...based on Departmental standards. • While performing utilization review identifies areas for clinical documentation improvement and...  ...continuous improvement in both areas. • Refers cases and issues to Medical Director and Triad Team in compliance with Department... 
Suggested
Permanent employment
Shift work

Albany Medical Center

Albany, NY
15 days ago
 ...Work Work Shift: Day (United States of America) Utilization Review Nurse Salary Range: $31.28 - $51.61 per hour Responsible...  ...continuous improvement in both areas. Refers cases and issues to Medical Director and Triad Team in compliance with Department... 
Suggested
Hourly pay
Permanent employment
Shift work

Albany Medical Center

Albany, NY
15 days ago
 ...Job Title: QA Specialist - DHR Reviewer Job Location: Latham, NY Job Duration: 6 Months Pay Range: $30/hr on w2. Job Description: The QA Specialist – DHR Reviewer is a member of the Manufacturing Quality team within the Philips MRI magnet manufacturing... 
Suggested
Local area

Integrated Resources, Inc

Latham, NY
1 day ago
Professional, Concurrent Review - RN 625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • Tarrytown, NY, USA • Vermont,...  ...care. The Concurrent Review RN is responsible for evaluating the medical necessity of medical treatments and services and coordinating... 
Suggested
Permanent employment
Full time
Contract work
Local area
Remote job
Afternoon shift

MVP Health Care

Schenectady, NY
8 days ago
 ...Job Description Equiliem is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Albany, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 06/24/2024 ~ Duration: 5... 
Suggested
Hourly pay
Contract work
Local area
Flexible hours
Shift work

Equiliem

Albany, NY
3 days ago
 ...and invites you to be a part of that experience. The Clinical Review and Coding Nurse is responsible to attain procedure and...  ...also research new technology or services and recommend updates to medical policies. QUALIFICATIONS: * Associates degree required.... 
Suggested
Work experience placement
Flexible hours

Capital District Physicians' Health Plan, Inc.

Albany, NY
3 days ago
 ...THE FOCUS IS YOU   As the Engagement Quality Reviewer, you will play a critical role in ensuring the quality and integrity of the firm's audit engagements. This position involves overseeing the review process of audit engagements to ensure compliance with professional... 
Suggested
Local area

UHY LLP

Albany, NY
13 days ago
 ...Financial Analyst - Hospital Finance Review Corning Tower, Albany, 100 S Mall Arterial, Albany, New York, United States of America Req #224 Tuesday, April 2, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is... 
Suggested

Staffing Solutions Organization LLC (SSO)

Albany, NY
1 day ago
 ...Course Design Quality Reviewer The course design quality reviewer will be a member of the design team in the Instructional Design and Development (IDD) unit at Excelsior University. Our team works closely with subject matter experts and other community and university... 
Suggested
Full time
Local area
Home office
Albany, NY
9 days ago
The Medical Transporter provides programmatic support to the medical needs of the individuals supported within Vanderheyden's OPWDD certified...  ...appointments. Chairs a monthly appointment scheduling. Reviews upcoming appointments weekly and verifies transportation... 
Suggested
Local area
Flexible hours

Vanderheyden

Troy, NY
16 hours ago
 ...Facility Quality of Care Complaints. As a Nursing Facility Resolution Reviewer you will interface with the resident &/or resident’s...  ...including preparation of correspondence & assistance with mediation; medical record review & related activities to assure compliance with... 
Suggested
Hourly pay
Full time

IPRO

Albany, NY
19 days ago
Description Welcome to our multispecialty medical group with a thriving oncology department tailored to medical oncologists seeking new opportunities. Our medical oncology practice is an integral part of Community Care Physicians' comprehensive cancer care program,... 
Suggested
Holiday work
Permanent employment
Casual work
Internship

Community Care Physicians

Latham, NY
13 days 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... 
Suggested
Hourly pay
Contract work
Part time
Private practice

Greenlife Healthcare Staffing

Albany, NY
25 days ago
 ...extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching...  ...ESSENTIAL DUTIES AND RESPONSIBILITIES: * Collects and reviews all patient insurance information needed to complete the billing... 
Suggested
Remote job
Hourly pay
Holiday work
Full time
Temporary work

US Oncology, Inc.

Clifton Park, NY
4 days ago
 ...Health (DOH) this individual will conduct survey and certification activities of ICF/MR facilities including utilization and quality reviews as well as, review and processing of referred reports to determine if state and/or federal regulations have been met, and if... 
Suggested
Hourly pay
Full time

IPRO

Albany, NY
a month ago
 ...information from new Residents to be admitted. Recording health details of Residents; including vitals & temperature. Administering medications and injections to Residents as needed. Treating and dressing wounds and bedsores as needed. May be required to supervise... 
Shift work
Night shift
Afternoon shift

University Center

Melrose, NY
3 days ago
 ...Nurse Reviewer - Quality Assurance in Albany, NY   Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting...  ..., past or present military service, citizenship status, family medical history or genetic information, family or parental status, or... 
Full time
Local area
Immediate start

Public Consulting Group

Albany, NY
more than 2 months ago
 ...differentials Flexible schedules for Full-Time, Part-Time, or Per-Diem status Career Advancement Opportunities Tiered Insurance Plan: Medical and Dental included DUTIES: Collecting required information from new Residents to be admitted. Recording health details of... 
Full time
Temporary work
Part time
Immediate start
Relocation bonus
Flexible hours
Shift work
Night shift
Afternoon shift

Warren Center

Round Lake, NY
3 days ago
 ...information from new Residents to be admitted. Recording health details of Residents; including vitals & temperature. Administering medications and injections to Residents as needed. Treating and dressing wounds and bedsores as needed. May be required to supervise... 
Shift work
Night shift
Afternoon shift

Hope Center

Melrose, NY
3 days ago
 ...information from new Residents to be admitted. Recording health details of Residents; including vitals & temperature. Administering medications and injections to Residents as needed. Treating and dressing wounds and bedsores as needed. May be required to supervise... 
Relocation bonus
Shift work
Night shift
Afternoon shift

Williamsbridge Center

Melrose, NY
1 day ago