Average salary: $68,553 /yearly
More statsSearch Results: 27,573 vacancies
...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
...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...
Suggested
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene... ...of medical care.
+ Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness...
Suggested
Hourly pay
Holiday work
Remote job
Flexible hours
...Description
We are looking for a Technical Reviewer on a New York project that has a minimum of (1) year prior experience in the construction and/or utility industry. This will be an administrative position.
Responsibilities
•Review and enter contractor field...
Suggested
For contractors
...needs.
What You'll Be Doing:
Main functions
The Quality/Clinical Abstractor is responsible for working to gather and organize... ...and other abstraction (complications, medical staff reviews) experience
EXPERIENCE:
~2 Years Prior Clinical /Core...
Suggested
Holiday work
New year
Immediate start
Candidate criteria:
Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Saturday/Sunday. We try to have them off together but they also have to understand...
Suggested
Holiday work
Permanent employment
Remote job
Shift work
Weekend work
Sunday
Day shift
Saturday
...Description & Requirements
Maximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determination reports, creates individualized outcome reports, showing strengths...
Suggested
Permanent employment
Contract work
For contractors
Remote job
Home office
...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
...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 (2) Eligibility...
Suggested
Full time
Work experience placement
...storing and filtering storm water. These areas also provide important community open spaces and a diverse wildlife habitat.
Plan Review is a unit within the Division of Connections and Permitting that evaluates civil engineering plans with a potential impact on the...
Suggested
Full time
For contractors
...Benefits include:
Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs!... ...Loan Forgiveness Program (PSLF)
Responsibilities:
Quality Review Auditor (QRA) is responsible for ongoing audits of the care...
Suggested
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...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)....
Suggested
Permanent employment
Full time
Work experience placement
Monday to Friday
...Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday - Friday, from 9:30 am - 6 pm
The Nurse... ...diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare...
Suggested
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Monday to Friday
...Utilization Review Analyst
Job Details
Job Location
Bronx, NY
Position Type
Full Time
Education Level
4 Year Degree
Salary Range
$45,000.00 - $50,000.00 Salary/year
Travel Percentage
Up to 25%
Job Shift
Day
Job Category
Nonprofit...
Suggested
Permanent employment
Full time
Contract work
Temporary work
Local area
Shift work
...About the Role:
Grade Level (for internal use):
11
Title: Associate, Review & Validation
Grade (relevant for internal applicants only):11
Location: New York, NY; Chicago, IL
Team:
The Review & Validation team has global responsibility for the review...
Suggested
Full time
Work experience placement
Second job
Worldwide
Flexible hours
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# Job Description
Care Review Clinician (Remote)
Remote: New York, New York, US
Salary:... ...conduct standard/expedited Inpatient, Outpatient, and Custodial Care clinical reviews for Managed Long Term Care members....
Remote job
Hourly pay
...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,...
Bank staff
Flexible hours
3 days per week
...Job Title: Healthcare - Care Review Clinician I
Location: Remote ( Must possess NY State Nursing License )
Duration: 6... ...UM standard/ expedited Inpatient, Outpatient and Custodial Care clinical reviews for MLTC members.
Must Have Skills:
Must...
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...
About Client:
Client is a global financial services firm that provides a wide range of investment banking, securities, wealth management, and investment management services. It is a prominent global financial services firm with a rich history and a strong presence in...
