Average salary: $110,440 /yearly
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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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...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...
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...Job Description
Job Description Utilization Review RN – MLTC (Fully Remote)
The Clinical Utilization Registered Nurse works directly with the Clinical Utilization Director in supporting clinical decisions for hospital and skilled nursing admissions, decisions on...
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...A client of ours is searching for temporary document review attorneys for a 4 month project. This role will require 2 days on-site in Roseland, NJ. If you meet the below qualifications, please submit your resume for consideration.
Responsibilities:
View a high volume...
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JOB TITLE (): Dental Hygienist Reviewer / Contract - Downstate, NY
Minimum of 2 years experience in the provision of clinical services or in quality improvement/utilization reviews
Greenlife Healthcare Staffing is currently seeking a Dental Hygienist Reviewer to fill...
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...communications relevant to the firm’s product offerings.• Work with the Marketing Department and other areas of the business to timely review, provide guidance and approve marketing materials, ensuring that materials are compliant with relevant laws, rules, and regulations...
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...credit professional who is familiar with a variety of credit products and willing to learn new ones?We are looking for a Credit Risk Review (CRR) Director to:• Assist in the planning, execution, and reporting of credit reviews across UBS’ Combined U.S. Operations (CUSO)...
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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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...and resolution planning, capital interpretations, and capital calculations and reporting. More specifically, the Capital Planning Review Team (CPRT) leads the holistic independent review and challenge of the capital management and planning process across the capital planning...
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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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...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...
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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...
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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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...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...
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...join us!
We have an exciting opportunity for a Utilization Review Nurse to work in Ramapo Ridge Behavioral Health (RRBH). The Utilization... ...and monitoring of health care resources to achieve desired clinical, financial and resource outcomes. Verifies all insurance...
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...Poste et missions
Natixis is searching for a director-level Loan Review Officer to join the New York team to help support the Managing Director and other team members in their various credit risk analysis and examination activities. This position is an opportunity...
...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...
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Local area
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...locations throughout New York City.
POSITION OVERVIEW
The Clinical Supervisor provides clinical supervision, support, and... ...Maintains case files, notes and statistics for program and reviews those of onsite staff
Responsible for all reporting procedures...
Afternoon shift
...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
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...
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