Search Results: 27,401 vacancies
...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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Monday to Friday
...opportunity for work/life balance needs yet want to stay clinically active?
Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you'll be empowered to make a difference in the lives of patients by improving the quality of...
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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...
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Description
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# Job Description
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
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State Registered...
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Hourly pay
...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
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...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...
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Full time
Work experience placement
...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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Contract work
...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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For contractors
...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...
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...State clinical license.**
**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical... ...paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be...
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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...
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Flexible hours
...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)....
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Permanent employment
Full time
Work experience placement
Monday to Friday
...employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF)
Responsibilities:
Quality Review Auditor (QRA) is responsible for ongoing audits of the care management staff, quality assurance, accuracy and overall integrity of...
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Holiday work
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Part time
Relocation bonus
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...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...
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...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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...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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...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...
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
...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...
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Full time
Night shift
Monday to Friday
...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
