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Care Review Clinician
Remote: New York, New York, US
Salary: $45.00 Per... ...Days Left: 1 days, 3 hours left
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State Registered Nursing license or Licensed Practical Nurse in good standing....
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Hourly pay
Remote job
...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...
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Flexible hours
...News & World Report . As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to... ...be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of...
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Full time
Work experience placement
...serving as the Executive Director for the Clearance & Apartment Review.
Under the direction of the Associate Commissioner for... ...human resources, labor relations, management, management science, nursing, operations research, organizational behavior, personnel or public...
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Permanent employment
Monday to Friday
...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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Permanent employment
Full time
Local area
...experiences that have shown to be recognize us as a financial leader.
We are looking for a talented AVP of Financial Due Diligence Review Manager that has a strong background in assessing and managing third-party relationships to ensure a banks financial position, risk...
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Interim role
Bank staff
...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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Full time
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 (1) Eligibility...
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Work experience placement
Shift work
JOB TITLE (#25009): Maternal Nurse Reviewer / Contract - Metropolitan Area
Minimum of 4 years clinical practice experience in a facility or community-based setting
Greenlife Healthcare Staffing is currently seeking a Maternal Nurse Reviewer to fill an opening with...
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Holiday work
Full time
Contract work
Private practice
...Living Program, Care at Home Program and Homebound Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is...
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Full time
Contract work
As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations... ....
Education & Experience:
•New York Licensed Registered Nurse, required.
•A bachelor's degree in nursing or graduate of an...
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Hourly pay
Flexible hours
...journals, dedicated to serving the scientific community. Visit nature.com and follow @Nature / @NaturePortfolio
Chief Editor, Nature Reviews Physics
Location(s): New York or Heidelberg (hybrid working)
Closing date: June 11th 2024
Nature Reviews Physics ( has a...
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Work experience placement
Summer work
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...
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...Paid Student Loan Forgiveness Program (PSLF)
Responsibilities:
Responsible for direct oversight and management of clinical review processes within Appeals & Grievances Department. Ensures regulatory compliance and timely processing for the Medicare and Medicaid...
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Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...from all 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...
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Full time
Monday to Friday
...Pharmaceutical Company in New York, NY is currently looking for a Registered Nurse (New York Active RN License) to join their expanding team.
Job... ...1-3 years relevant experience in case management, utilization review and/or quality assurance
Experience in acute episodic care,...
Permanent employment
Full time
Contract work
Temporary work
For contractors
Local area
Remote job
Monday to Friday
...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
...regulated scope of practice.
Experience/Education:
• BA/BS in nursing degree and current RN license in New York State
• Prefer... ...1-3 years relevant experience in case management, utilization review and/or quality assurance
• Experience in acute episodic care,...
Permanent employment
Full time
Temporary work
For contractors
Local area
Remote job
Monday to Friday
...State clinical license.**
**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical... ...Education/Experience:** Requires Graduate from an Accredited School of Nursing or Bachelors degree in Nursing and 2 4 years of related...
Hourly pay
Holiday work
Remote job
Flexible hours
...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
Temporary work
Local area
Shift work
