...JOB PURPOSE: Under the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying with...  ...necessity criteria application. * Recognizes and refers potential quality of care concerns to Quality Management. * Maintains... 
Quality
Flexible hours

CenterLight Health System

New York, NY
4 days ago
 ...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... 
Quality
Hourly pay
Local area
Flexible hours

The Fedcap Group

New York, NY
3 days ago
BCBA - Clinical Quality Manager Department:Board Certified Behavior Analyst (BCBA) Location:Brooklyn, NY ROLE:Looking to advance your career...  ...days RESPONSIBILITIES:(Include, but are not limited to): + Review and provide feedback on initial assessments and reassessments... 
Quality

Comprehensive Behavior Supports

Brooklyn, NY
3 days ago
 ...expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Quality Review Auditor (QRA) is responsible for ongoing audits of the care management... 
Quality

MJHS

New York, NY
26 days ago

$92k - $95k

 ...– At Americare, we value and care about our staff. Americare’s quality of service begins with the superior qualifications of each member...  ...exciting opportunity in the office. The Position: Quality Reviewer RN The Quality Reviewer is a Registered Professional Nurse... 
Quality
Holiday work
Full time
Local area
Work visa

Americare

Brooklyn, NY
a month ago
 ...families in gaining access to service and support appropriate to their needs. CP Unlimited is currently seeking a full time Quality Enhancement Review Specialist to complete internal audit reviews within CP Unlimited programs, analyze the findings and provide... 
Quality
Full time
Flexible hours

Kinsley Power Systems

New York, NY
4 days ago
 ...in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent...  ...terms. Responsible for direct oversight and management of clinical review processes within Appeals & Grievances Department. Ensures regulatory... 
Quality

MJHS

New York, NY
3 days ago
 ...or Nurse Practitioner with experience in quality improvement within a healthcare setting will...  ...employees to implement the strategies, review documents for accuracy and monitor...  ...practice transformation that enhances patients’ clinical outcomes as well as patient and staff... 
Quality
Permanent employment

Joseph P. Addabbo Family Health Center

Arverne, NY
2 days ago
Our client is part of a group of long-term care affiliates at Riverdale is looking for a Clinical Quality Coordinator Type: Full-Time/ Perm Location: Bronx, NY Overview: The Clinical Quality Coordinator role at facility, a world... 
Quality
Permanent employment
Full time

Mitchell Martin

Bronx, NY
4 hours ago
Reviewer - Therapy Services Location: Within 50 miles of pulse point location Hours: Monday...  ...obtains additional data, consults with clinical reviewers and medical directors, when...  ..., projects, and initiatives. Maintains quality and productivity standards and ensures reviews... 
Quality
Contract work
Work experience placement
Local area
Remote job
Monday to Friday

Elevance Health

Lake Success, NY
5 days ago
 ...discover why Catholic Health was named Long Island's Top Workplace! Job Details: The Director of Population Health, Ambulatory Clinical Quality will plan, direct and monitor quality of population-based programs throughout ambulatory clinical practices of the CHS... 
Quality

Catholic Health Service

Garden City, NY
4 days ago
 ...communities. We work with FQHCs to help scale the quality of care they provide by providing access...  ...The Role Yuvo Health is seeking a Clinical Quality Specialist with experience...  ...record reconciliation. Perform chart reviews and audits to validate information and support... 
Quality

Yuvo Health

New York, NY
6 days ago
 ...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

New York City, NY

Brooklyn, NY
2 days ago
 ...et missions Natixis is searching for a director-level Loan Review Officer to join the New York team to help support the Managing...  ...comprehensive assessments of Natixis' credit risk, reporting on the quality of risk and the effectiveness of the bank's risk management... 
Quality

Groupe BPCE

New York, NY
4 days ago
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... 
Suggested
Hourly pay
Full time
Flexible hours

IPRO

Lake Success, NY
22 days ago
 ...HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Monday, April...  ...under the direction of the Director of Quality Management. Responsibilities include, but...  ...of outreach efforts to secure clinical documentation from Providers, reviewing... 
Quality

Centers Plan for Healthy Living

Garden City, NY
3 days ago
 ...Description Summarized Purpose: Effectively reviews documents created within or outside of the company to ensure quality of a standard that meets or exceeds client's expectations...  ...include: regulatory submissions, integrated clinical study reports, serious adverse event... 
Quality

Thermo Fisher Scientific

New York, NY
5 days ago
 ...independent initiative and judgment, the Medicaid Eligibility Specialist is responsible for interviewing Medicaid applicants and reviewing their documentation to determine eligibility for Medicaid. The Office of Constituent Services (OCS) is seeking (1) Eligibility... 
Full time
Work experience placement
Shift work

City of New York

New York, NY
2 days ago
 ...of Jobs - Risk Management / Control Job title Senior Loan Review Analyst Contract type Permanent Contract Job summary...  ...risk ratings for loans booked in the Americas, assessment of the quality of supervision of the loan documentation, management of... 
Quality
Permanent employment
Contract work
Worldwide

Crdit Agricole CIB

New York, NY
1 day ago
Title: Document Review Specialist Location: NYC Remote/Hybrid/Onsite: Hybrid Position Type: Contract, possible temp-to-perm Duration: 12+ months Rate: $23.00 - $25.00/hr Job ID: MOR2JP00014380 Client: Morgan Stanley Client facing position within Brokerage's Institutional... 
Permanent employment
Contract work
Temporary work
Remote job

Lenmar Consulting

New York, NY
5 days ago