...Specialist is responsible for interviewing Medicaid applicants and reviewing their documentation to determine eligibility for Medicaid.... ...(OCS) is seeking (1) Eligibility Specialist II to function as Case Reviewer.
The Case Reviewer will:
- Respond to inbound and...
Suggested
Full time
Work experience placement
Shift work
...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...
Suggested
Full time
Monday to Friday
...regulatory requirements.
OQA&FI is recruiting for (2) two Principal Administrative Associate II to function as a Quality Control Case Reviewers, who will:
- Review POS, HRA One Viewer of imaged/scanned documents, Welfare Management System (WMS) data and other pertinent...
Suggested
Permanent employment
Full time
Local area
...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
...ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE.
The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program... ...Administrative Associates IIIs, who will function as Senior Case Reviewers:
- Conduct legally mandated case reviews to comply with...
Suggested
Permanent employment
Full time
Monday to Friday
...Manager- Utilization Review/Case Management- NY
American Consultants is looking for a permanent Manager of Utilization Review/Case Management for a facility in New York.
Description:
Assists the Director in overseeing the Utilization Management program within...
Suggested
Permanent employment
...information provided on the "Contact" tab for the position.
Review Vacancy
Date Posted 05/16/24
Applications Due08/16/24
Vacancy... ...bar appointment or result in removal after appointment. Each case will be determined on its own merits, consistent with the applicable...
Suggested
Hourly pay
Temporary work
Remote job
Felony friendly
Shift work
...to the surgical chair.
Screen patients awaiting surgery.
Review medical records to confirm treatment required and ensure completeness... ...the breakdown period.
Emergency Response:
Demonstrate proven ability to respond effectively in case of an emergency.
#...
Suggested
Contract work
Shift work
...information provided on the "Contact" tab for the position.
Review Vacancy
Date Posted 05/09/24
Applications Due05/24/24
Vacancy... ...bar appointment or result in removal after appointment. Each case will be determined on its own merits, consistent with the applicable...
Suggested
Permanent employment
Full time
Contract work
Local area
Remote job
Felony friendly
Night shift
Afternoon shift
Monday to Friday
Job Description
Please review this document prior to submitting your candidate:
Occupational Therapist
Location: Queens Village... ...an interdisciplinary treatment team; attends/provide individual case reviews and team meetings as the occupational therapy representative...
Suggested
Full time
Contract work
Shift work
...The Social worker is responsible for superior practice and/or the assumption of additional or special responsibilities. Evaluate case data. Perform treatment processes. Analyze and evaluate course results of treatment processes
Obtain, analyze and evaluate case data...
Suggested
Holiday work
New year
Local area
...Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office of Liens & Trust (OLT) and Supplemental... ..., who will:
* Review, process, determine and/or establish cases assigned manually or via Automated SNAP Claim System (ASCS) cases...
Suggested
Permanent employment
Full time
Work experience placement
Monday to Friday
...# Home
# Search Jobs
# Job Description
Care Review Clinician
Remote: New York, New York, US
Salary: $45.00 Per... ...management review of prior authorization requests, refer appropriate cases to Medical Director make appropriate referrals to other clinical...
Suggested
Hourly pay
Remote job
...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
...The Social worker is responsible for superior practice and/or the assumption of additional or special responsibilities. Evaluate case data. Perform treatment processes. Analyze and evaluate course results of treatment processes.
KEY ESSENTIAL FUNCTIONS:
Obtain...
Suggested
Holiday work
New year
Local area
Social Worker (Licensed) - UP TO $5,000.00 SIGN ON BONUS!
243-02 Northern Blvd, Douglaston, NY 11362, USA Req #3101
Make a bigger difference
WORKING WITH US
The Jewish Board delivers innovative, best-in-class mental and behavioral health services to over 4...
Holiday work
New year
Local area
Remote job
Relocation bonus
...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...
Full time
Work experience placement
...spectrum who presents with behavioral health issues. The interventions include: evaluations; individual, group and/or family therapy; case management; and crisis interventions.
Some responsibilities include, but are not limited to :
Participate in the...
Holiday work
Temporary work
New year
Local area
Relocation bonus
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...
Full time
Contract work
As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. Conducting clinical level review, determining physician level assignment, managing case staging between external physician...
Hourly pay
Flexible hours
...HEDIS Reviewer
990 Stewart Ave, Garden City, NY 11530, USA
Req #879
Monday, April 29, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general...
...for parents and teachers.
Crisis intervention when indicated as part of the treatment.
Maintaining accurate and up-to-date case records, e.g. progress notes, assessments and treatment plans, statistics, and other documentation as required by JB and other governmental...
Holiday work
Temporary work
Part time
Summer work
New year
Local area
Flexible hours
...State clinical license.**
**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical... ...Committee for Quality Assurance (NCQA) standards.
+ Prepares case reviews for Medical Directors by researching the appeal, reviewing...
Hourly pay
Holiday work
Remote job
Flexible hours
...Utilization Review Analyst
Job Details
Job Location
Bronx, NY
Position Type
Full Time
Education Level
4 Year Degree
Salary Range
$45,000.00 - $50,000.00 Salary/year
Travel Percentage
Up to 25%
Job Shift
Day
Job Category
Nonprofit...
Permanent employment
Full time
Contract work
Temporary work
Local area
Shift work
...employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF)
Responsibilities:
Quality Review Auditor (QRA) is responsible for ongoing audits of the care management staff, quality assurance, accuracy and overall integrity of...
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...Job Description
Wage/Salary: $20 to $24 per hour
Position Summary:
The Quality Reviewer provides free, quality tax return review for eligible taxpayers. Using IRS approved software (Tax slayer), along with the information provided by the client, and by asking...
Hourly pay
Local area
Flexible hours
...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...
Holiday work
Immediate start
Shift work
...Job Title: Care Review Clinician
Location: Remote (USA)
Schedule: Monday - Friday, 8 AM to 5 PM EST
Licensure: USA but must... ...customers.
Consult regularly with MCO medical directors and refer cases as necessary.
Comply with required workplace safety standards...
Remote job
Permanent employment
Temporary work
Monday to Friday
...Homeless Services is recruiting for one (1) Administrative Community Relations Specialist NM-II to function as the Director of Packet Review and Processing who will:
- Be responsible for overseeing the day-to-day work operations of the HPD referral team.
- Stand...
Permanent employment
Full time
Night shift
Monday to Friday
...insurance plan
Job Description: : Position Purpose:
Provide case management and clinical services to employees within their regulated... ...1-3 years relevant experience in case management, utilization review and/or quality assurance
Experience in acute episodic care,...
Permanent employment
Full time
Contract work
Temporary work
For contractors
Local area
Remote job
Monday to Friday
