Clinical Reviewer RN — Utilization & Quality Lead
$38.46 - $43.27 per hourIPRO
IPRO in Jericho, NY is seeking a Clinical Reviewer (RN) to perform utilization and quality reviews, support Medical Review Analysts and Physicians, and ensure accurate processes. Duties include chart reviews, data collection, and guiding staff through procedures. Required are NY RN licensure, a nursing degree, and 2+ years in acute care or utilization review. The role is office-based in Jericho with hourly compensation ranging from $38.46 to $43.27. #J-18808-Ljbffr IPRO
- IPRO in Jericho, NY is seeking a Clinical Reviewer (RN) to handle the full spectrum of utilization and quality reviews. This full-time, in-office role requires an NY RN license, with RI licensure preferred and a strong background in acute care utilization review. The position...QualityFull timeWork at office
$38.46 - $43.27 per hour
...DescriptionJob DescriptionAs the Clinical Reviewer, you will be responsible for... ...to: Performing case reviews utilizing regulatory guidelines... ...knowledge for medical necessity and quality of care issues; formulate a... ..., required (open to any RN state license).Graduate of a...QualityHourly payFull timeFor contractorsWork at officeRemote work1 day per week$38.46 - $43.27 per hour
...accommodation or an alternative application process. Clinical Reviewer (RN) Full-time Regular Professional Jericho, NY, US 30+... ...will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. You will utilize your knowledge and...QualityHourly payFull timeWork at officeFlexible hours- ...New York. Job Description Reviews and coordinates prospective,... ...retrospective activities related to utilization. Monitors documentations for accuracy and clinical compliance. Organizes and... ...positive outcomes in terms of the quality, safety and cost-effectiveness...QualityNight shift
$45 per hour
...Job Description Job Description RN Clinical Reviewer (Proofer) - Jericho, NY (#25289) Location... ...Greenlife Healthcare Staffing is a leading nationwide recruitment agency... ...full spectrum of activities related to Utilization or Quality reviews as assigned. They will...QualityHourly payFull timeTemporary workPrivate practiceFlexible hours$92k - $100k
...000.00 To $100,000.00 Annually In the Clinical Supervisor (RN) role, you will complete the full spectrum... ...to Federal Independent Dispute Review Organization (IDR) case determinations... ...reviewer’s assigned to them, monitor quality control and direct team goals through...QualityHourly payWork at officeFlexible hours- ...in accordance to the (NHPCO) and MJH staffing ratios. Empowers RN Case Managers through mentoring excellence in pain and symptom management... ...on patient and family goals of care. Monitors and evaluates the quality and completion of nursing documentation according to the...Quality
$165k - $190k
...Associate - Long Island Building Structures Lead US-NY-Mineola Job ID: 2026-3438... ...for scope, schedule, budget, staffing, quality, risk, and client communication.... ...targeted business development. Monitor utilization, backlog, project financial performance,...QualityWork at officeLocal areaImmediate start- Constellation Health Services is seeking a Clinical Supervisor to lead our Certified Home Health Program and... ...a multidisciplinary team, ensure quality documentation, and coordinate services... .... Qualified candidates hold a current RN license, OASIS and CHHA experience, and...Quality
- MJHS is seeking an On Call RN Supervisor to provide leadership, guidance, and clinical support to our Call Center staff in hospice and palliative care settings... ...Manager, AOC or Hospice MD on call and deliver high-quality telephonic interventions to patients according to...Quality
- ...Rehabilitation Center in Massapequa, NY is seeking an experienced RN Supervisor for the 3:00 PM - 11:00 PM shift. This part-time leadership role focuses on mentoring staff and maintaining high-quality resident care in a busy long-term care setting. You will collaborate...QualityPart timeShift workAfternoon shift
- ...Job Description Join Our Team as a Floral Department Lead! We are looking for a creative, customer-focused Floral Department Lead... ...associates. Ensure department cleanliness, product quality, and food safety standards. Deliver exceptional customer service...QualitySeasonal workFlexible hours
$250k
...opportunity The Global Pricing CoE Lead is responsible for advancing... ..., and managed services utilizing innovative monetization techniques... ...management skills to deliver a high‑quality work product while navigating... ...leader, establishing quality review standards, providing oversight...QualityContract workSummer holidayLocal areaFlexible hours$42 - $65 per hour
...Physician Practice Registered Nurse (RN)The Physician Practice... ...provides safe, direct patient care utilizing the nursing process in the... ...ambulatory setting. The RN provides clinical leadership and is a resource... ...including safety and quality control checks. Checks care areas...QualityRemote work- ...RN Case ManagerFull-timeHospMineola, NYHospEXP 2... ...organization. Participates in quality improvement and... ...and accurate insurance reviews. Position requirements... ...Experience: 3 years acute care clinical experience required; 5... ...and/or 3 years utilization management experience requiredSkills...Quality
