Average salary: $95,857 /yearly
More statsSearch Results: 37,247 vacancies
...volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.
The Clinical Review and Coding Nurse is responsible to attain procedure and diagnosis coding accuracy and consistency on referred cases. The RN...
Suggested
Work experience placement
Flexible hours
A Day treatment facility located in Flushing, NY is looking for an Clinical Review Nurses.
Type: Contract
Schedule: M-F 8:30am-5:30pm -1 Hour Break, as well as two 15-minute breaks
Location: Flushing, NY
JOB PURPOSE:
The Clinical Review Nurse is responsible for...
Suggested
Full time
Contract work
...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
...Work Shift:
Day (United States of America)
Utilization Review Nurse
Salary Range: $31.28 - $51.61 per hour
Responsible... ...required. Masters degree preferred.
Minimum of three years clinical experience in an assigned service.
Recent experience in case...
Suggested
Hourly pay
Shift work
...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
...admissions and continued stays, and documents findings based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department.
• Identifies at-risk populations using approved...
Suggested
Hourly pay
Shift work
...CVPH) in Plattsburgh, NY.
GENERAL SUMMARY:
The Utilization Review RN monitors, collects and analyzes data and evaluates variances... ...’s performance improvement/quality program, risk management, clinical pathway development and outcome measurement using guidelines from...
Suggested
New York State RN License required.
Epic Chart review Joint Commission triennial Survey experience Medical terminology required.
Suggested
...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
...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
...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
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...
Suggested
...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...
Suggested
...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
...pharmacology, forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global presence in... ...application of scientific knowledge and techniques for data review activities supporting potency and bioassays.
* Read and follow...
Suggested
Holiday work
Full time
Contract work
Remote job
...Title: Document Review Specialist
Location: NYC
Remote/Hybrid/Onsite: Hybrid
Position Type: Contract, possible temp-to-perm
Duration: 12+ months
Rate: $23.00 - $25.00/hr
Job ID: MOR2JP00014380
Client: Morgan Stanley
Client facing position within...
Permanent employment
Contract work
Temporary work
Remote job
...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
...We are looking for a Technical Reviewer on a New York project that has a minimum of (1) years prior experience in the construction and/or utility industry. This will be an administrative position.
Requirements
Requirements include but are not limited to:
Have...
For contractors
...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...
Permanent employment
Full time
Local area
The Insurance Specialist I, Policy Review is responsible for ensuring all required insurance coverage(s) are in place at appropriate limits to demonstrate compliance with investor requirements. This position focuses on the efficient review of commercial insurance policies...
Work experience placement
