...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
...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
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
...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
...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
...everything for our 28 million members as a clinical professional on our Medical Management/... ...**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by... ...guidelines, and National Committee for Quality Assurance (NCQA) standards.
+ Prepares...
Quality
Hourly pay
Holiday work
Remote job
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
Fine-Tune Your Search!
Filter the job list with Smart Tags that match your preferences
Full time(292)
Immediate start(279)
Remote job(274)
Part time(272)
Work from home(252)
Weekend work(236)
...Overview
Leads interdepartmental quality improvement activities such as development and engagement, clinical review, clinical risk management, and patient satisfaction.
Serves as a resource to quality improvement committees and work groups.
Analyzes outcome reports...
Quality
Holiday work
Flexible hours
...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
...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
...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
...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
...be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of... ...conflicting, or incomplete documentation.
Works closely with Clinical Documentation Improvement (CDI) to identify areas of documentation...
Suggested
Full time
Work experience placement
...services presentation at committee meeting; reports to Hospital Quality Management for external benchmarking as needed.
Assists in... ...Department of Education, required.
One-three (1-3) years clinical experience including general knowledge of QM principles, NYPORTS...
Quality
Hourly pay
SRG, the leader in the Life Sciences human capital industry, is looking for a full-time permanent GMP Quality Auditor (Post Review) to join a global pharmaceutical/biotech company in Albany, NY. The Quality (GMP) Auditor is responsible for maintaining the external audit...
Quality
Permanent employment
Full time
Local area
Relocation package
...patients' and members' needs. These high-quality healthcare plans are designed to help keep... ...OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN... ...Loan Forgiveness Program (PSLF)
Quality Review Auditor (QRA) is responsible for ongoing...
Quality
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...ensure all patients have access to high-quality, connected care services that provide better... ...Westmed Medical Group is seeking a Clinical Quality Coordinator, Licensed Practical Nurse... ...participates in concurrent and retrospective case review to assure that evidence based best...
Quality
Local area
...going into clients' homes? Join our supportive office team as a Clinical Quality Manager! The Clinical Quality Manager holds an integral... ...RESPONSIBILITIES: (Include, but are not limited to):
Review and provide feedback on initial assessments and reassessments...
Quality
Holiday work
...NYC Department of Design and Construction, Public Buildings Division, Architecture & Engineering Unit seeks an Electrical Design Reviewer.
The duties for this position will include, but are not limited to, project scoping, design and/or review of consultant drawings...
Permanent employment
Full time
For contractors
...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
