Average salary: $85,672 /yearly
More statsSearch Results: 25,376 vacancies
...Job Description:
Job Title Rheumatology Review Group (RRG) Eligibility Liaison
Division R&D / Global Drug Development
Functional... ...track, coordinate and enforce the timely delivery of quality clinical/study data.
Position Summary /Objective
• Responsible for ensuring...
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Permanent employment
Remote job
Flexible hours
Shift work
...JOB PURPOSE:
Under the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying with the day-to-day operations of the Clinical Review Department. Responsibilities include reviewing, recommending and providing authorization...
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Flexible hours
On-Board Scientific is hiring a Rheumatology Review Group Eligibility Liaison based out of Madison, NJ or Princeton, NJ! (Hybrid)
For... ...or Princeton, NJ.
Candidates with previous experience as a Clinical Trial Assistant, Clinical Trial Specialist or Clinical Team Manager...
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Local area
Immediate start
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...the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene... ...clinical license.**
**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical...
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Holiday work
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...Benefits include:
Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs!... ...Responsible for direct oversight and management of clinical review processes within Appeals & Grievances Department. Ensures regulatory...
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Full time
Part time
Relocation bonus
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...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...
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Immediate start
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Worldwide
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...Authorization Experience required.
Experience in InterQual Milliman
Understanding State Policies
Skills:
Prior Authorization, Clinical review, Licensed Practical Nurse, LPN , Interqual
About Actalent
Actalent is a global leader in engineering and sciences...
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...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...
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Full time
Work experience placement
...Job Description
Clinical Director
The Physical Therapist Clinical Director is responsible for complete oversight of operations and... ...Education reimbursements
MedBridge Membership
Yearly review for growth opportunities
Professional Development Growth Tracks...
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Full time
Relocation bonus
...Benefits include:
Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs!... ...Forgiveness Program (PSLF)
Responsibilities:
Quality Review Auditor (QRA) is responsible for ongoing audits of the care...
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Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...regulatory requirements.
OQA&FI is recruiting for (2) two Principal Administrative Associate II to function as a Quality Control Case Reviewers, who will:
- Review POS, HRA One Viewer of imaged/scanned documents, Welfare Management System (WMS) data and other pertinent...
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Local area
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Care Review Clinician
Remote: New York, New York, US
Salary: $45.00 Per... ...cases to Medical Director make appropriate referrals to other clinical programs, collaborate with multidisciplinary teams.
Minimum...
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...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...
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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...
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Work experience placement
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...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, wellness...
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Monday to Friday
...professional resources, and team support
Assist customers in gathering, organizing, and entering data in federal and state tax returns for review
Schedule customer meetings and follow-up when needed, carefully documenting customer interactions
Requirements
Minimum of...
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
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Monday to Friday
...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
...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...
Full time
Monday to Friday
...serving as the Executive Director for the Clearance & Apartment Review.
Under the direction of the Associate Commissioner for... ...years; or
(C) A valid New York State Registration as a Licensed Clinical Social Worker (LCSW) or Licensed Master of Social Work (LMSW) may...
Permanent employment
Monday to Friday
