Search Results: 24,333 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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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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Afternoon shift
...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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Hourly pay
Local area
Flexible hours
...Enter Job Description...
Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge of HEDIS, QARR and Star specifications
Distribute requests for records and schedules appointments with provider offices to ensure timely completion...
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...finance, real estate finance etc. You'll be responsible for providing front end risk analysis including examinations, transaction reviews, risk assessments and issue management. You'll be a subject matter expert interfacing with business heads and executive management,...
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Bank staff
Flexible hours
3 days per week
...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
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...
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...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...
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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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Responsibilities
Peraton seeks a Red Team Cybersecurity Reviewer to provide information assurance expertise in the conduct of DODIN cybersecurity reviews on site at CONUS, OCONUS, and DOD mission partner locations.
Location: Fort Meade, MD and/or Chamberburg, PA.
Travel...
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Responsibilities:
Review and analyze complex credit actions, considering various factors in assessment areas outlined below.
Conduct ongoing and risk-based monitoring of credit actions, evaluating data and identifying trends.
Assist in individual credit assessments, collaborating...
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Candidate criteria:
Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Saturday/Sunday. We try to have them off together but they also have to understand...
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...credit professional who is familiar with a variety of credit products and willing to learn new ones?
We are looking for a Credit Risk Review (CRR) Director to:
• Assist in the planning, execution, and reporting of credit reviews across UBS' Combined U.S. Operations (CUSO...
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Part time
Work experience placement
Work from home
Work visa
Work alone
Flexible hours
...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 cases...
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Full time
Monday to Friday
About the Role:
Grade Level (for internal use):
09
Title: Rating Analyst, Review & Validation
Grade (relevant for internal applicants only): 09
Location: New York, NY; Chicago, IL
Team:
The Review & Validation team has global responsibility for the review and validation...
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Full time
Work experience placement
Second job
Worldwide
Flexible hours
...improving water quality. The Bluebelt staff is monitoring in operation and under-construction best management practices (BMP) projects, reviewing, and managing designs, modeling, and designing new Bluebelt systems in New York City.
This position will be part of an internal...
Internship
Summer internship
Rotational program
...Requisition ID: req47210
Job Title: Unpaid Tax Preparer and Quality Reviewer
Sector: Economic Recovery & Livelihood
Employment Category: Intern
Employment Type: Part-Time
Compensation: USD 0.00 - 0.00 Hourly
Location: New York, NY RAI USA
Work...
Hourly pay
Part time
Internship
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Work from home
Afternoon shift
...Administration (HRA), Department of Social Services (DSS) and Department of Homeless Services (DHS). Within DSS-AO, the Process Evaluation Review Team (PERT) was created as an independent unit within the Office of Quality Assurance and Fiscal Integrity to aggressively monitor...
Permanent employment
Full time
...document the intensity and the severity of illness. Based on documentation, recommends and assigns appropriate level of care. The Reviewer is responsible for obtaining the order for appropriate level of care from the Physician when there is no justification for the current...
Holiday work
Immediate start
Shift work
...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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Monday to Friday