Search Results: 40,483 vacancies
...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
...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
...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
...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...
Suggested
Permanent employment
Full time
For contractors
...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...
Suggested
Flexible hours
...Solutions is immediately hiring for a Clinical - Rheumatology Review Group Eligibility Liaison
Title: Clinical - Rheumatology Review... ...benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health...
Suggested
Hourly pay
Temporary work
Work experience placement
Immediate start
Remote job
Worldwide
Flexible hours
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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
...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)....
Suggested
Permanent employment
Full time
Work experience placement
Monday to Friday
...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
...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...
Suggested
Hourly pay
Local area
Flexible hours
...Homeless Services is recruiting for one (1) Administrative Community Relations Specialist NM-II to function as the Director of Packet Review and Processing who will:
- Be responsible for overseeing the day-to-day work operations of the HPD referral team.
- Stand...
Suggested
Permanent employment
Full time
Night shift
Monday to Friday
...everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,... ...clinical license.**
**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical...
Suggested
Hourly pay
Holiday work
Remote job
Flexible hours
...calculations and reporting. More specifically, the Capital Planning Review Team (CPRT) leads the holistic independent review and challenge... ...awards. Citi offers competitive employee benefits, including: medical, dental & vision coverage; 401(k); life, accident, and...
Holiday work
Full time
...and follow @Nature / @NaturePortfolio
Chief Editor, Nature Reviews Physics
Location(s): New York or Heidelberg (hybrid working)... ...package which includes the benefit offerings listed below:
•Medical, Dental and Vision
•401(k) with company match and contribution...
Work experience placement
Summer work
Flexible hours
...and Opportunities, Administrative Services, Purchasing Management, Payments and Accounting, Large Payments and Accounting, Contract Review & Negotiations Unit, and Scope/Specifications Review Unit.
The Contract Review and Negotiations Unit is responsible for...
Contract work
...on the Civil Engineer level. The work and training will be in one or more of the following engineering areas: development, design review, and construction inspection. Performs mathematical calculations. The selected candidate will work mainly as the MS4 programs I/C facilities...
Full time
...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...
Permanent employment
Full time
Local area
