Search Results: 27,163 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...
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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...
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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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...include:
Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs!
Tuition... ...Responsible for direct oversight and management of clinical review processes within Appeals & Grievances Department. Ensures...
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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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Private practice
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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
...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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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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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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...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
Flexible hours
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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...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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Full time
Monday to Friday
Description:
Client facing position within Brokerage's Institutional Equity Division (IED) for a documentation specialist, responsible for handling all relationship level trading agreements, including, but not limited to equity derivatives, prime brokerage, stock loan...
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...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
...owned and part of Beacon Hill Staffing Group, LLC. Beacon Hill Legal seeks US barred attorneys in the NJ market to join our remote review teams. We have a number of large reviews in the pipeline looking to kick off during April.
Please note -candidates applying for...
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Work from home
...MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority... ...solutions including DRG Validation, Cost Outlier and Readmission reviews.
Under the direction of the Coding Department leaders, the...
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...Are you looking for a non-clinical opportunity for work/life balance needs yet want to stay clinically active?
Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you'll be empowered to make a difference in the...
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The SVP for CCAR Liquidity Review is responsible for executing independent review and challenge of the CCAR liquidity workstream, including quarterly internal refresh as well as the review and challenge of the Contingency Funding Plan (CFP).
Responsibilities:
SVP...
Holiday work
Full time
$500 per day
...serve the Veteran community?
Would you enjoy being able to review medical records and complete assessment questionnaires to help... ...options available.
PandoLogic. Category:Healthcare, Keywords:Clinical Psychologist, Location:Elmhurst, NY-11373 By applying, you...
Daily paid
Full time
For contractors
Fully remote CPC Coding opportunity!
Charge Review Medical Coder
Position: Charge Review Medical Coder
Location: Fully Remote - Candidates can sit in NY, NJ, CT
Hours: Monday - Friday 8:00am - 4:00pm / 9:00am - 5:00pm
Overview : In this role, the...
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Monday to Friday
