Search Results: 44,801 vacancies
...Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge... ...standards and requirements.
Perform clinical audits via EMR, in-house paper medical... ...guidelines and to measure effectiveness of quality improvement initiatives.
Identify,...
Quality
...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
...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
...Requisition ID: req47210
Job Title: Unpaid Tax Preparer and Quality Reviewer
Sector: Economic Recovery & Livelihood
Employment Category: Intern
Employment Type: Part-Time
Compensation: USD 0.00 - 0.00 Hourly
Location: New York, NY RAI USA
Work...
Quality
Hourly pay
Part time
Internship
Remote job
Work from home
Afternoon shift
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
Flexible hours
...patients' and members' needs. These high-quality healthcare plans are designed to help keep... ...Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN... ...direct oversight and management of clinical review processes within Appeals & Grievances...
Quality
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...Job Title: Healthcare - Care Review Clinician I
Location: Remote (Must possess NY... ...Inpatient, Outpatient and Custodial Care clinical reviews for MLTC members.
Must... ...Maintains department productivity and quality measures
Attends regular staff meetings...
Quality
Immediate start
Remote job
...will provide more details.
Job Summary:
The First Line underwriting team is responsible for performing a risk focused Quality Control (QC) review of Credit Originations and ongoing portfolio Monitoring activities. The objectives of these reviews is to ensure the...
Quality
Holiday work
Work experience placement
Local area
Remote job
...Job Description
Job Description Job Title: Clinical Quality Assurance Specialist Job Summary: CASES is looking for a clinical quality... ...Clinical Quality Assurance Specialist will conduct internal chart review and audits to confirm client records meet standards of care,...
Quality
Full time
Local area
Remote job
Flexible hours
Shift work
Monday to Friday
Clinical Quality Coordinator, Licensed Practical Nurse page is loaded
Clinical Quality Coordinator, Licensed Practical Nurse
Apply
locations... .... Actively participates in concurrent and retrospective case review to assure that evidence based best practices are implemented...
Quality
Full time
Local area
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
...variety of health-related topics and
provides clinical expertise in developing medical and... ...case practice agency wide.
The Medical Review Authorization and Monitoring Unit (MRAM)... ...review tool validity and
improve review quality as needed.
- Assist MAU Team with developing...
Quality
...Independent Office of Appeals: Case & Operations Support/Policy Planning Quality & Analysis/AQMS.
15 Vacancies- Will be filled in any Appeals... ...position at the full working level:
* Performs closed case reviews using Appeals Quality Standards and Attributes (AQSA). Decides...
Quality
Full time
Temporary work
Part time
Work experience placement
Remote job
Relocation
Night shift
Day shift
Monday to Friday
Professional, Concurrent Review - RN
625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • Tarrytown, NY, USA • Vermont,... ...level of care assignment.
Reviews individual claims requiring clinical interpretation and judgment.
Tracks on a regular basis the required...
Suggested
Permanent employment
Full time
Contract work
Local area
Remote job
Afternoon shift
...are valued and respected. We have an ongoing need for document reviewers.
Document Reviewers will review documents for complex litigation... ..., and privilege is preferred but not required
Assist with quality control, preparation of privilege, and redaction logs
High-speed...
Quality
Hourly pay
Temporary work
Remote job
Work from home
Home office
Flexible hours
Monday to Thursday
...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
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position... ...health plan utilizing the evidence-based medical policies and clinical guidelines of the plan, to ensure the appropriate and most cost...
...benefits, and flexible work schedules, it is no wonder why we are consistently recognized as aGreat Place To Work. Position Summary Reviews all remittance advice to ensure appropriate reimbursement for 3rd party accounts billed. Reviews HMO/Insurance contract matrix and...
Contract work
Flexible hours
Manager- Utilization Review/Case Management- NY
American Consultants is looking for a permanent... ...required
Minimum 3-5 years relevant clinical medical surgical, ICU or ER experience... ...a professional organization preferred. Qualities that include effective written and...
Quality
Permanent employment
...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
