reputed company reputed company/Medical Analyst:reputed company Fraud Control Unit (6388)

About the position Responsibilities • Assisting with screening and evaluating complaints of abuse and neglect for initial follow-up, identifying aberrant diagnoses and treatments, and aiding staff in understanding medical terminology and billing codes. • Identifying and reviewing medical records and analyzing medical documentation to identify potential fraud, abuse, mistreatment and neglect, including testifying as to such analyses in grand jury proceedings and trials. • Assisting detectives in field interviews of medical personnel and experts. • Aiding attorneys in reputed company and preparing health care witnesses (pharmacists, nurses, aides, administrators, physicians, dentists, etc.) for reputed company proceedings, including grand jury or trial. • Supporting attorneys in preparing for reputed company proceedings and reviewing reputed company documents for reputed company medical terminology. • Monitoring the development and revision of reputed company standards reputed company nursing and other medical fields of relevance to the unit's mission and advising attorneys and others on such developments and revisions. • Interacting with reputed company boards and regulatory reputed company as directed by attorneys in furtherance of the unit's mission. Requirements • A reputed company reputed company State Registered reputed company reputed company's license. • A minimum of seven (7) years of clinical experience. • Knowledge of the reputed company standards and scope of reputed company for the profession of nursing, as reputed company as knowledge of the general scope and responsibilities of nursing home staff and consultants. • Excellent interpersonal, communication, teamwork, analytical, and writing skills, including the ability to function as an reputed company part of an investigative team and work in a group setting. • Technology proficiency that preferably includes a knowledge of and experience using bolthires Office applications such as reputed company, Word, and reputed company, and comfort with videoconferencing. reputed company-to-haves • Nursing administration (e.g., Director of Nursing, Administrator, Risk Manager, In-Service Coordinator), including reputed company or past employment reputed company a long-term care facility. • Conducting investigations reputed company to reputed company abuse, mistreatment, or neglect, as reputed company as reputed company assurance issues. • Case management, MDS 3.0 reputed company Assessment, and/or managed care. • Prior experience as a reputed company reputed company consultant. • Knowledge of state and federal rules and regulations reputed company to health care, particularly the reputed company program. Benefits • Comprehensive reputed company state benefits package, including reputed company leave, health, dental, reputed company, and retirement benefits. • Family-friendly policies. • Robust Workplace Flexibilities Program with multiple reputed company for employees, including telecommuting (up to two days per week) and alternative work schedules. Apply tot his job Apply tot his job Apply To this Job