Search Results: 23,283 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...
Suggested
Permanent employment
Shift work
...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
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
Contract work
Local area
Remote job
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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A company is looking for a Reading Assessment Reviewer.
Key Responsibilities:
Review achievement level descriptors for each grade level
Review assessment items to ensure accurate measurement of student performance
Complete one hour of review per grade level
Required...
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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 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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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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Holiday work
Remote job
Shift work
Weekend work
Sunday
Day shift
Saturday
...Health plans and auditors trust the Alaffia platform to rapidly execute post-payment claims audits.
We are looking for a Medical Bill reviewer to join our team! Do you have experience reviewing claim forms and auditing provider documentation? Then this position is for you!...
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Work from home
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
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:
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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...of motor vehicle occupants, pedestrians, and cyclists. Traffic Engineering and Planning Unit (TEP) is responsible for conducting, reviewing, and approving transportation engineering and planning studies, analyses and methodologies including transportation planning assumptions...
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Full time
Remote job
Shift work
2 days per week
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
...Quality Assurance/Quality Improvement Review Specialist
Department Quality Management
Type of Position Part time
Search Location(s) Manhattan, NY
Apply Now (
Job Brief
The QA/QI Review Specialist is responsible for completing internal quality reviews...
Part time
Shift work
...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
...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
Physician Telecommute Medical Review Stream Location
US-CO-Denver
Job ID 287403
Pos. Category Medical - Medical Review - UR
Pos. Type Contract Overview
Are you an accomplished Board Certified physician? Candidates must have a CO license and currently have...
Contract work
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
...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
