As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. Conducting clinical level review, determining physician level assignment, managing case staging between external physician...
Suggested
Hourly pay
Full time
Flexible hours
...or more of the following engineering areas: development, design review, and construction inspection. Performs mathematical calculations... ...selected candidate will work mainly as the MS4 programs I/C facilities plans reviewer in support of the Industrial Stormwater Multi-Sector...
Suggested
Full time
...independent risk management oversight for capital management, planning and forecasting, recovery and resolution planning, capital interpretations... ...and reporting. More specifically, the Capital Planning Review Team (CPRT) leads the holistic independent review and challenge...
Suggested
Holiday work
Full time
...independent risk management oversight for capital management, planning and forecasting, recovery and resolution planning, capital interpretations... ...and reporting. More specifically, the Capital Planning Review Team (CPRT) leads the holistic independent review and challenge...
Suggested
Holiday work
Full time
...protection of adjacent waterways, and the development and protection of the Department's Capital Water and Sewer Design Program. Plan Review Unit staff analyzes the proposals for the development of private water and sewer infrastructure, large public or private development...
Suggested
Internship
Summer internship
Rotational program
...The Capital Planning Review Team (CPRT) is mandated by the Capital Committee and Board of Directors to lead the holistic independent review and challenge of the capital planning process across the capital planning continuum. The team sits in the Finance CRO organization...
Suggested
Holiday work
Full time
The VP for Recovery and Resolution Planning is responsible for supporting independent review and challenge of the RRP liquidity workstream, including Recovery and Resolution Plan submissions.
Responsibilities:
The role involves performing credible review and challenge...
Suggested
Holiday work
Full time
**Capital Planning Review Team Recovery and Resolution Planning**
The Capital Planning Review Team (CPRT) is mandated by the Capital Committee and Board of Directors to lead the holistic independent review and challenge of the capital planning process across the capital...
Suggested
Holiday work
Full time
...HEDIS Reviewer
990 Stewart Ave, Garden City, NY 11530, USA
Req #879
Monday, April 29, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general...
Suggested
...Division, Architecture & Engineering Unit seeks an Electrical Design Reviewer.
The duties for this position will include, but are not... ...engineering, environmental engineering, mechanical engineering, or plan examining work, at least two (2) years of which must have been...
Suggested
Permanent employment
Full time
For contractors
...what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of Coding, HIM (Health Information Management). The DRG Reviewer oversees...
Suggested
Full time
Work experience placement
...responsible for assistant and clerical duties for the Retirement Plan Services team. Primary point of contact for general team phone... ...and escalate to appropriate team members. Schedule participant review meetings and send confirmation/reminders of meeting times.
~Data...
Suggested
Holiday work
...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...
Suggested
Full time
Work experience placement
Shift work
...Job Description
Job Title: Estate Planning Paralegal
\n Job Summary: As an Estate Planning Paralegal, you will play a vital role in supporting attorneys in the estate planning process. You will assist in drafting estate planning documents, organizing client information...
Suggested
...Overview
Directs plans, evaluates, and coordinates Behavioral Health and Social Care needs for multiple lines of business including... ...needs.
Oversees the implementation and monitoring of utilization review and quality management procedures, while also conducting...
Suggested
Holiday work
Contract work
For contractors
Work experience placement
Local area
Flexible hours
...Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in... ...Program (PSLF)
Responsibilities:
Quality Review Auditor (QRA) is responsible for ongoing audits of the care management...
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...PURPOSE:
Under the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying with the... ...evidence-based clinical criteria.
* Suggests alternate care plans, makes recommendations and coordinates with the Provider/IDT for...
Flexible hours
Description
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Care Review Clinician
Remote: New York, New York, US
Salary: $45.00 Per Hour
Job Code: 348679
End Date: 2024-05-24
Days Left: 3 days, 3 hours left
Apply
State Registered...
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)....
Permanent employment
Full time
Work experience placement
Monday to Friday
...Relations Specialist NM-II to function as the Director of Packet Review and Processing who will:
- Be responsible for overseeing the... ...or policy-making capacity with responsibility for planning, organizing, coordinating, developing, evaluating and/or administering...
Permanent employment
Full time
Night shift
Monday to Friday
...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
...State clinical license.**
**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical... ...including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a...
Hourly pay
Holiday work
Remote job
Flexible hours
...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...
Hourly pay
Local area
Flexible hours
...natural™ ingredients? If so, we'd love to hear from you!
Senior Planning Analyst
The Senior Planning Analyst will be responsible for... ...data from multiple sources to forecast newness, as well as review trends to forecast core products. This candidate must be detail...
Holiday work
Work experience placement
Summer work
Relief
Internship
Worldwide
...will support the Supply Chain team and lead in driving strategic planning initiatives to optimize inventory management, maximize sales... ...inventory to a minimum
Merchandise Planning:
Review monthly sales and forecasts for seasonal and replenishment program...
Seasonal work
Relocation
Shift work
...TITLE: Specialist, Sales Planning
REPORTS TO: Head of National Accounts & Specialty
FLSA: Exempt
LOCATED: New York, NY -... ...opportunities to increase sell-in and support sell-through
Review account's replenishment assortment and make recommendations accordingly...
...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
...apply 30 days after their effective date of hire.
JOB TITLE:
Planning & Budget Analyst (Railroad Project Development)
AGENCY:... ...capital project needs and drivers, performing project environmental reviews, and addressing federal planning requirements for capital...
Full time
Temporary work
Remote job
1 day per week
...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 on...
Full time
Monday to Friday
...ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE.
The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program... ...to discuss the audit and facilitate corrective action plans.
- Perform other related process reviews as required.
Work...
Permanent employment
Full time
Monday to Friday