$45 - $47 per hour
...opportunity for New Grads to gain clinical experience!Up to $2,500.... ...Meadow, NYStaff RN Duties:Uses nursing... ...to strategic plans and reviews; implementing production, productivity, quality, and customer-service standards... ...patient needs by utilizing multidisciplinary team strategies...QualityRelocation packageShift workNight shiftWeekend work- ...by connecting people to real food. You lead with confidence, energy, and... ...support team members to elevate service, food quality, and operational standards Uphold food... ...state, or local law California residents: Review our applicant privacy notice HERE. Sweetgreen...QualityFull timePart timeLocal areaAll shiftsShift work
- ...Job DescriptionJob Description Position: Power BI Lead (812377) Location: Des Moines, IA 50309 Work Mode: Remote Interview: Either Webcam... ...to guide the team, establish standards, and ensure high quality deliverables throughout the transition. Position Description Under...QualityRemote work
- ...Healthier Future Starts With You! As a Culinary Lead (what we call a Kitchen Lead at Sweetgreen), you are the food quality expert in the kitchen. You own how our food is... ...You won't write schedules or run performance reviews. You will set the standard for how food gets...QualityFull timePart timeCasual workLocal areaShift workEarly shift
$140k
...leadership team as Assistant Director of Nursing (ADON) / Infection Preventionist (IP). The role focuses on clinical leadership, infection prevention, staff education, quality improvement, and regulatory compliance within a skilled nursing/rehabilitation setting. This full-...QualityFull time- ...Medicine. You will support the Ward Sister/Charge Nurse, provide clinical and managerial leadership, and ensure safe, person-centred care... ...role model high professional standards, develop staff, promote quality improvement, and cover the ward in #J-18808-Ljbffr Norfolk and...Quality
$54.07 - $70.29 per hour
Overview The Clinical Nurse I, II, III, & IV provide direct nursing care to patients guided... ...clinical nurse directs nursing care by utilizing the nursing process and critical... ...demonstrating a commitment for compassionate and quality patient care. The CN assumes...Quality- ...organization. Participates in quality improvement and evaluation... ...timely and accurate insurance reviews. Job Responsibilities:... ...assigned Performs an initial utilization review of patients for appropriateness... ...standard utilization clinical criteria including, but not limited...QualityFull time
- ...Supports mission to provide the highest quality care by complying with regulatory... ...evaluations through daily performance, clinical record review and outcome of field evaluations. Coordinates... ...preferred. Currently licensed as an RN, PT, OT or ST in the State of New York....QualityWork at officeFlexible hours
- ...Lead Transportation Security Officer Opportunities in Roslyn Heights Lead Transportation... ...coach team members while monitoring the quality and progress of their work Support passenger... ...situations Assist with incident reviews and prepare clear, accurate reports Communicate...QualityFull timeFlexible hoursShift workNight shiftWeekend workDay shiftAfternoon shiftEarly shift
$86.77k - $130.15k
...-based services that help people receive quality care where they feel most comfortable: at... ...outpatient care. Under the supervision of an RN or MD, you will help ensure patients... ...Regularly communicate patient progress to the clinical manager and care team. Plans and...QualityHourly payMinimum wageWork experience placementLocal area$150k - $180k
...position requires a blend of clinical expertise and compassionate patient... ...and Interventional Pain is a leading healthcare provider focused... ...effective treatment plans, utilizing advanced skills in physical... ...significantly to improving patients' quality of life. Qualifications A...QualityFull timeMonday to FridayFlexible hours$19 per hour
...Shipping Team Lead We are seeking a Shipping Team Lead to join our growing team. The Shipping Team Lead responsibilities are assisting... ..., enforce good safety practices, department productivity and quality goals are achieved. Assisting with the training and follow up...QualityTemporary workLocal areaFlexible hoursWeekend work- ...newsletters, presentations, and emails, and maintain process guides and data metrics. You will work with Brand, Marketing, and Communications teams to ensure consistent messaging, edit content for quality, and analyze engagement metrics to drive decisions. #J-18808-Ljbffr EYQuality
- ...compliance, and project execution across an assigned market, coordinating a team of merchandising associates and ensuring safety and quality. You will travel regularly within the market, report progress via company apps, train staff, and partner with District Managers to...Quality
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