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...YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST... ...Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office of Liens & Trust (OLT) and Supplemental...
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...and Opportunities, Administrative Services, Purchasing Management, Payments and Accounting, Large Payments and Accounting, Contract Review & Negotiations Unit, and Scope/Specifications Review Unit.
The Contract Review and Negotiations Unit is responsible for...
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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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...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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12 months Contract
Job Title: Rheumatology Review Group (RRG) Eligibility Liaison
Functional Area Description: The RRG Eligibility Liaison (REL) employs scientific and technical expertise to track, coordinate and enforce the timely delivery of quality clinical/study...
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...Innova Solutions is immediately hiring for a Clinical - Rheumatology Review Group Eligibility Liaison
Title: Clinical - Rheumatology Review Group Eligibility Liaison Location: Madison, NJ(Hybrid)
Duration: 12 Months
Pay Range*: $49- $50 per hour...
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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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...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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...APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE COMMUNITY RELATIONS SPECIALIST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE... ...Specialist NM-II to function as the Director of Packet Review and Processing who will:
- Be responsible for overseeing the...
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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...
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On-Board Scientific is hiring a Rheumatology Review Group Eligibility Liaison based out of Madison, NJ or Princeton, NJ! (Hybrid)
For... ...experience as a Clinical Trial Assistant, Clinical Trial Specialist or Clinical Team Manager would be preferred.
Must Have:
2 to...
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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 hours left
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State Registered Nursing...
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...RN Utilization Review Specialist- New York
American Consultants is looking for an perm Utilization Review Specialist for a facility in NY. Must have New York RN license
Position Summary : Under the direct supervision of the HIM manager, the UR specialist monitors...
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...access to service and support appropriate to their needs.
CP Unlimited is currently seeking a full time Quality Enhancement Review Specialist to complete internal audit reviews within CP Unlimited programs, analyze the findings and provide recommendations for...
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...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...
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Monday to Friday
...Role Overview
The Rewards Review aims to develop a new rewards framework for the whole MSF global workforce, enabling us to better... ...communication to ensure this.
At MSF USA, the Engagement Specialist will be responsible for coordinating this work and acting as...
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...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...
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...degree and current RN license in New York State
Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance
Experience in acute episodic care, wellness care and counseling of adults
Proficiency in use of electronic...
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...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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Local area
...degree and current RN license in New York State
• Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance
• Experience in acute episodic care, wellness care and counseling of adults
• Proficiency in use of...
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