Average salary: $136,666 /yearly
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...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...
Suggested
Permanent employment
Full time
Temporary work
For contractors
Local area
Remote job
Monday to Friday
...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...
Suggested
Permanent employment
Full time
Contract work
Temporary work
For contractors
Local area
Remote job
Monday to Friday
...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...
Suggested
Permanent employment
Full time
Temporary work
For contractors
Local area
Remote job
Monday to Friday
...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...
Suggested
Permanent employment
Full time
Contract work
Temporary work
For contractors
Local area
Remote job
Monday to Friday
...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...
Suggested
Full time
Monday to Friday
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...
Suggested
Holiday work
Immediate start
Shift work
...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...
Suggested
Full time
Flexible hours
...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...
Suggested
Permanent employment
Full time
Local area
...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...
Suggested
Full time
Remote job
Flexible hours
...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...
Suggested
Full time
Work experience placement
...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...
Suggested
Full time
Work experience placement
Shift work
...clinical services and supervises the care of patients.Participates in medical education, administrative and researchactivities.
The... ...possible adverse reactions of drug regimens.
Conduct clinical case review with the mental health providers and other members of team
B....
Suggested
Permanent employment
Shift work
...tests ordered by attending physician.
" May enter orders into the electronic medical record (EMR) system or prepare prescription refill requests on behalf of the physician for the review and approval by the ordering physician.
" Maintain logging system as required...
Suggested
Permanent employment
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# 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,...
Suggested
Hourly pay
Remote job
...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...
Suggested
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...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...
...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
...Job responsibilities: Conduct deal control reviews against Global CIB Payments Deal Booking requirements, identifying and documenting any gaps. Review and ensure consistency in the sufficiency, adequacy, and completeness of all remediation actions across global requirements...
...specimens using approved testing procedures (see department SOPs).
Review and release test results.
Follow CLIA, HIPAA, OSHA, and... ...knowledge of all areas of the laboratory.
Education:
BS in Medical Technology preferred; or BS/BA in Chemistry or Biology, or Associates...
Permanent employment
Work experience placement
Immediate start
...(PIA) team's performance to ensure accurate and efficient bill reviews. Drawing on your expertise in healthcare operations and working... ...review and/or utilization review experience
~ Experience with medical necessity determinations applying clinical judgment, utilizing...
Remote job
Flexible hours
