Search Results: 32,546 vacancies
...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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...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...
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Description
Virtual Utilizatio Review Advocate needed for permanent, full-time position.
Position Requirements
Requires LSW or LCSW and a minimum 2 years Utilization Review experience required.
This position is currently accepting applications.
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...Description
Utilization Review Clinician/Advocate needed for full-time, permanent, remote position.
Position Responsibilities:... ...services do not meet medical necessity criteria.
•Interacts with Physician Advisors to discuss clinical/authorization questions,...
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...requirements. The role integrates and coordinates utilization management, care coordination, discharge... .... c. Coordination of communication with physicians, nursing, and staff of ancillary... ...that staff have MCG training modules to review as needed.
Growth
Uses MCG...
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Holiday work
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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...Rockford Center is searching for a talented and patient centric Utilization Review Specialist!
Key Responsibilities include:
+ Completes pre-... ...days, and/or any payor-related problems.
+ Facilitates physician reviews promptly when a case is denied.
+ Maintains and...
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Relief
Immediate start
...integrating the medical facilities and physician networks associated with these institutions... ...and requirements. The individual will utilize basic computer skills, to include the navigation... ...(complications, medical staff reviews) experience
EXPERIENCE:
~2 Years...
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New year
Immediate start
...The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure... ...documentation requirements
3. Education/Advisory
a. Physician Educator
I. Provide formal educational lectures and engage...
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...direction of the Senior Director of Clinical Review, the Clinical Review Nurse is... ...coordinates with the Provider/IDT for appropriate utilization of services
* Documents case reviews,... ...file.
* Presents cases to the site Physician and/or Medical Director for review and determination...
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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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...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...
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...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...
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Full time
For contractors
...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 (2) Eligibility...
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Work experience placement
...Company: Schultheis & Panettieri, LLP
Position: Audit Manager, Reviewer
Job Location: Hauppauge, NY
Salary Range: $100,000-$150,000
Looking to work at a firm that encourages a work/life balance?
We are a growing midsize CPA firm specializing in the audits...
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...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...
Permanent employment
...responsible for scheduling and organizing Headquarters, and coordinating Review Sessions and Public Meetings, to ensure that the Chairman and... ...stakeholders on archiving and publishing of reports; and
- Utilize the internal database, Zoning Application Portal, for archiving...
Full time
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# Job Description
Care Review Clinician (Remote)
Remote: New York, New York, US
Salary:... ...9 days, 3 hours left
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~ We are seeking a Remote Utilization Management Nurse to conduct standard/expedited Inpatient, Outpatient...
Remote job
Hourly pay
...Job Title: Healthcare - Care Review Clinician I
Location: Remote ( Must possess NY State Nursing License )
Duration:... ...Nurse -LPN NY & NY RN
Summary:
Works with the Utilization Management team primarily responsible for inpatient medical...
Remote job
...Enter Job Description...
Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge of HEDIS,... ...improvement projects and outcomes.
Provide educational support to physicians and staff to ensure process improvement and increase member...
