Search Results: 27,455 vacancies
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Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge of HEDIS, QARR and Star specifications
Distribute requests for records and schedules appointments with provider offices to ensure timely completion...
HEDIS
...Position: HEDIS Quality Reviewer/ Clinical Quality Reviewer
Duration: 03+ months contract (Possible extension)
Location: Manhattan, NY 10004
Shift :: 9:00am- 5:00pm (Hybrid)
Job Description:
The primary function of the Clinical Quality Reviewer...
HEDIS
Contract work
Temporary work
Shift work
...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
...effectiveness of medical care.
+ Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness... .../Experience:** Requires Graduate from an Accredited School of Nursing or Bachelors degree in Nursing and 2 4 years of related...
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Hourly pay
Holiday work
Remote job
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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Holiday work
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Shift work
Weekend work
Sunday
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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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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...
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Full time
Work experience placement
...Company: Schultheis & Panettieri, LLP
Position: Audit Manager, Reviewer
Job Location: Hauppauge, NY
Salary Range: $100,000-$150,000
Looking to work at a firm that encourages a work/life balance?
We are a growing midsize CPA firm specializing in the audits...
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Full time
Part time
Local area
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...
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Permanent employment
Full time
For contractors
...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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Full time
For contractors
...Loan Forgiveness Program (PSLF)
Responsibilities:
Quality Review Auditor (QRA) is responsible for ongoing audits of the care... ...Qualifications:
Graduate from an accredited School of Nursing. BSN or BS degree preferred
Minimum of two (2) years of working...
Suggested
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...licensed RN
Associate Degree Preferred or 2 years prior Core Measure Abstraction and other abstraction (complications, medical staff reviews) experience
EXPERIENCE:
~2 Years Prior Clinical /Core Measure Data Abstraction Experience preferred
~ Excellent...
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Holiday work
New year
Immediate start
...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)....
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Permanent employment
Full time
Work experience placement
Monday to Friday
...Manager- Utilization Review/Case Management- NY
American Consultants is looking for a permanent Manager of Utilization Review/Case... ...improve processes and practice.
Qualifications :
Bachelors in Nursing required
Minimum 3-5 years relevant clinical medical...
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Permanent employment
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...
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...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...
Permanent employment
Full time
Contract work
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Local area
Shift work
...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
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# Job Description
Care Review Clinician (Remote)
Remote: New York, New York, US
Salary: $... ...Apply
~ We are seeking a Remote Utilization Management Nurse to conduct standard/expedited Inpatient, Outpatient, and Custodial...
Remote job
Hourly pay
...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...
Full time
Work experience placement
Second job
Worldwide
Flexible hours
...Job Title: Healthcare - Care Review Clinician I
Location: Remote ( Must possess NY State Nursing License )
Duration: 6 Months
Job Description:
Work Location (i.e., onsite or remote based): Remote based but candidates can be located anywhere...
Remote job
