Search Results: 38,002 vacancies

 ...end of the contract. You may participate in the company group medical insurance plan Job Description: : Position Purpose: Provide...  ...1-3 years relevant experience in case management, utilization review and/or quality assurance Experience in acute episodic care, wellness... 
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Pioneer Data Systems

New York, NY
6 days ago
 ...1-3 years relevant experience in case management, utilization review and/or quality assurance • Experience in acute episodic care,...  ...and counseling of adults • Proficiency in use of electronic medical record keeping systems desirable • BLS certification required... 
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Mindlance

New York, NY
6 days ago
 ...Minimum experience of 1-3 years in case management, utilization review and/or quality assurance • Experience in episodic care,...  ...and counseling of adults • Proficiency in use of electronic medical record keeping systems desirable • BLS certification required... 
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Mindlance

New York, NY
6 days ago
 ...defendants is needed to discuss lien re-payment. OLR/OLT is recruiting for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer, who will: - Conduct medical reviews and analyses claims to calculate injury related Medicaid liens pursuant to SSL-104b... 
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Full time
Monday to Friday

City of New York

New York, NY
3 days ago
 ...end of the contract. You may participate in the company group medical insurance plan Job Description: Position Purpose: Provide...  ...experience of 1-3 years in case management, utilization review and/or quality assurance Experience in episodic care, wellness... 
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Pioneer Data Systems

New York, NY
8 days ago
Woodhull Medical and Mental Health Center is attuned to the healthcare issues that matter to the people of North Brooklyn. Woodhull focuses...  ..., recommends and assigns appropriate level of care. The Reviewer is responsible for obtaining the order for appropriate level of... 
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NYC Health Hospitals

New York, NY
2 days ago
 ...attorneys handling general liability in New York. Responsibilities include but are not limited to: Substantial review and summarizing of medical records and deposition transcripts Must be able to identify entries in medical records that are critical to the defense... 
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AmTrust Financial Services, Inc.

New York, NY
3 days ago
 ...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... 
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City of New York

New York, NY
2 days ago
JOB TITLE (#25009): Maternal Nurse Reviewer / Contract - Metropolitan Area Minimum of 4 years clinical practice experience in a facility...  ...experience in a facility or community-based setting including medical, surgical, and/or obstetrical experience. Experience in... 
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Greenlife Healthcare Staffing, Inc

New Hyde Park, NY
2 days ago
 ...be part of our transformation across the enterprise. DRG Reviewer Full-Time The DRG Reviewer reports to the Director of...  ...documentation accuracy. Conducts retrospective review of the medical record to increase accuracy, clarity, and specificity of provider... 
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Hospital for Special Surgery

New York, NY
4 days ago
 ...Specialist is responsible for interviewing Medicaid applicants and reviewing their documentation to determine eligibility for Medicaid....  ...financial and legal documentation, as well as paid or unpaid medical bills submitted by A/R and/or authorized representative - Determine... 
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City of New York

New York, NY
2 days ago
 ...HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Monday, April 29, 2024 Centers Plan for Healthy Living'...  ...overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers Plan for Healthy Living (CPHL... 
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Centers Plan for Healthy Living

Garden City, NY
3 days ago
 ...supporting, coordinating, managing and participating in document reviews at the direction of FTI clients. As part of their role, this...  ...earning potential Full package of benefits plans, including medical, dental, and vision coverage along with life and disability insurance... 
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FTI Consulting

New York, NY
9 hours ago
 ...# Home # Search Jobs # Job Description Care Review Clinician Remote: New York, New York, US Salary: $45.00 Per...  ...review of prior authorization requests, refer appropriate cases to Medical Director make appropriate referrals to other clinical programs,... 
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Collabera

New York, NY
9 hours ago
JOB TITLE (#24992): Dental Hygienist Reviewer / Contract - Upstate, 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... 
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Greenlife Healthcare Staffing, Inc

New Hyde Park, NY
24 days ago
As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations...  ...QUALIFICATIONS: •Knowledge and experience with electronic medical records. •Ability to oversee, problem solve, and work... 
Hourly pay
Flexible hours

IPRO

Great Neck, NY
9 hours ago
 ...professional resources, and team support Assist customers in gathering, organizing, and entering data in federal and state tax returns for review Schedule customer meetings and follow-up when needed, carefully documenting customer interactions Requirements Minimum of... 

Paro.ai

New York, NY
21 days ago
 ...Reimbursement for clinical staff! Generous paid time off Affordable medical, dental and vision coverage for employee and family members...  ...Program (PSLF) Responsibilities: Quality Review Auditor (QRA) is responsible for ongoing audits of the care... 
Holiday work
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Relocation bonus
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MJHS

New York, NY
9 hours ago
 ...PURPOSE: Under the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying with...  ...for services requested by providers based on evidence-based medical necessity criteria. The Senior Director of Clinical Review will... 
Flexible hours

CenterLight Health System

New York, NY
4 days ago
 ...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).... 
Permanent employment
Full time
Work experience placement
Monday to Friday

New York City, NY

New York, NY
3 days ago