-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Conduct comprehensive cognitive performance evaluations using standardized assessment tools and validated neurocognitive testing platforms.
- Perform occupational analysis to identify performance barriers related to mission tasks and task-person-environment mismatches contributing to performance degradation.
- Identify cognitive risk factors impacting readiness, including sleep disruption, operational fatigue, stress load, and mild traumatic brain injury history.
-Translate cognitive assessment findings into mission-relevant performance applications.
- Develop individualized cognitive performance plans targeting executive functioning, attention control, stress regulation, mental agility, and recovery strategies.
- Deliver group-based cognitive training and performance workshops.
- Implement cognitive rehabilitation protocols for operators returning from injury, illness, or cognitive performance degradation.
- Provide in-training environment coaching to enhance real-time cognitive performance during operational tasks.
- Design and execute cognitive skills development programs aligned with Special Operations Forces mission demands.
- Provide services in both garrison and operational training settings as required.
- Educate Service Members on cognitive resilience, fatigue mitigation, workload management, and recovery best practices.
Develop proactive programming to prevent cognitive decline and performance loss.
- Collaborate with the Human Performance team, including psychology, strength and conditioning, medical, nutrition, chaplain, and leadership partners, to synchronize individualized and group performance plans.
- Participate in interdisciplinary case conferences, performance reviews, and care coordination meetings.
- Collaborate with Cognitive Performance Professionals to support integrated planning, implementation, and evaluation of resilience programming.
- Advise leadership on aggregate cognitive readiness trends, risk factors, and mitigation strategies while ensuring compliance with privacy, confidentiality, and applicable DoD regulations.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Master's or Doctoral degree in Occupational Therapy fro...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2026-08-05 10:12:21
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Conduct comprehensive cognitive performance evaluations using standardized assessment tools and validated neurocognitive testing platforms.
- Perform occupational analysis to identify performance barriers related to mission tasks and task-person-environment mismatches contributing to performance degradation.
- Identify cognitive risk factors impacting readiness, including sleep disruption, operational fatigue, stress load, and mild traumatic brain injury history.
-Translate cognitive assessment findings into mission-relevant performance applications.
- Develop individualized cognitive performance plans targeting executive functioning, attention control, stress regulation, mental agility, and recovery strategies.
- Deliver group-based cognitive training and performance workshops.
- Implement cognitive rehabilitation protocols for operators returning from injury, illness, or cognitive performance degradation.
- Provide in-training environment coaching to enhance real-time cognitive performance during operational tasks.
- Design and execute cognitive skills development programs aligned with Special Operations Forces mission demands.
- Provide services in both garrison and operational training settings as required.
- Educate Service Members on cognitive resilience, fatigue mitigation, workload management, and recovery best practices.
Develop proactive programming to prevent cognitive decline and performance loss.
- Collaborate with the Human Performance team, including psychology, strength and conditioning, medical, nutrition, chaplain, and leadership partners, to synchronize individualized and group performance plans.
- Participate in interdisciplinary case conferences, performance reviews, and care coordination meetings.
- Collaborate with Cognitive Performance Professionals to support integrated planning, implementation, and evaluation of resilience programming.
- Advise leadership on aggregate cognitive readiness trends, risk factors, and mitigation strategies while ensuring compliance with privacy, confidentiality, and applicable DoD regulations.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Master's or Doctoral degree in Occupational Therapy fro...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2026-08-05 10:12:20
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Conduct comprehensive cognitive performance evaluations using standardized assessment tools and validated neurocognitive testing platforms.
- Perform occupational analysis to identify performance barriers related to mission tasks and task-person-environment mismatches contributing to performance degradation.
- Identify cognitive risk factors impacting readiness, including sleep disruption, operational fatigue, stress load, and mild traumatic brain injury history.
-Translate cognitive assessment findings into mission-relevant performance applications.
- Develop individualized cognitive performance plans targeting executive functioning, attention control, stress regulation, mental agility, and recovery strategies.
- Deliver group-based cognitive training and performance workshops.
- Implement cognitive rehabilitation protocols for operators returning from injury, illness, or cognitive performance degradation.
