Search Results: 39,007 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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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...
Suggested
Full time
Work experience placement
...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
...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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...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:
Job Title Rheumatology Review Group (RRG) Eligibility Liaison
Division R&D / Global Drug Development
Functional... ...challenges with confidence and
professionalism.
• Proficient planning/project management skills.
Travel Required No travel required....
Travel
Permanent employment
Remote job
Flexible hours
Shift work
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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...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
The Credit Review team within the JPMC Internal Audit Department is responsible for reviewing the credit process in commercial lending... ...supports colleagues, and encourages participation.Flexibility to travel as required.
JPMorgan Chase & Co., one of the oldest financial...
Travel
Flexible hours
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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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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...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
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
...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
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...
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
...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...
...Job Description
Job Description RN- Utilization Review Nurse
LTSS/DME
*Full Time 100% Remote Opportunity*
COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE!
VillageCare is looking for a self-motivated and passionate RN as Utilization Review...
Holiday work
Full time
Local area
Remote job
