Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Clerk, Records I
Nashville, TN · On-site
$16 - $21/hr
Supports second level reviews * Works claims caseloads
Clerk, Records I
Nashville, TN · On-site
$16 - $21/hr
Supports second level reviews * Works claims caseloads
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Level IV Underwriter
Virginia Beach, VA · On-site
$39 - $57/hr
Complete new hire training including underwriting of test cases and second level review of "live" loans. * Knowledge of various investor guidelines and requirements. * Minimum of 20 mbps download and ...
Level IV Underwriter
Virginia Beach, VA · On-site
$39 - $57/hr
Complete new hire training including underwriting of test cases and second level review of "live" loans. * Knowledge of various investor guidelines and requirements. * Minimum of 20 mbps download and ...
Level IV Underwriter
$39 - $57/hr
Complete new hire training including underwriting of test cases and second level review of "live" loans. * Knowledge of various investor guidelines and requirements. * Minimum of 20 mbps download and ...
Level IV Underwriter
$39 - $57/hr
Complete new hire training including underwriting of test cases and second level review of "live" loans. * Knowledge of various investor guidelines and requirements. * Minimum of 20 mbps download and ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
Full Stack Developer, Lead Engineer, Vice President
Irving, TX · On-site
$125K - $188K/yr
Ensure best engineering standards are followed by team including DevOps and SRE. * Be the second level reviewer for the application design and implementation. * Provide inputs, review the test plans ...
Full Stack Developer, Lead Engineer, Vice President
Irving, TX · On-site
$125K - $188K/yr
Ensure best engineering standards are followed by team including DevOps and SRE. * Be the second level reviewer for the application design and implementation. * Provide inputs, review the test plans ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of ...
Conducts second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The CDI Coordinator manages various post-discharge, pre-bill work ...
Conducts second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The CDI Coordinator manages various post-discharge, pre-bill work ...
Conducts second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The CDI Coordinator manages various post-discharge, pre-bill work ...
Conducts second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The CDI Coordinator manages various post-discharge, pre-bill work ...
Conducts second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The CDI Coordinator manages various post-discharge, pre-bill work ...
Conducts second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The CDI Coordinator manages various post-discharge, pre-bill work ...
Second Level Reviewer information
See salary details
$10.58 - $14.03
1% of jobs
$14.03 - $17.48
13% of jobs
$17.48 - $20.94
4% of jobs
$22.31 is the 25th percentile. Wages below this are outliers.
$20.94 - $24.39
18% of jobs
$24.39 - $27.84
14% of jobs
The median wage is $27.95 / hr.
$27.84 - $31.29
17% of jobs
$31.29 - $34.75
7% of jobs
$35.14 is the 75th percentile. Wages above this are outliers.
$34.75 - $38.20
12% of jobs
$38.20 - $41.65
8% of jobs
$41.65 - $45.10
5% of jobs
$45.10 - $48.56
1% of jobs
$10
$29
$48
How much do second level reviewer jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Second Level Reviewer, and why are they important?
How does a Second Level Reviewer typically interact with other team members during the review process?
What are Second Level Reviewers?
What is the difference between Second Level Reviewer vs Quality Control Inspector?
| Aspect | Second Level Reviewer | Quality Control Inspector |
|---|---|---|
| Credentials | Typically requires a relevant degree or certification in quality assurance or related field | Often requires certifications like ISO or industry-specific quality standards |
| Work Environment | Usually works in office settings reviewing documentation and reports | Primarily works on the production floor inspecting products or processes |
| Employer & Industry Usage | Common in manufacturing, aerospace, and healthcare industries for review roles | Used across manufacturing, electronics, and consumer goods for inspection roles |
The main difference is that a Second Level Reviewer focuses on reviewing and verifying documentation and processes, often in an office setting, while a Quality Control Inspector physically inspects products or processes on the production line. Both roles are essential for maintaining quality standards but serve different functions within the quality assurance process.
Full-time
Posted 21 days ago
Job description
- Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based on contract requirements).
- Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review.
- Completes prior authorizations as appropriate in a timely manner.
- Conducts an initial survey to recommend appropriate (home health assessment) for the recipient, unless this has already been done during the current fiscal year
- Conducts a home and/or PPEC visit as needed or if contract requirement
- Schedules and convenes initial face-to-face meeting in the recipient’s home and/or PPEC comprised of the recipient (if able) and the parent or legal guardian.
- Assesses, plans, implements, monitors and evaluates the options and services required to meet the recipient’s health care needs.
- Documents recipient’s assessment findings, actions, and outcomes.
- Documents all communication, interventions and follow up tasks in the Care Coordination System within one (1) business day of each intervention and/or encounter.
- Identifies patient care issues and makes recommendations on patient care issues.
- Collaborates with the parent or legal guardian and healthcare team to arrange for identified home care needs.
- Responsible for maintaining regular monthly contact (telephonically or face-to-face) with the recipient and the recipient’s parent or legal guardian.for purpose of updating Plan of Care (POC), resolving issues and identifying additional issues
- As part of the multidisciplinary team, regularly meets with the team and contributes to the development of a comprehensive plan of care based on the needs of the recipient and recipient’s parent or legal guardian.
- Evaluates and modifies recipient’s the plan of care as needed. Regularly communicates changes to the recipient’s parent or legal guardian, healthcare team, and other agencies involved in the recipient’s care.
- Monitors assigned caseload eligibility status on a monthly basis, based on their status in MMIS.
- Completes a Staffing Tool (Freedom of Choice) any time a parent or legal guardian expresses the desire to reconsider a recipient’s placement into a Skilled Nursing Facility
- Follow guidelines for additional required calls and visits for Skilled Nursing Facility (SNF) transitions to community settings for six (6) months.
- Functions as a resource to the community.