- Provide in-training environment coaching to enhance real-time cognitive performance during operational tasks.
- Design and execute cognitive skills development programs aligned with Special Operations Forces mission demands.
- Provide services in both garrison and operational training settings as required.
- Educate Service Members on cognitive resilience, fatigue mitigation, workload management, and recovery best practices.
Develop proactive programming to prevent cognitive decline and performance loss.
- Collaborate with the Human Performance team, including psychology, strength and conditioning, medical, nutrition, chaplain, and leadership partners, to synchronize individualized and group performance plans.
- Participate in interdisciplinary case conferences, performance reviews, and care coordination meetings.
- Collaborate with Cognitive Performance Professionals to support integrated planning, implementation, and evaluation of resilience programming.
- Advise leadership on aggregate cognitive readiness trends, risk factors, and mitigation strategies while ensuring compliance with privacy, confidentiality, and applicable DoD regulations.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Master's or Doctoral degree in Occupational Therapy fro...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2026-08-05 10:12:20
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Conduct comprehensive cognitive performance evaluations using standardized assessment tools and validated neurocognitive testing platforms.
- Perform occupational analysis to identify performance barriers related to mission tasks and task-person-environment mismatches contributing to performance degradation.
- Identify cognitive risk factors impacting readiness, including sleep disruption, operational fatigue, stress load, and mild traumatic brain injury history.
-Translate cognitive assessment findings into mission-relevant performance applications.
- Develop individualized cognitive performance plans targeting executive functioning, attention control, stress regulation, mental agility, and recovery strategies.
- Deliver group-based cognitive training and performance workshops.
- Implement cognitive rehabilitation protocols for operators returning from injury, illness, or cognitive performance degradation.
- Provide in-training environment coaching to enhance real-time cognitive performance during operational tasks.
- Design and execute cognitive skills development programs aligned with Special Operations Forces mission demands.
- Provide services in both garrison and operational training settings as required.
- Educate Service Members on cognitive resilience, fatigue mitigation, workload management, and recovery best practices.
Develop proactive programming to prevent cognitive decline and performance loss.
- Collaborate with the Human Performance team, including psychology, strength and conditioning, medical, nutrition, chaplain, and leadership partners, to synchronize individualized and group performance plans.
- Participate in interdisciplinary case conferences, performance reviews, and care coordination meetings.
- Collaborate with Cognitive Performance Professionals to support integrated planning, implementation, and evaluation of resilience programming.
- Advise leadership on aggregate cognitive readiness trends, risk factors, and mitigation strategies while ensuring compliance with privacy, confidentiality, and applicable DoD regulations.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Master's or Doctoral degree in Occupational Therapy fro...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2026-08-05 10:12:19
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Conduct comprehensive cognitive performance evaluations using standardized assessment tools and validated neurocognitive testing platforms.
- Perform occupational analysis to identify performance barriers related to mission tasks and task-person-environment mismatches contributing to performance degradation.
- Identify cognitive risk factors impacting readiness, including sleep disruption, operational fatigue, stress load, and mild traumatic brain injury history.
-Translate cognitive assessment findings into mission-relevant performance applications.
- Develop individualized cognitive performance plans targeting executive functioning, attention control, stress regulation, mental agility, and recovery strategies.
- Deliver group-based cognitive training and performance workshops.
- Implement cognitive rehabilitation protocols for operators returning from injury, illness, or cognitive performance degradation.
- Provide in-training environment coaching to enhance real-time cognitive performance during operational tasks.
- Design and execute cognitive skills development programs aligned with Special Operations Forces mission demands.
- Provide services in both garrison and operational training settings as required.
- Educate Service Members on cognitive resilience, fatigue mitigation, workload management, and recovery best practices.
Develop proactive programming to prevent cognitive decline and performance loss.
- Collaborate with the Human Performance team, including psychology, strength and conditioning, medical, nutrition, chaplain, and leadership partners, to synchronize individualized and group performance plans.
- Participate in interdisciplinary case conferences, performance reviews, and care coordination meetings.
- Collaborate with Cognitive Performance Professionals to support integrated planning, implementation, and evaluation of resilience programming.
