Medical Peer Reviewer
Healthfirst
Job Opportunity
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Healthfirst$122.91k - $188.02k
Job Profile Summary A vital role of the CMO Administration team, the Medical Peer Reviewer plays a critical role in consulting on medical necessity in the context of utilization management and ensuring adherence to internal Healthfirst and external regulations. Duties/Responsibilities...SuggestedRemote jobTemporary workPart timeWork experience placementFlexible hoursWeekend work3 days per weekWeekday work- Healthfirst in New Jersey is seeking a Medical Peer Reviewer to support the CMO Administration by assessing requests for authorization and claims payments based on medical records and internal Healthfirst data. The role requires board-certified physicians, strong clinical...Suggested
- ...seeking physicians with a minimum of 5 years clinical experience, preferably in Family Medicine, for a peer review role. Responsibilities include reviewing medical records and making standard of care determinations while working from home with a flexible schedule. Applicants...SuggestedRemote jobWork from homeFlexible hours
$122.91k - $188.02k
Healthfirst is seeking a Medical Peer Reviewer based in Pennsylvania to evaluate medical necessity as part of utilization management. The role requires collaboration with various medical departments and demands flexibility in workload. The hiring range is $122,907 to $1...Suggested- Dane Street invites Board Certified Physicians to join our Disability Peer Review team in a remote, telework arrangement. Reviewers operate as independent contractors (1099) and choose cases and schedules from home. The role emphasizes advisory-only opinions, no doctor-...SuggestedRemote jobFor contractors
- ...is seeking Board Certified Physicians for a remote Disability Peer Review team. This role allows for evaluating and reviewing disability... ...to balance work and lifestyle. Applicants must have a current medical license and at least 5 years of clinical practice experience....Remote jobFlexible hours
- A leading academic publishing company is seeking experienced peer reviewers to evaluate manuscripts for originality, methodology, and relevance. Candidates should possess a doctorate and demonstrate strong analytical and communication skills. Previous experience in peer...
- UnitedHealth Group is seeking a licensed psychologist (Ph.D. or Psy.D.) in Florida for the Peer Reviewer role. The position involves clinical and benefit determinations across Commercial, Medicaid, and Medicare cases, including ABA and related outpatient services. The role...Remote jobFull timeWork at office
- Optum is seeking a doctoral-level Psychologist Peer Reviewer in Florida to perform clinical determinations for outpatient and public sector cases, including ABA and Medicaid/Medicare services. This full-time role involves remote work flexibility for Florida residents and...Remote jobFull timeLocal area
- ...Physical Medicine & Rehabilitation, Occupational Medicine, Sports Medicine, and General Medicine to perform Independent Medical Exams (IME) and peer reviews. The role offers flexible scheduling within a standard Monday-Friday work week, with cases assigned as available....For contractorsMonday to FridayFlexible hours
- As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and... ...national, state, and professional association guidelines and peer-reviewed literature that support sound and objective...Extra income
$42.64k - $52.41k
...Recruiting Certified Peer Specialist for Manhattan Psychiatric Center Manhattan Psychiatric Center (MPC), an Office of Mental Health... ...opportunities for advancement & professional growth NYS medical, dental, and vision insurance Paid time off including vacation...Full timeWork at officeMonday to FridayWeekend work- Dane Street is seeking a medical reviewer to join our expert team. This telework role is a 1099 independent contractor position with a flexible... ...medical records, prepare clinical summaries, and engage in peer communications while addressing client questions. The ideal candidate...Remote jobFor contractorsFlexible hours
- ...wants you to join our dynamic team of expert reviewers! In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical... ..., provide clinical summaries, engage in peer communications, and answer specific questions...For contractorsRemote work
$20 per hour
...utilize each person's talent and strengths. Position Per Diem Peer Specialist - NYC Full-Time/Part-Time Per Diem... ...also work closely with our consulting psychiatrist from Janian Medical to provide additional peer support to tenants who may be undergoing...Daily paidFull timePart timeInternshipLive inLocal areaFlexible hoursDay shiftAfternoon shift- ...experiences, and abilities. The Peer Specialist working within a PROS program... ...trainings. Presents issues/cases for review at Clinical Team Meetings and PROS Administrative... ...to appointment for benefits, medical, etc. Must be able to utilize public transportation...
