Search Results: 36,956 vacancies
...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
...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
...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
...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
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...Description and Requirements
The Clinical Quality Project Coordinator is responsible for supporting Healthfirst initiatives and regulatory... ...sessions with external stakeholders Perform medical record reviews and data abstraction consistent with HEDIS measure technical...
Quality
Temporary work
Work experience placement
Local area
Remote job
...Overview
Conducts daily reviews of case files, letters, and database records against required criteria. Ensures compliance with VNS... ...members, supervisors and management staff.• Conducts daily detailed quality reviews of Population Health caseloads, including database...
Quality
Work experience placement
Immediate start
...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
...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
...Innova Solutions is immediately hiring for a Clinical - Rheumatology Review Group Eligibility Liaison
Title: Clinical - Rheumatology Review Group Eligibility Liaison Location: Madison, NJ(Hybrid)
Duration: 12 Months
Pay Range*: $49- $50 per hour...
Suggested
Hourly pay
Temporary work
Work experience placement
Immediate start
Remote job
Worldwide
Flexible hours
...Job Description:
Job Title Rheumatology Review Group (RRG) Eligibility Liaison
Division R&D / Global Drug Development
Functional... ...to track, coordinate and enforce the timely delivery of quality clinical/study data.
Position Summary /Objective
• Responsible for...
Quality
Permanent employment
Remote job
Flexible hours
Shift 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...
Suggested
Permanent employment
Full time
For contractors
...Board Scientific is hiring a Rheumatology Review Group Eligibility Liaison based out of... ...Candidates with previous experience as a Clinical Trial Assistant, Clinical Trial Specialist... ....
Detail-oriented with a commitment to quality.
Proficient in medical terminology with...
Quality
Hourly pay
Full time
Contract work
Temporary work
Local area
Immediate start
Remote job
Flexible hours
Shift work
...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
...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
...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
...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
...collections and centralized data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office of Liens & Trust (OLT) and Supplemental Nutrition Assistance Program - Claims & Recovery (SNAP-CR)....
Permanent employment
Full time
Work experience placement
Monday to Friday
