Reviewer

• Review and analyze complex medical, psychological, developmental, and functional information for children applying for or participating in Wisconsin’s Katie Beckett Medicaid program
• Develop disability determination recommendations using medical evidence, functional limitations, Social Security Act requirements and disability criteria, policies, regulations, procedures, and quality standards
• Evaluate medical terminology, disease processes, diagnostic testing, treatment practices, physical and mental impairments, and other relevant evidence
• Identify when additional medical information is necessary to complete a review
• Prepare electronic case documentation, written review requests, case summaries, determination records, and required notifications
• Maintain confidentiality and comply with applicable regulations and program requirements
• Independently manage an assigned disability caseload
• Collaborate with reviewers, clinical consultants, supervisors, and operational partners to research discrepancies, resolve complex cases, and reach logical and objective conclusions
• Travel quarterly to Madison, Wisconsin for meetings or other business needs

Reviewer jobs in Wisconsin

Disability Reviewer