review needs covering all specialties and subspecialties nationwide. Our proprietary technology and strong quality assurance ensures the highest quality standards throughout the review process.&nbsp;</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>WHO WE ARE</strong></span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Advanced Medical Reviews (AMR) is setting the industry standard in providing quality independent medical reviews and physician-level peer review services that are timely, customizable and affordable. AMR offers a single-source solutions for all of our clients&#39; medical and billing review needs covering all specialties and subspecialties nationwide. Our proprietary technology and strong quality assurance ensures the highest quality standards throughout the review process.&nbsp;</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>Equal Opportunity Employer - Minorities/Females/Disabled/Veterans</strong></span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong><u>Advanced Medical Reviews</u></strong>&nbsp;offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.</span></span></p>\n\n<p>&nbsp;</p>\n\n<p>&nbsp;</p>\n",
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