- Advise leadership on aggregate cognitive readiness trends, risk factors, and mitigation strategies while ensuring compliance with privacy, confidentiality, and applicable DoD regulations.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Master's or Doctoral degree in Occupational Therapy fro...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2026-08-05 10:12:16
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Conduct comprehensive cognitive performance evaluations using standardized assessment tools and validated neurocognitive testing platforms.
- Perform occupational analysis to identify performance barriers related to mission tasks and task-person-environment mismatches contributing to performance degradation.
- Identify cognitive risk factors impacting readiness, including sleep disruption, operational fatigue, stress load, and mild traumatic brain injury history.
-Translate cognitive assessment findings into mission-relevant performance applications.
- Develop individualized cognitive performance plans targeting executive functioning, attention control, stress regulation, mental agility, and recovery strategies.
- Deliver group-based cognitive training and performance workshops.
- Implement cognitive rehabilitation protocols for operators returning from injury, illness, or cognitive performance degradation.
- Provide in-training environment coaching to enhance real-time cognitive performance during operational tasks.
- Design and execute cognitive skills development programs aligned with Special Operations Forces mission demands.
- Provide services in both garrison and operational training settings as required.
- Educate Service Members on cognitive resilience, fatigue mitigation, workload management, and recovery best practices.
Develop proactive programming to prevent cognitive decline and performance loss.
- Collaborate with the Human Performance team, including psychology, strength and conditioning, medical, nutrition, chaplain, and leadership partners, to synchronize individualized and group performance plans.
- Participate in interdisciplinary case conferences, performance reviews, and care coordination meetings.
- Collaborate with Cognitive Performance Professionals to support integrated planning, implementation, and evaluation of resilience programming.
- Advise leadership on aggregate cognitive readiness trends, risk factors, and mitigation strategies while ensuring compliance with privacy, confidentiality, and applicable DoD regulations.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Master's or Doctoral degree in Occupational Therapy fro...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2026-08-05 10:12:13
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Conduct comprehensive cognitive performance evaluations using standardized assessment tools and validated neurocognitive testing platforms.
- Perform occupational analysis to identify performance barriers related to mission tasks and task-person-environment mismatches contributing to performance degradation.
- Identify cognitive risk factors impacting readiness, including sleep disruption, operational fatigue, stress load, and mild traumatic brain injury history.
-Translate cognitive assessment findings into mission-relevant performance applications.
- Develop individualized cognitive performance plans targeting executive functioning, attention control, stress regulation, mental agility, and recovery strategies.
- Deliver group-based cognitive training and performance workshops.
- Implement cognitive rehabilitation protocols for operators returning from injury, illness, or cognitive performance degradation.
- Provide in-training environment coaching to enhance real-time cognitive performance during operational tasks.
- Design and execute cognitive skills development programs aligned with Special Operations Forces mission demands.
- Provide services in both garrison and operational training settings as required.
- Educate Service Members on cognitive resilience, fatigue mitigation, workload management, and recovery best practices.
Develop proactive programming to prevent cognitive decline and performance loss.
- Collaborate with the Human Performance team, including psychology, strength and conditioning, medical, nutrition, chaplain, and leadership partners, to synchronize individualized and group performance plans.
- Participate in interdisciplinary case conferences, performance reviews, and care coordination meetings.
- Collaborate with Cognitive Performance Professionals to support integrated planning, implementation, and evaluation of resilience programming.
- Advise leadership on aggregate cognitive readiness trends, risk factors, and mitigation strategies while ensuring compliance with privacy, confidentiality, and applicable DoD regulations.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Master's or Doctoral degree in Occupational Therapy fro...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2026-08-05 10:12:10
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Conduct comprehensive cognitive performance evaluations using standardized assessment tools and validated neurocognitive testing platforms.
- Perform occupational analysis to identify performance barriers related to mission tasks and task-person-environment mismatches contributing to performance degradation.
- Identify cognitive risk factors impacting readiness, including sleep disruption, operational fatigue, stress load, and mild traumatic brain injury history.
-Translate cognitive assessment findings into mission-relevant performance applications.
- Develop individualized cognitive performance plans targeting executive functioning, attention control, stress regulation, mental agility, and recovery strategies.
