... disabilities at Tiffin Developmental Center. Chairs the interdisciplinary team & coordinate ... e.g., reviews standards, monitors unit, corrects deficient areas) with rules, regulations ...
... disabilities at Tiffin Developmental Center. Chairs the interdisciplinary team & coordinate ... e.g., reviews standards, monitors unit, corrects deficient areas) with rules, regulations ...
Medicare Appeals Reviewer I (Dispute Resolution Reviewer I) Fully Remote-United States Job Type ... If you are an individual with a disability and need assistance completing any part of the ...
Medicare Appeals Reviewer I (Dispute Resolution Reviewer I) Fully Remote-United States Job Type ... If you are an individual with a disability and need assistance completing any part of the ...
... disabilities at Tiffin Developmental Center. Chairs the interdisciplinary team & coordinate ... e.g., reviews standards, monitors unit, corrects deficient areas) with rules, regulations ...
... disabilities at Tiffin Developmental Center. Chairs the interdisciplinary team & coordinate ... e.g., reviews standards, monitors unit, corrects deficient areas) with rules, regulations ...
... disabilities at Tiffin Developmental Center. Chairs the interdisciplinary team & coordinate ... e.g., reviews standards, monitors unit, corrects deficient areas) with rules, regulations ...
... disabilities at Tiffin Developmental Center. Chairs the interdisciplinary team & coordinate ... e.g., reviews standards, monitors unit, corrects deficient areas) with rules, regulations ...
Premium Audit - Reviewer
Fairfield, OH · On-site
$21 - $22/hr
... disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. Learn More.
Premium Audit - Reviewer
Fairfield, OH · On-site
$21 - $22/hr
... disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. Learn More.
Premium Audit - Reviewer
$21 - $22/hr
... disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. Learn More.
Premium Audit - Reviewer
$21 - $22/hr
... disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. Learn More.
Reviews current process flow and makes enhancements as appropriate. Essential Functions: * Utilizes ... EOE M/F/Disability/Vet"
Reviews current process flow and makes enhancements as appropriate. Essential Functions: * Utilizes ... EOE M/F/Disability/Vet"
Physician Reviewer-Radiology (Part Time)
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$95 - $100/hr
... or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance. The expected base ...
Physician Reviewer-Radiology (Part Time)
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$95 - $100/hr
... or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance. The expected base ...
Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $96/hr
... or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance. The expected base ...
Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $96/hr
... or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance. The expected base ...
Medical Records Reviewer
Moraine, OH · On-site
$14.75 - $17.75/hr
Health, dental, vision, life and disability insurance * Pre-tax healthcare and dependent care flexible spending accounts * Life insurance * 401(k) plan with numerous investment options and generous ...
Medical Records Reviewer
Moraine, OH · On-site
$14.75 - $17.75/hr
Health, dental, vision, life and disability insurance * Pre-tax healthcare and dependent care flexible spending accounts * Life insurance * 401(k) plan with numerous investment options and generous ...
Medical Records Reviewer
Dayton, OH · On-site
$16.50 - $19.75/hr
Health, dental, vision, life and disability insurance * Pre-tax healthcare and dependent care flexible spending accounts * Life insurance * 401(k) plan with numerous investment options and generous ...
Medical Records Reviewer
Dayton, OH · On-site
$16.50 - $19.75/hr
Health, dental, vision, life and disability insurance * Pre-tax healthcare and dependent care flexible spending accounts * Life insurance * 401(k) plan with numerous investment options and generous ...
Medical Records Reviewer
Cincinnati, OH · On-site
$16.25 - $19.50/hr
Benefits Include: - Competitive compensation - Health, dental, vision, life and disability insurance - Pre-tax healthcare and dependent care flexible spending accounts - Life insurance - 401(k) plan ...
Medical Records Reviewer
Cincinnati, OH · On-site
$16.25 - $19.50/hr
Benefits Include: - Competitive compensation - Health, dental, vision, life and disability insurance - Pre-tax healthcare and dependent care flexible spending accounts - Life insurance - 401(k) plan ...
