Search Results: 40,801 vacancies
...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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The Insurance Specialist I, Policy Review is responsible for ensuring all required insurance coverage(s) are in place at appropriate limits to demonstrate compliance with investor requirements. This position focuses on the efficient review of commercial insurance policies...
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...helping shape an industry.
Position: Senior Scientific Affairs Specialist
About Us:
At ICON Lab and Imaging Solutions (ILI), we are dedicated... ...Global Scientific Affairs staff on Scientific Affairs tasks.
Review proposals and protocols for required tests and technical...
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...be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of... ...Health Information Technician (RHIT), Certified Coding Specialist (CCS), or the American Academy of Professional Coders (AAPC) Certified...
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Full time
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...Services, with some latitude for 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...
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Full time
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Starting at $18.00 / hour
Accounts Receivable Review Specialist Pay Rate Starting at : $18.00 / hour. Earn more with experience!
Woodmark Pharmacy NY is seeking a detail-oriented Accounts Receivable Review Specialist to join our team.
Benefits of working at...
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Local area
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...Job Title: QA Specialist - DHR Reviewer
Job Location: Latham, NY
Job Duration: 6 Months
Pay Range: $30/hr on w2.
Job Description:
The QA Specialist – DHR Reviewer is a member of the Manufacturing Quality team within the Philips MRI magnet manufacturing...
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Local area
Job Description
Summarized Purpose:
Effectively reviews documents created within or outside of the company to ensure quality of a standard that meets or exceeds client's expectations. Documents include: regulatory submissions, integrated clinical study reports, serious...
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...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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...being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Estimate Review Specialist Sr
PRIMARY PURPOSE: To review all estimates and supporting documentation submitted by contractors/adjusters, using Xactimate...
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For contractors
...benefits, and flexible work schedules, it is no wonder why we are consistently recognized as aGreat Place To Work. Position Summary Reviews all remittance advice to ensure appropriate reimbursement for 3rd party accounts billed. Reviews HMO/Insurance contract matrix and...
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Flexible hours
...admitted attorneys, who desire an engaging work environment where they are valued and respected. We have an ongoing need for document reviewers.
Document Reviewers will review documents for complex litigation matters using an electronic review platform to code for...
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Work from home
Home office
Flexible hours
Monday to Thursday
Professional, Concurrent Review - RN
625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • Tarrytown, NY, USA • Vermont, USA Req #2035
Tuesday, May 21, 2024
Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont...
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Permanent employment
Full time
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Local area
Remote job
Afternoon shift
...Grade Level (for internal use):
09
Title: Rating Analyst, Review & Validation
Grade (relevant for internal applicants only): 0... ...property. The team comprises both credit analysts as well as model specialists with experience in Ratings and the Capital Markets more...
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Full time
Work experience placement
Second job
Worldwide
Flexible hours
...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
...developing medical and mental health policies, programs, and
initiatives that support best case practice agency wide.
The Medical Review Authorization and Monitoring Unit (MRAM) reviews foster care medical
records and ensures compliance with the established health standards...
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 administration...
...information
Job Name:
Senior Analyst, Compliance Marketing Review
Location:
New York/OVA
Line of Business:
Legal & Compliance... ...initiatives for Carlyle's wealth management team and products specialists.
Working closely with IT on compliance technology projects related...
Holiday work
Remote job
...Steven Winter Associates, please visit
About the Accessibility Specialist Role: Do you enjoy traveling? SWA is on the search for an Accessibility Specialist for ADA/FHA inspections and plan reviews. The ideal candidate will have a strong passion to drive social justice...
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Local area
Relocation
Night shift
2 days per week
...POSITION SUMMARY
The Utilization Review Care Manager performs initial, concurrent, and retrospective reviews with various payers. Care managers request appropriate level of care based on NYS LOCADTR and medical necessity.
The Utilization Care Manager partners with...
Hourly pay
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