- Deliver group-based cognitive training and performance workshops.
- Implement cognitive rehabilitation protocols for operators returning from injury, illness, or cognitive performance degradation.
- Provide in-training environment coaching to enhance real-time cognitive performance during operational tasks.
- Design and execute cognitive skills development programs aligned with Special Operations Forces mission demands.
- Provide services in both garrison and operational training settings as required.
- Educate Service Members on cognitive resilience, fatigue mitigation, workload management, and recovery best practices.
Develop proactive programming to prevent cognitive decline and performance loss.
- Collaborate with the Human Performance team, including psychology, strength and conditioning, medical, nutrition, chaplain, and leadership partners, to synchronize individualized and group performance plans.
- Participate in interdisciplinary case conferences, performance reviews, and care coordination meetings.
- Collaborate with Cognitive Performance Professionals to support integrated planning, implementation, and evaluation of resilience programming.
- Advise leadership on aggregate cognitive readiness trends, risk factors, and mitigation strategies while ensuring compliance with privacy, confidentiality, and applicable DoD regulations.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Master's or Doctoral degree in Occupational Therapy fro...
....Read more...
Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2026-08-05 10:12:09
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Conduct comprehensive cognitive performance evaluations using standardized assessment tools and validated neurocognitive testing platforms.
- Perform occupational analysis to identify performance barriers related to mission tasks and task-person-environment mismatches contributing to performance degradation.
- Identify cognitive risk factors impacting readiness, including sleep disruption, operational fatigue, stress load, and mild traumatic brain injury history.
-Translate cognitive assessment findings into mission-relevant performance applications.
- Develop individualized cognitive performance plans targeting executive functioning, attention control, stress regulation, mental agility, and recovery strategies.
- Deliver group-based cognitive training and performance workshops.
- Implement cognitive rehabilitation protocols for operators returning from injury, illness, or cognitive performance degradation.
- Provide in-training environment coaching to enhance real-time cognitive performance during operational tasks.
- Design and execute cognitive skills development programs aligned with Special Operations Forces mission demands.
- Provide services in both garrison and operational training settings as required.
- Educate Service Members on cognitive resilience, fatigue mitigation, workload management, and recovery best practices.
Develop proactive programming to prevent cognitive decline and performance loss.
- Collaborate with the Human Performance team, including psychology, strength and conditioning, medical, nutrition, chaplain, and leadership partners, to synchronize individualized and group performance plans.
- Participate in interdisciplinary case conferences, performance reviews, and care coordination meetings.
- Collaborate with Cognitive Performance Professionals to support integrated planning, implementation, and evaluation of resilience programming.
- Advise leadership on aggregate cognitive readiness trends, risk factors, and mitigation strategies while ensuring compliance with privacy, confidentiality, and applicable DoD regulations.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Master's or Doctoral degree in Occupational Therapy fro...
....Read more...
Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2026-08-05 10:12:05
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Conduct comprehensive cognitive performance evaluations using standardized assessment tools and validated neurocognitive testing platforms.
- Perform occupational analysis to identify performance barriers related to mission tasks and task-person-environment mismatches contributing to performance degradation.
- Identify cognitive risk factors impacting readiness, including sleep disruption, operational fatigue, stress load, and mild traumatic brain injury history.
-Translate cognitive assessment findings into mission-relevant performance applications.
- Develop individualized cognitive performance plans targeting executive functioning, attention control, stress regulation, mental agility, and recovery strategies.
- Deliver group-based cognitive training and performance workshops.
- Implement cognitive rehabilitation protocols for operators returning from injury, illness, or cognitive performance degradation.
- Provide in-training environment coaching to enhance real-time cognitive performance during operational tasks.
- Design and execute cognitive skills development programs aligned with Special Operations Forces mission demands.
- Provide services in both garrison and operational training settings as required.
- Educate Service Members on cognitive resilience, fatigue mitigation, workload management, and recovery best practices.
Develop proactive programming to prevent cognitive decline and performance loss.
- Collaborate with the Human Performance team, including psychology, strength and conditioning, medical, nutrition, chaplain, and leadership partners, to synchronize individualized and group performance plans.
