Average salary: $88,000 /yearly
More stats ...needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
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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...to help keep people independent and living life on their own terms.
Responsible for direct oversight and management of clinical review processes within Appeals & Grievances Department. Ensures regulatory compliance and timely processing for the Medicare and Medicaid...
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...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 using...
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Shift work
...storing and filtering storm water. These areas also provide important community open spaces and a diverse wildlife habitat.
Plan Review is a unit within the Division of Connections and Permitting that evaluates civil engineering plans with a potential impact on the...
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Full time
For contractors
...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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Permanent employment
Full time
For contractors
...Avenue Albany, NY 12208
Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of America)
Utilization Review Nurse
Salary Range: $31.28 - $51.61 per hour
Responsible for Utilization Management, Quality Screening and Delay Management for...
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Hourly pay
Permanent employment
Shift work
Salary:
Starting at $18.00 / hour
Overview:
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....
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Local area
Shift work
About Client:
Client is a global financial services firm that provides a wide range of investment banking, securities, wealth management, and investment management services. It is a prominent global financial services firm with a rich history and a strong presence in...
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Jefferson Wells has a current project opportunity for an experienced insurance auditor to perform a Thematic Review. This is a remote project for appox 12 wks. It is focused in 3 areas:
Observation Thematic review
Advisory Thematic review
Scope review of past...
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Remote job
...based role supporting the clinical biological lab space. Utilization and application of scientific knowledge and techniques for data review activities supporting potency and bioassays.
* Read and follow defined procedures
* Review of logbook and lab notebooks for...
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Holiday work
Full time
Contract work
Remote job
...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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Full time
Part time
Work experience placement
Work from home
Work visa
Work alone
Flexible hours
...We are looking for a Technical Reviewer on a New York project that has a minimum of (1) years prior experience in the construction and/or utility industry. This will be an administrative position.
Requirements
Requirements include but are not limited to:
Have...
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...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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...Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday - Friday, from 9:30 am - 6 pm
The Nurse Reviewer I is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic...
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Temporary work
Work experience placement
Local area
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Shift work
Monday to Friday
...Job Description: Experienced BSA/AML professional within the KYC Periodic Review Operational Control team to perform a high-quality 4-eye review process on Periodic Review files.
Knowledgeable and experienced BSA/AML individual reviewing the periodic review team,...
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Full time
Local area
Remote job
...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...
Permanent employment
Full time
Local area
...employees
up to 4 weeks PTO
401(k) with company match
Continuing Education reimbursements
MedBridge Membership
Yearly review for growth opportunities
New Grad Mentorship Program
Professional Development Growth Tracks
Tuition discounts for...
Full time
Relocation bonus
Software Guidance & Assistance, Inc., (SGA), is searching for an Dental Provider Reviewer for a Contract assignment with one of our premier Insurance clients in a Remote Role .
*Virtual position - but in office at Oriskany NY location for onboarding (about 5 days) and...
Remote job
Permanent employment
Contract work
...Services (DHS) is recruiting for one (1) Administrative Director of Social Services NM to function as Manager of the Rental Packet Review Team who will:
* Assign cases to staff based on the housing priority, follow up on cases that need to be rectified by HRA, generate...
Permanent employment
Night shift
Monday to Friday
...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...
Permanent employment
Full time
Contract work
Temporary work
Local area
Shift work
...About the Role:
Grade Level (for internal use):
11
Title: Associate, Review & Validation
Grade (relevant for internal applicants only):11
Location: New York, NY; Chicago, IL
Team:
The Review & Validation team has global responsibility for the review...
Full time
Work experience placement
Second job
Worldwide
Flexible hours
Fully remote CPC Coding opportunity!
Charge Review Medical Coder
Position: Charge Review Medical Coder
Location: Fully Remote - Candidates can sit in NY, NJ, CT
Hours: Monday - Friday 8:00am - 4:00pm / 9:00am - 5:00pm
Overview : In this role, the...
Remote job
Monday to Friday
...Laurel, MD . Failure to pass the training program on the first attempt may result in separation from the Secret Service. Visit to review standard.
Sign a mobility agreement stating your willingness to accept assignments anywhere within the United States and...
Full time
Overseas
$92k - $95k
....
Are you a field nurse who wants to get off the road? We have an exciting opportunity in the office.
The Position: Quality Reviewer RN
The Quality Reviewer is a Registered Professional Nurse who will ensure the accuracy, completeness and integrity of documentation...
Holiday work
Full time
Local area
Work visa
...professional resources, and team support
Assist customers in gathering, organizing, and entering data in federal and state tax returns for review
Schedule customer meetings and follow-up when needed, carefully documenting customer interactions
Requirements
Minimum of...
...History Record (DHR)Are you a self-starter but also great in a team setting with superb attention to detail? The QA Specialist – DHR Reviewer is a member of the Manufacturing Quality team within the Philips MRI magnet manufacturing facility in Latham, NY. This is an...
Hourly pay
Permanent employment
Temporary work
Work experience placement
Local area
Shift work
...Job Description
Job Description Description: Our client is seeking detail-oriented individuals to serve as Case Reviewers/Adjudicators involving migrant aid in NYC, The personnel will be tasked with adjudicating on behalf of the asylum-seekers in an effort to retain...
...Job Description
Job Description Multi-state creditors' rights law firm is seeking a New York Barred Document Review Associate Attorney for its Westbury, New York office. Our firm is an industry leader in the mortgage default services industry. Driven by an entrepreneurial...
Full time
JOB TITLE (#24993): Dental Hygienist Reviewer / Contract - Downstate, NY
Minimum of 2 years experience in the provision of clinical services or in quality improvement/utilization reviews
Greenlife Healthcare Staffing is currently seeking a Dental Hygienist Reviewer...
Permanent employment
Contract work
Part time
Private practice
...DIVISION:
The Pipeline and Commission Operations Division is responsible for scheduling and organizing Headquarters, and coordinating Review Sessions and Public Meetings, to ensure that the Chairman and the City Planning Commission (CPC) are fully informed about all land...
Full time