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...Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.
The Utilization Review Physician is the lead clinician for the health plan. Responsible for the...
Remote job
...3 years in case management, utilization review and/or quality assurance
• Experience... ...onsite, then 4 days/week onsite and 1 day remote) 8:30 AM to 4:30 PM (Monday – Friday)... ...Health & Wellness - Nurse Practitioner/Physicians Assistant
Number of Contractors Needed...
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Permanent employment
Full time
Temporary work
For contractors
Local area
Monday to Friday
...First 6 months- 5 days onsite, then 4 days/week onsite and 1 day remote) 8:30 AM to 4:30 PM (Monday Friday)
Note:
The client has the... ...Minimum experience of 1-3 years in case management, utilization review and/or quality assurance
Experience in episodic care, wellness...
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Permanent employment
Full time
Contract work
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For contractors
Local area
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...Work
Work Shift:
Day (United States of America)
Utilization Review Nurse
Salary Range: $31.28 - $51.61 per hour
Responsible... ...of patient information, in addition to hospital and individual physician practice pattern data. Provides information and inservices as necessary...
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Hourly pay
Permanent employment
Shift work
...Job Title: Care Review Clinician
Location: Remote (USA)
Schedule: Monday - Friday, 8 AM to 5 PM EST
Licensure: USA but must have a New York Nursing License
Salary: $80,000-$100,000 + Benefit Package
Experience Required: 3+ years of hospital acute care/...
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Permanent employment
Temporary work
Monday to Friday
Professional, Concurrent Review - RN
625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • Tarrytown, NY, USA • Vermont,... ...Perform other duties as assigned.
This position can be worked remotely/virtually from within New York or Vermont with the potential to...
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Permanent employment
Full time
Contract work
Local area
Afternoon shift
...Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you'll be empowered to make... ...~ Be a team player. Work collaboratively with over 500+ Physician Peers to help ensure patients receive proper care via evidence...
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...appropriateness of admissions and continued stays, and documents findings based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department.
• Identifies at-risk populations...
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Permanent employment
Shift work
...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate and...
Suggested
Hourly pay
Minimum wage
Full time
Local area
Flexible hours
...First 6 months- 5 days onsite, then 4 days/week onsite and 1 day remote) 8:30 AM to 4:30 PM (Monday Friday)
Note:
The client has the... ...of 1-3 years relevant experience in case management, utilization review and/or quality assurance
Experience in acute episodic care,...
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Permanent employment
Full time
Contract work
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For contractors
Local area
Monday to Friday
...be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of... ...findings, and annual coding updates.
Provides feedback for physician queries to clarify ambiguous, conflicting, or incomplete...
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Full time
Work experience placement
...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...
Suggested
Interim role
Bank staff
...of 1-3 years relevant experience in case management, utilization review and/or quality assurance
• Experience in acute episodic care,... ...First 6 months- 5 days onsite, then 4 days/week onsite and 1 day remote) 8:30 AM to 4:30 PM (Monday – Friday)
Client New York...
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For contractors
Local area
Monday to Friday
JOB TITLE (#25009): Maternal Nurse Reviewer / Contract - Metropolitan Area
Minimum of 4 years clinical practice experience in a facility... ...Professional Nurse, Pediatric/Family Nurse Practitioner, Physician’s Assistant, etc.).
Must have at least 4 years of clinical practice...
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Private practice
...HEDIS Reviewer
990 Stewart Ave, Garden City, NY 11530, USA
Req #879
Monday, April 29, 2024
Centers Plan for Healthy Living... ...collect, and secure clinical documentation from Primary Care Physician (PCP) and/or Specialist(s) as indicated by HEDIS measures.
+...
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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: 2 days, 3 hours left
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State Registered...
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Hourly pay
...supporting, coordinating, managing and participating in document reviews at the direction of FTI clients. As part of their role, this... ...team on the use of review tools on site, at client locations and remotely
Communicate with client and/or outside counsel to scope...
Remote job
Full time
Flexible hours
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...
Hourly pay
Flexible hours
...patient experience. We are on a mission to eliminate the need for waiting rooms by connecting patients with board-certified physicians instantly. As a Remote Care Physician at DrHouse, you will be at the forefront of the telehealth industry, offering your medical expertise to...
Remote job
Immediate start
Flexible hours
...PURPOSE:
Under the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying with... ...in the electronic case file.
* Presents cases to the site Physician and/or Medical Director for review and determination. Works closely...
Flexible hours
