Search Results: 30,725 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
...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
...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...
Suggested
Hourly pay
Local area
Flexible hours
...finance, real estate finance etc. You'll be responsible for providing front end risk analysis including examinations, transaction reviews, risk assessments and issue management. You'll be a subject matter expert interfacing with business heads and executive management,...
Suggested
Bank staff
Flexible hours
3 days per week
A company is looking for a Reading Assessment Reviewer.
Key Responsibilities:
Review achievement level descriptors for each grade level
Review assessment items to ensure accurate measurement of student performance
Complete one hour of review per grade level
Required...
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
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
...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
...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
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....
Permanent employment
...Dream Teams.
Who You Are:
The Compliance Analyst will be responsible for implementing the firm's compliance policies related to the review and approval of marketing materials relating to Galaxy Digital. The Compliance Analyst will also be asked to help review marketing...
Holiday work
Local area
Remote job
Flexible hours
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,...
Permanent employment
Full time
Temporary work
For contractors
Local area
Remote job
Monday to Friday
...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...
Permanent employment
Full time
Work experience placement
Monday to Friday