- Participate in interdisciplinary case conferences, performance reviews, and care coordination meetings.
- Collaborate with Cognitive Performance Professionals to support integrated planning, implementation, and evaluation of resilience programming.
- Advise leadership on aggregate cognitive readiness trends, risk factors, and mitigation strategies while ensuring compliance with privacy, confidentiality, and applicable DoD regulations.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Master's or Doctoral degree in Occupational Therapy fro...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: Not Specified
Posted: 2026-08-05 10:12:02
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:59
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:58
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Conduct comprehensive cognitive performance evaluations using standardized assessment tools and validated neurocognitive testing platforms.
- Perform occupational analysis to identify performance barriers related to mission tasks and task-person-environment mismatches contributing to performance degradation.
- Identify cognitive risk factors impacting readiness, including sleep disruption, operational fatigue, stress load, and mild traumatic brain injury history.
-Translate cognitive assessment findings into mission-relevant performance applications.
- Develop individualized cognitive performance plans targeting executive functioning, attention control, stress regulation, mental agility, and recovery strategies.
- Deliver group-based cognitive training and performance workshops.
- Implement cognitive rehabilitation protocols for operators returning from injury, illness, or cognitive performance degradation.
- Provide in-training environment coaching to enhance real-time cognitive performance during operational tasks.
- Design and execute cognitive skills development programs aligned with Special Operations Forces mission demands.
- Provide services in both garrison and operational training settings as required.
- Educate Service Members on cognitive resilience, fatigue mitigation, workload management, and recovery best practices.
Develop proactive programming to prevent cognitive decline and performance loss.
- Collaborate with the Human Performance team, including psychology, strength and conditioning, medical, nutrition, chaplain, and leadership partners, to synchronize individualized and group performance plans.
- Participate in interdisciplinary case conferences, performance reviews, and care coordination meetings.
- Collaborate with Cognitive Performance Professionals to support integrated planning, implementation, and evaluation of resilience programming.
- Advise leadership on aggregate cognitive readiness trends, risk factors, and mitigation strategies while ensuring compliance with privacy, confidentiality, and applicable DoD regulations.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Master's or Doctoral degree in Occupational Therapy fro...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:54
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:51
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:49
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:45
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:42
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Spokane, US-WA
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:39
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:35
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:33
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:30
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Roanoke, US-VA
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:27
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Bennington, US-VT
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:23
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: Tysons, US-VA
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:21
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations.
- Render medical necessity determinations for Medicare State East cases assigned.
- Resolve all other technical issues within Medicare reconsideration assigned.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
- May perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Be the Subject Matter Expert (SME) for project.
- Perform other duties as assigned by management.
- Demonstrated skill in understanding diagnoses to assist clients in optimizing their level of function and self-care.
- Demonstrated knowledge of client education principles and the management of complex medical, psychosocial, and financial problems to enhance adherence to individualized treatment plans and train peers and staff.
- Knowledge and skills in the use of VA/DoW Clinical Practice Guidelines to support an evidence based, standardized process of care for military beneficiaries.
- Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources.
- Skill in the use of research tools to critically evaluate existing practices, opportunities, and outcomes.
- Knowledge of pharmaceuticals, including desired effects, side effects, and complications, to gauge their effect on clients and recovery.
- Knowledge of community resources, client entitlement and benefit eligibility, and the ability to access these resources to assist clients and families in optimizing function and self-care.
- Use of pre-established utilization and review criteria, and the ability to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance.
- Use of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to stakeholders.
- Use of computers and software applications to conduct data collection, tracking, trending, and analysis, and to design and present computer-generated outcome analyses for educational programs or project briefings.
Minimum Requirements
- Bachelor's degree with 5-7 years of experience consulting within designated function.
- Advanced degree preferred.
- Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
- Ensure solutions are consistent with organization objectives.
- Solutions may serve as precedent for future decisions.
- Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
- Develop new applications based on professional principles and theories.
- Viewed as exp...
....Read more...
Type: Permanent Location: St. George, US-UT
Salary / Rate: Not Specified
Posted: 2026-08-05 10:11:18