Medical Records Reviewer
Cincinnati, OH · On-site
$16.25 - $19.50/hr
Health, dental, vision, life and disability insurance * Pre-tax healthcare and dependent care flexible spending accounts * Life insurance * 401(k) plan with numerous investment options and generous ...
Medical Records Reviewer
Cincinnati, OH · On-site
$16.25 - $19.50/hr
Health, dental, vision, life and disability insurance * Pre-tax healthcare and dependent care flexible spending accounts * Life insurance * 401(k) plan with numerous investment options and generous ...
Medical Records Reviewer
Columbus, OH · On-site
$16 - $19/hr
Health, dental, vision, life and disability insurance * Pre-tax healthcare and dependent care flexible spending accounts * Life insurance * 401(k) plan with numerous investment options and generous ...
Medical Records Reviewer
Columbus, OH · On-site
$16 - $19/hr
Health, dental, vision, life and disability insurance * Pre-tax healthcare and dependent care flexible spending accounts * Life insurance * 401(k) plan with numerous investment options and generous ...
Medical Records Reviewer
Dublin, OH · On-site
$16 - $19/hr
Health, dental, vision, life and disability insurance * Pre-tax healthcare and dependent care flexible spending accounts * Life insurance * 401(k) plan with numerous investment options and generous ...
Medical Records Reviewer
Dublin, OH · On-site
$16 - $19/hr
Health, dental, vision, life and disability insurance * Pre-tax healthcare and dependent care flexible spending accounts * Life insurance * 401(k) plan with numerous investment options and generous ...
Medical Records Reviewer
Cincinnati, OH · On-site
$16.25 - $19.50/hr
Benefits Include: - Competitive compensation - Health, dental, vision, life and disability insurance - Pre-tax healthcare and dependent care flexible spending accounts - Life insurance - 401(k) plan ...
Medical Records Reviewer
Cincinnati, OH · On-site
$16.25 - $19.50/hr
Benefits Include: - Competitive compensation - Health, dental, vision, life and disability insurance - Pre-tax healthcare and dependent care flexible spending accounts - Life insurance - 401(k) plan ...
Therapeutic Recreation Program Leader
Columbus, OH · On-site
$14 - $16.23/hr
Ability to effectively communicate and support individuals with physical and or developmental disabilities. Review and understand all documentation related to participants. Monitor program ...
Therapeutic Recreation Program Leader
Columbus, OH · On-site
$14 - $16.23/hr
Ability to effectively communicate and support individuals with physical and or developmental disabilities. Review and understand all documentation related to participants. Monitor program ...
Clinical Appeals & Grievances Nurse Reviewer Fully Remote-United States Job Type Full-time ... If you are an individual with a disability and need assistance completing any part of the ...
Clinical Appeals & Grievances Nurse Reviewer Fully Remote-United States Job Type Full-time ... If you are an individual with a disability and need assistance completing any part of the ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
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$95 - $109/hr
... or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance. The expected base ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
... or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance. The expected base ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
... or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance. The expected base ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
... or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance. The expected base ...
Disability Reviewer information
What does a disability reviewer do?
What are the key skills and qualifications needed to thrive as a disability reviewer?
What is the difference between Disability Reviewer vs Disability Claims Specialist?
| Aspect | Disability Reviewer | Disability Claims Specialist |
|---|---|---|
| Required Credentials | Typically requires a background in healthcare, social work, or related fields; certifications vary | Often requires similar credentials, including healthcare or social work background; certifications may be preferred |
| Work Environment | Primarily office-based, reviewing case files and medical documentation | Office setting, handling claims processing and customer interactions |
| Employer & Industry Usage | Used by government agencies, insurance companies, and third-party administrators | Commonly employed by insurance companies, government agencies, and private firms |
Both roles involve evaluating disability claims, often requiring similar educational backgrounds and working in office environments. While Disability Reviewers focus on assessing medical documentation and making determinations, Disability Claims Specialists handle the entire claims process, including customer communication and documentation management. Understanding these differences can help job seekers identify the right career path within the disability assessment industry.
