Search Results: 52,978 vacancies
...Utilization Review Analyst
Job Details
Job Location
Bronx, NY
Position Type
Full Time
Education Level
4 Year Degree... ...Proficient in the use of technology including excel, project management tools, flow charting software, powerpoint and other analytical...
Suggested
Permanent employment
Full time
Contract work
Temporary work
Local area
Shift work
...assigned staff to ensure that all case management processes are in order; including coordinating... .... The role integrates and coordinates utilization management, care coordination, discharge... ...that staff have MCG training modules to review as needed.
Growth
Uses MCG...
Suggested
Holiday work
...assigns appropriate level of care. The Reviewer is responsible for obtaining the order for... ...and Appeal team.
11. Notifies the managed care companies of patients requiring transfer... ..., one year of which has been served in Utilization Review/Quality Assurance; or,
2....
Suggested
Holiday work
Immediate start
Shift work
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
...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...
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Remote job
Exciting Opportunity for experienced RN Utilization Management Leaders! As a Full Time Director of Utilization Management at VillageCare, you will... ...at VillageCare, you can expect to oversee the utilization review process, collaborate with interdisciplinary teams to...
Suggested
Holiday work
Full time
Remote job
Monday to Friday
...Hackensack, NJ
Job Category
Engineering
Description
Boswell Engineering is seeking an experienced Project Manager in the electric utility industry.
Responsibilities:
Project managers will be assigned projects that range from replacing a breaker at a substation...
Suggested
Holiday work
Temporary work
Flexible hours
...opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are... ...Responsible for direct oversight and management of clinical review processes within Appeals & Grievances Department. Ensures regulatory...
Suggested
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...FTI Consulting's Acuity team which includes supporting, coordinating, managing and participating in document reviews at the direction of FTI clients. As part of their role, this position will utilize various platforms including Relativity, Nuix Discovery and Reveal/Brainspace...
Suggested
Full time
Remote job
Flexible hours
...Business Development Manager - Utility Programs and Services
We are looking for a Business Development (BD) Manager to join our Utility... ...for the pursuit.
Participate in activities such as pipeline reviews, forecasting, gate reviews, proposal reviews, etc.
Serve as...
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Remote job
Contract work
Work experience placement
Shift work
...HEDIS Reviewer
990 Stewart Ave, Garden City, NY 11530, USA
Req #879
Monday, April... ...direction of the Director of Quality Management. Responsibilities include, but are not limited... ...in a professional manner as well as utilizing time and resources efficiently.
PRIMARY...
Suggested
...Manager- Utilization Review/Case Management- NY
American Consultants is looking for a permanent Manager of Utilization Review/Case Management for a facility in New York.
Description:
Assists the Director in overseeing the Utilization Management program within...
Suggested
Permanent employment
...Solution Approach.
+ Create functional designs to satisfy business requirements using Oracle Utilities products like Customer Care and Billing (CC&B), Meter Data Management (MDM), and Customer to Meter (C2M).
+ Exceptional verbal and written communication skills to...
Suggested
Work experience placement
Local area
...infrastructure, energy, construction, program management and environmental markets. NV5 is an ENR... ...who will work on New York City utility infrastructure design projects at our office... ...plates, NYCTA Subway records, etc.
Reviewing and assisting with development of catch...
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Local area
...Utilization Manager Healthcare staff can work anywhere….The BEST work with US!
Salary: $55,000-$60,000
A nationally recognized comprehensive... ...assuring compliance with external and internal utilization review/quality and appropriateness requirements.
What You Will...
Suggested
Full time
...We Are:
Our Utility Industry, Transmission & Distribution Practice is powering the progress to a safe, connected, and sustainable... ...to design and implement the next generation of work and asset management solutions: your bread and butter are the utility processes underlying...
Local area
Flexible hours
...Home
# Search Jobs
# Job Description
Care Review Clinician
Remote: New York, New York, US
Salary: $45.0... ...or Licensed Practical Nurse in good standing.
Conduct utilization management review of prior authorization requests, refer appropriate cases...
Hourly pay
Remote job
...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...
Permanent employment
Full time
For contractors
...Description
The Corporate Audit Services (CAS) Senior Audit Manager is a senior level management position that is responsible for providing... ...direction, leadership, and coordination of CAS's Credit Risk Review cyclical risk-based audit plans. As an Independent Risk Review...
Holiday work
Temporary work
..., 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 DRG accuracy. The DRG Reviewer will ensure that accurate...
Full time
Work experience placement
