Search Results: 35,089 vacancies
...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...
Suggested
Permanent employment
Full time
Contract work
Temporary work
Local area
Shift work
...Description
PURPOSE OF POSITION:
To coordinate care, services, and patient flow.... ...assigns appropriate level of care. The Reviewer is responsible for obtaining the order... ..., one year of which has been served in Utilization Review/Quality Assurance; or,
2. Certification...
Suggested
Holiday work
Immediate start
Shift work
...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
Overview:
The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of... ...documentation and identification
a. Tools to assist with care coordination decision making
b. Liaison with 3rd party payers as...
Suggested
Contract work
For contractors
...management processes are in order; including coordinating patient activities to ensure that care... .... The role integrates and coordinates utilization management, care coordination,... ...that staff have MCG training modules to review as needed.
Growth
Uses MCG Guidelines...
Suggested
Holiday work
...engineering firms, is seeking a Construction Site Coordinator for immediate employment.... ....
Experience working for an electric utility or as an electrician would be relevant,... ...tracking contractors labor and equipment, reviewing invoices and change orders, generating detailed...
Suggested
Holiday work
Full time
Temporary work
For contractors
Immediate start
Remote job
Long distance
Flexible hours
Night shift
Weekend work
...employers under the Federal Governments Paid Student Loan Forgiveness Program (PSLF)
Responsibilities:
The Placement & Utilization Support Coordinator is expected to provide a high quality of customer service. The position requires the coordinator to act as a liaison...
Suggested
Holiday work
Full time
Part time
Flexible hours
...HEDIS Reviewer
990 Stewart Ave, Garden City, NY 11530, USA
Req #879
Monday, April... ...for supporting the overall direction, coordination and implementation of the HEDIS Medical... ...in a professional manner as well as utilizing time and resources efficiently.
PRIMARY...
Suggested
...the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying... ...alternate care plans, makes recommendations and coordinates with the Provider/IDT for appropriate utilization of services
* Documents case reviews, associated...
Suggested
Flexible hours
...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
...be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of... ...organizational and departmental policies and procedures.
Coordinates and maintains Coding Clinic questions and responses.
Coordinates...
Suggested
Full time
Work experience placement
...appointments to connect and disconnect utilities for accounts, handling Guest Service requests... ...with various other tasks, such as coordinating housekeeping operations and addressing any... ...stand, and walk.
The employee must review text approximately 20 inches or less (i....
Suggested
Temporary work
Monday to Friday
...# Home
# Search Jobs
# Job Description
Care Review Clinician
Remote: New York, New York, US
Salary: $45.00... ...license or Licensed Practical Nurse in good standing.
Conduct utilization management review of prior authorization requests, refer...
Suggested
Hourly pay
Remote job
...Living Program, Care at Home Program and Homebound Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is...
Suggested
Full time
Contract work
...combined municipal water and wastewater utility in the country, with nearly 6,000 employees... ...engineering areas: development, design review, and construction inspection. Performs... ...and stormwater program such as planning, coordination, implementation and assessment of...
Suggested
Full time
...combined municipal water and wastewater utility in the country, with nearly 6,000 employees... ..., primarily, engineering. The ACCO also coordinates with the Mayors Office of Contract... ...Large Payments and Accounting, Contract Review & Negotiations Unit, and Scope/Specifications...
Contract work
...independent initiative and judgment, the Medicaid Eligibility Specialist is responsible for interviewing Medicaid applicants and reviewing their documentation to determine eligibility for Medicaid.
The Office of Constituent Services (OCS) is seeking (1) Eligibility...
Full time
Work experience placement
Shift work
...collections and centralized data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office of Liens & Trust (OLT) and Supplemental Nutrition Assistance Program - Claims & Recovery (SNAP-CR)....
Permanent employment
Full time
Work experience placement
Monday to Friday
...Relations Specialist NM-II to function as the Director of Packet Review and Processing who will:
- Be responsible for overseeing the... ...making capacity with responsibility for planning, organizing, coordinating, developing, evaluating and/or administering a large community...
Permanent employment
Full time
Night shift
Monday to Friday
...Raul Martinez
HR Rep: Heather Stoveken
SUMMARY
The Utility position is an hourly position, and reports to the Production Shift... ...person authorized to give instructions or assignments.
A review of this position has excluded the marginal functions of the position...
Hourly pay
Contract work
Shift work
Night shift
All shifts