What are some common challenges faced by disability reviewers, and how can they be addressed?

Full-time
Posted 17 days ago
Job description
Independently manages & coordinates overall development & implementation of client-based habilitative programing (e.g., person-centered plan, individual behavior guidelines, etc.) for approximately 16-24 youth residents with developmental disabilities at Tiffin Developmental Center. Chairs the interdisciplinary team & coordinate services from all internal & external support services (e.g., speech, medical, pharmacy, social services, psychology, psychiatry, vocational, educations, recreational, occupational therapy, physical therapy, dental, dietary, etc.) in order to meet client needs & ensure quality care of care. Ensures all rendered services are therapeutic, compliant with rules (e.g., person-centered plan) & effective, to promote habilitation of the resident. Follows up on recommendations. Observes program implementation & recommends program changes. Formulates & coordinates the annual comprehensive functional assessment for each client (e.g., coordinating & verifying information from all necessary disciplines to meet client needs). Completes a comprehensive annual individual plan and monthly analysis of each client's status, needs, UIR trends & recommendations. Calls & chairs special team, meetings as clients need dictates. Coordinates input from all services & meeting minutes into an Individual program plan for each client & ensures that any discrepancies or conflicts between support services are resolved. Develops client training goals based upon team recommendation. Ensures documentation meets Medicaid & licensure standards & requirements, makes corrections & updates to deficiencies. Supervises assigned staff: Hires (interviews & make selection), trains, orients; completes performance evaluation, signs request for leave forms. Participates in step 1 hearings & disciplinary hearings; recommends discipline. Author & develop consents for behavior implementation, and work with Health and safety to develop prevention plans. Ensures staff are trained in effective delivery of training techniques/methods, ensures habilitative services & documentation meet requirements (e.g., develops forms, reviews program to determine effectiveness/compliance, discusses individual progress with service providers); assures compliance (e.g., reviews standards, monitors unit, corrects deficient areas) with rules, regulations & policies (e.g., licensure, DODD Administrative Rules & policies).
Conducts routine rounds of residential areas & other service facilities to ensure active treatment is administered as required (e.g., review staff/resident interaction program/scenario implementation, rotation of attention, etc.) & ensure proper documentation of implementation; prepare for team meetings & collects data of resident progress; set up regular & special meetings to discuss need for special programs & interventions. Works with program disciplines to establish individual goals & objectives & prioritization of goals & objectives. Write individual programs, changes to &/ or modifications of programs on ongoing basis & corrections of deficiencies. Models appropriate interactions & interventions (e.g., teaching strategies, prompt hierarchies, behavior management techniques) with individuals & staff; work with other departments to facilitate transfers of individuals (e.g., recommends placement, visits, etc.). Provides information (e.g., individual progress, adjustment to new living area, program options) for discussion with families, guardians, &/or community agencies & county boards of developmental disabilities, etc. Provides information to pre-survey & survey teams (e.g., answers questions, locates & explains documents); participates in writing & implementing plans of compliance to correct cited deficiencies; recommends proposed changes in policies and procedures.
Participate in planning meetings; may participate in community outreach activities (e.g., providing training, observation, meeting attendance); attends workshops/conferences, etc. Attends mandatory in services & conducts trainings (e.g., positive behavior supports, CPR, safety, etc.); serves on committees, acts for other QIDPs, as required; performs other duties within range & scope of position.
Per Federal Register, Vol. 53. No. 107, Section 453.430, applicants must have at least one yr. of experience working directly with persons with intellectual disability or other developmental disabilities & is one of following: -Doctor of Medicine or Osteopathy -Registered Nurse -Individual who holds at least a bachelor’s degree in professional human services category (e.g., Psychology, Education, Anthropology).Â
Job Skills: Direct Support/Direct Care