Average salary: $102,408 /yearly
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...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...
Suggested
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
...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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Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...Job Title: Healthcare - Care Review Clinician I
Location: Remote (Must possess NY Nursing License)
Duration: 6 Months... ...UM standard/ expedited Inpatient, Outpatient and Custodial Care clinical reviews for MLTC members.
Must Have Skills:
Must...
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Immediate start
Remote job
...Enter Job Description...
Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge of HEDIS,... ...internal and regulatory standards and requirements.
Perform clinical audits via EMR, in-house paper medical records, on-site provider...
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...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...
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Full time
Contract work
...care agencies on a variety of health-related topics and
provides clinical expertise in developing medical and mental health policies,... ...initiatives that support best case practice agency wide.
The Medical Review Authorization and Monitoring Unit (MRAM) reviews foster care...
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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...
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...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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Full time
Work experience placement
Shift work
...seeking for individual to join our client's team as Medical Chart Reviewer. You will review patient charts and medical records and make... ...medical procedures, and other treatment plans.
Job Description
Use clinical knowledge to review medical charts for accuracy and sequencing...
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Full time
Temporary work
Shift work
...admitted attorneys, who desire an engaging work environment where they are valued and respected. We have an ongoing need for document reviewers.
Document Reviewers will review documents for complex litigation matters using an electronic review platform to code for...
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Hourly pay
Temporary work
Remote job
Work from home
Home office
Flexible hours
Monday to Thursday
Manager- Utilization Review/Case Management- NY
American Consultants is looking for a permanent Manager of Utilization Review/Case Management... ...:
Bachelors in Nursing required
Minimum 3-5 years relevant clinical medical surgical, ICU or ER experience preferred.
HC-PRI...
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Permanent employment
...finance, real estate finance etc. You'll be responsible for providing front end risk analysis including examinations, transaction reviews, risk assessments and issue management. You'll be a subject matter expert interfacing with business heads and executive management,...
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Bank staff
Flexible hours
3 days per week
...post-payment claims audits.
We are looking for a Medical Bill reviewer to join our team! Do you have experience reviewing claim forms... ...coding/billing violations
Auditing revenue codes against clinical documentation
Confirmation of services billed were rendered...
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Work from home
Flexible hours
Job Description
Summarized Purpose:
Effectively reviews documents created within or outside of the company to ensure quality of a standard... .... Documents include: regulatory submissions, integrated clinical study reports, serious adverse event narratives, study protocols...
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...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...
Hourly pay
Local area
Flexible hours
...022-69090
Update date
16/05/2024
Job description
Business type
Types of Jobs - Risk Management / Control
Job title
Senior Loan Review Analyst
Contract type
Permanent Contract
Job summary
Summary:
Loan Review VP will assist in the implementation of the credit review...
Permanent employment
Contract work
Worldwide
...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
About the Role:
Grade Level (for internal use):
09
Title: Rating Analyst, Review & Validation
Grade (relevant for internal applicants only): 09
Location: New York, NY; Chicago, IL
Team:
The Review & Validation team has global responsibility for the review and validation...
Full time
Work experience placement
Second job
Worldwide
Flexible hours
...Who You Are:
The Compliance Analyst will be responsible for implementing the firm's compliance policies related to the review and approval of marketing materials relating to Galaxy Digital. The Compliance Analyst will also be asked to help review marketing materials...
Holiday work
Remote job
Flexible hours
