Search Results: 29,769 vacancies
...is needed to discuss lien re-payment.
OLR/OLT is recruiting for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer, who will:
-Conduct medical reviews and analyses claims to calculate injury related Medicaid liens pursuant to SSL-104b on cases...
Suggested
Full time
Monday to Friday
...Homeless Services (DHS). Within DSS-AO, the Process Evaluation Review Team (PERT) was created as an independent unit within the Office... ...centers. PERT monitors program access, quality and timeliness of case actions in the areas of Applications, Recertification and lawsuit...
Suggested
Permanent employment
Full time
...based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and... ...actions to achieve continuous improvement in both areas.
• Refers cases and issues to Medical Director and Triad Team in compliance with...
Suggested
Permanent employment
Shift work
...what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of Coding, HIM (Health Information Management). The DRG Reviewer oversees...
Suggested
Full time
Work experience placement
...PURPOSE:
Under the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying with the... .../IDT for appropriate utilization of services
* Documents case reviews, associated communications, and outcomes in the electronic...
Suggested
Flexible hours
...Living Program, Care at Home Program and Homebound Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is...
Suggested
Full time
Contract work
...comprehensive and appropriate. OCFH also offers individualized case consultations
and training to ACS staff and foster care agencies... ...initiatives that support best case practice agency wide.
The Medical Review Authorization and Monitoring Unit (MRAM) reviews foster care...
Suggested
Job Description
Summarized Purpose:
Effectively reviews documents created within or outside of the company to ensure quality of a standard... ...abilities to perform the job (comparable to 4+ years’). In some cases an equivalency, consisting of a combination of appropriate...
Suggested
...limited to, evaluations; individual, group and/or family therapy; case management; and crisis interventions. This position is hybrid... ...with clients to identify treatment needs and interventions and review/revise treatment plans to reflect client’s treatment progress and...
Suggested
Hourly pay
New year
Local area
Relocation bonus
Flexible hours
Afternoon shift
1 day per week
...Enter Job Description...
Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge of HEDIS, QARR and Star specifications
Distribute requests for records and schedules appointments with provider offices to ensure timely completion...
Suggested
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.
The Utilization Review Physician is the lead clinician for the health plan. Responsible for the administration...
Suggested
...documentation, recommends and assigns appropriate level of care. The Reviewer is responsible for obtaining the order for appropriate level of... ...HMOs and enters the payer's decision into EPIC.
8. Monitors cases that need certification from the MCOs. Informs patient accounts...
Suggested
Holiday work
Immediate start
Shift work
JOB TITLE (#24992): Dental Hygienist Reviewer / Contract - Upstate, NY
Minimum of 2 years experience in the provision of clinical services... ...with monitoring findings.
When assigned, participates in case debriefs and/or accepts additional assignments as per request of...
Suggested
Permanent employment
Contract work
Part time
Private practice
Job Description: Position Purpose:
Provide case management and clinical services to employees within their regulated scope of practice... ...1-3 years relevant experience in case management, utilization review and/or quality assurance
• Experience in acute episodic care,...
Suggested
Permanent employment
Full time
Temporary work
For contractors
Local area
Remote job
Monday to Friday
Position: RN Case Manager
Location: Brooklyn, NY
Schedule: 8 am to 4 pm
Pay Rate: $ 68
Experience Required:
Coordinates and... ...regularly interacts with physicians to clarify plans of care; and reviews patients for high-risk criteria for discharge planning needs....
Suggested
Permanent employment
Responsibilities
Peraton seeks a Red Team Cybersecurity Reviewer to provide information assurance expertise in the conduct of DODIN cybersecurity reviews on site at CONUS, OCONUS, and DOD mission partner locations.
Location: Fort Meade, MD and/or Chamberburg, PA.
Travel...
Local area
Remote job
Worldwide
...Health plans and auditors trust the Alaffia platform to rapidly execute post-payment claims audits.
We are looking for a Medical Bill reviewer to join our team! Do you have experience reviewing claim forms and auditing provider documentation? Then this position is for you!...
Work from home
Flexible hours
Physician Telecommute Medical Review Stream Location
US-CO-Denver
Job ID 287403
Pos. Category Medical - Medical Review - UR... ...hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. JOB SUMMARY: Relying on...
Contract work
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
...regularly interacts with physicians to clarify plans of care; and reviews patients for high-risk criteria for discharge planning needs.... ...party payers within 24 hours past notification.
-Conducts initial case review no later than 72 hours after admission.
-Screens...
Permanent employment
Saturday
Candidate criteria:
Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Saturday/Sunday. We try to have them off together but they also have to understand...
Holiday work
Remote job
Shift work
Weekend work
Sunday
Day shift
Saturday
