Search Results: 29,727 vacancies

 ...Description Utilization Review Clinician/Advocate needed for full-time, permanent, remote position. Position Responsibilities: Performs telephonic care review and authorization determinations for prospective, concurrent and discharge review with psychiatric... 
Suggested
Permanent employment
Full time
Remote job

Social Work p.r.n.

New York, NY
3 days ago
 ...Clinical Operations Medical Director Utilization Management of Medical Oncology Benefits Carelon Benefits Management $20,000 Sign...  ...providers. Job Summary: Perform physician-level case review, following initial nurse review, of Medical Oncology regimens... 
Suggested
Work experience placement
Local area
Remote job
Work from home
Relocation bonus

Elevance Health

Iselin, NJ
14 hours agonew
 ...requirements. The role integrates and coordinates utilization management, care coordination, discharge...  ...Bachelor's degree in nursing (BSN). RN with 4 years case management experience...  ...that staff have MCG training modules to review as needed. Growth Uses MCG... 
Suggested
Holiday work

Hackensack Meridian Health

Hackensack, NJ
2 days ago
 ...Job Description The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations within a particular department/unit. This includes, but is not limited to, the management of: Program-specific... 
Suggested
Traineeship
Local area

Mount Sinai Hospital

New York, NY
1 day ago
Overview: The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and HackensackUMC. These include but are not limited... 
Suggested
Contract work
For contractors

Hackensack Meridian Health

Hackensack, NJ
1 day ago
 ...A client of ours is searching for temporary document review attorneys for a 4 month project. This role will require 2 days on-site in...  ...Identify and assess the impact of review guidelines on documents Utilize e-Discovery software for efficient review of documents... 
Suggested
Hourly pay
Holiday work
Temporary work
For contractors
Local area

LHH Recruitment Solutions

Roseland, NJ
21 days ago
 ...serves New Castle County and northern Maryland. Visit us online: Rockford Center is searching for a talented and patient centric Utilization Review Specialist! Key Responsibilities include: + Completes pre-certs and concurrent reviews as assigned, on appropriate day and... 
Suggested
Relief
Immediate start

Universal Health Services

Newark, NJ
11 days ago
 ...Jobs # Job Description Care Review Clinician Remote: New York, New York,...  ...Practical Nurse in good standing. Conduct utilization management review of prior authorization...  .... Job Requirement RN Registered nurse LPN Licensed... 
Suggested
Hourly pay
Remote job

Collabera

New York, NY
3 days ago
 ...Division, Architecture & Engineering Unit seeks an Electrical Design Reviewer. The duties for this position will include, but are not...  ...and/or review of consultant drawings and specifications (utilizing Blue-Beam), site inspection and reports, ad hoc technical investigations... 
Suggested
Permanent employment
Full time
For contractors

City of New York

New York, NY
1 day ago
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... 
Suggested
For contractors

Joe Knows Energy

New York, NY
1 day ago
 ...Job Description Job Description 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... 
Suggested
Remote job

Vivo HealthStaff

New York, NY
28 days ago
 ...pollution. DEP is the largest combined municipal water and wastewater utility in the country, with nearly 6,000 employees. DEP's water supply...  ...community open spaces and a diverse wildlife habitat. Plan Review is a unit within the Division of Connections and Permitting... 
Suggested
Full time
For contractors

City of New York

New York, NY
1 day ago

$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... 
Suggested
Holiday work
Full time
Local area
Work visa

Americare

Brooklyn, NY
7 days ago
 ...OR Student Loan Assistance for clinical staff FREE Online RN to BSN and MSN degree programs! Tuition Reimbursement for all...  ...Loan Forgiveness Program (PSLF) Responsibilities: Quality Review Auditor (QRA) is responsible for ongoing audits of the care management... 
Suggested
Holiday work
Full time
Part time
Relocation bonus
Flexible hours

Metropolitan Jewish Health System

New York, NY
4 days ago
 ...Description Nurse Reviewer I Location: Within 50 miles of a pulse point Shift : Monday...  ...for diagnostic imaging services by utilizing appropriate policies, clinical and department...  ...background. * Current unrestricted RN license in applicable state(s) required.... 
Suggested
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Monday to Friday

Elevance Health

Iselin, NJ
17 hours ago
 ...Job Description Job Description 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... 
Permanent employment

American Consultants

New York, NY
22 days ago
 ...prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing...  ...Association Active, unrestricted State Registered Nursing (RN) in good standing. Must have valid driver's license with... 
Remote job
Holiday work
Full time
Work experience placement
Shift work
Monday to Friday

Molina Healthcare

New York, NY
3 days ago
 ...Case Record Reviewer Job Details Level Experienced Job Location 1 PIERREPONT PLAZA SUITE 901 - BROOKLYN, NY Position Type Part Time Education Level 4 Year Degree Salary Range $30.00 - $37.00 Hourly Case Record Reviewer Case Record... 
Hourly pay
Permanent employment
Temporary work
Part time
Immediate start
Remote job
Flexible hours

Graham Windham

Brooklyn, NY
3 days ago
 ...Job Title: Document Review Specialist Duration: 8 Months Location: 1585 Broadway, New York, NY Description: Client facing position within Brokerage s Institutional Equity Division (IED) for a documentation specialist, responsible for handling all relationship... 

US Tech Solutions, Inc.

New York, NY
1 day ago
 ...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,... 
Bank staff
Flexible hours
3 days per week

Hammer Search Partners

Jersey City, NJ
2 days ago