- ...Full Time Queens, NY, US 10 days ago Requisition ID: 1160 SUMMARY: Peers provides assistance, guidance and support to individuals who are... ...401K retirement plan with 3% match after 90 days of employment Medical Benefits after 30 days of employment with Cigna Dental/Vision...Full timeLocal areaImmediate start
$20.08 per hour
...950+ and an annual budget of $140 million, Project Renewal is one of the larger social service nonprofits in New York City. Title: Peer Specialist Program: Renewal House – Bronx, NY Salary Range: $20.08/hour Program Description: Renewal House provides permanent housing...Permanent employmentTemporary workWork at officeLocal area$20.98 - $26.23 per hour
...Overview VNS Health Peer Specialists/ Advocates are living examples of the transformative... ...plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer... ...role in their recovery process Reviews service plans with clients/consumers/members...Temporary workFlexible hours$19 per hour
...Job Description Job Description **Must have NY State Peer Certification OR CRPA** Pay: $19 hourly Schedules: Brooklyn, NY 11207 x2 Monday - Tuesday 12AM-8AM; Friday - Sunday 12AM-8AM - off Wednesday and Thursday Wednesday - Sunday 4PM-12AM; off Monday...Hourly payMonday to FridayWeekend work$24 per hour
...Job Description Job Description Pride Health is hiring a Peer Specialist to support our client's healthcare facility in Brooklyn... ...affiliates offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident...Contract workTemporary workLocal areaFlexible hoursNight shiftAfternoon shift$27.48 per hour
...Peer Specialist Castle 3 [East Harlem] - Manhattan, NY 10035 Overview Salary Range $27.48 - $27.48 Hourly Position Type Full-Time Non-Exempt Description Title: Peer Specialist Unit: Congregate Housing – Castle III Reports to: Program Director Status...Hourly payPermanent employmentFull timeAfternoon shift$24.72 - $30.22 per hour
...Peer Specialist Healthcare staff can work anywhere…The BEST work with US! $24.72-$30.22 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater New York Area. Samaritan Daytop Village...Hourly payWork experience placementWork at office$136.15k - $164.65k
...Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and... ...* Serves as a clinical expert and resource for the education of peers and other health professionals. * Maintains current expertise in...$34k
...0 Annually Specialist performs a wide range of tasks to assist peers of all ages, from young adult to old age, in regaining independence... ...matches their strengths, overcoming job-related anxiety by reviewing job applications, and providing interview tips. Assist clients...Work at officeLocal area- ...Ohel's Enhanced Respite Bed Program is looking for Peer Specialists. Peer Specialists are individuals who are able to use their lived... ...pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-188...Part timeWork from home
$49.19k
...Peer Program Specialist, Manhattan Supportive Apartment (MSA) Lived experience as a consumer of mental health, substance use, and... .... Monitors, documents and teaches self-administration of medication, according to program policy and procedures. Report incidents...Monday to Friday$49.19k
...substance use, and/or homeless services is required Position: Peer Program Specialist, Manhattan Supportive Apartment (MSA)... ...test. Monitors, documents and teaches self-administration of medication, according to program policy and procedures. Report incidents...Full timeMonday to Friday- ...Position Overview The Peer Specialist will provide supportive services... ...transportation to and from scheduled PCP Medical Appointments. Lead as well as teach... ...goals. Treatment/Recovery Plans will be reviewed and signed by Team Leader and other participating...Work at officeLocal areaTrial period
- ...associate in New York to build a working financial model for an infrastructure transaction from a synthetic deal document pack, and to peer-review models created by two other contractors on the same deal. You will deliver an editable Excel workbook with live formulas, source...For contractors
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