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- ...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...SuggestedRemote job
- ...exceptional services to our customers. JOB SUMMARY: Our dynamic Ethos Medical Management division is seeking a full-time Utilization Review and Physician Review Sales Executive (REMOTE) to be pivotal in driving business growth and expanding our footprint in workers'...SuggestedFull timeWork experience placementRemote workNight shift
- ...Job Description About Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified...SuggestedFor contractorsExtra incomeRemote workFlexible hours
- ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical...SuggestedPrice workContract workFor contractorsExtra incomeRemote workFlexible hours
- ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical...SuggestedPrice workContract workFor contractorsExtra incomeRemote workFlexible hours
- ...Job Description Job Description REPORTS: Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035 MAJOR FUNCTIONS: Under the direction of the Director of Utilization...SuggestedTemporary workFlexible hours
- ...Description Medical Director, Clinical Review and Care Integrity 625 State St,... ...clinical practice experience Managed care, utilization management, or health plan operations... ...Ability to communicate effectively with physicians in practice and facility staff is essential...SuggestedWeekend work
MVP Health Care
Schenectady, NY14 days ago - ...The ideal candidate will have experience performing clinical reviews of facility claims on behalf of payers, including DRG validation... ..., short stay, readmission, medical necessity, and other utilization management reviews. Leverage nationally recognized clinical...SuggestedRemote work
- ...most primary care providers. We’re rapidly expanding and we need great people to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our organization. Other duties include advising...SuggestedRemote jobWork at officeLocal area
- Spine Surgeon Telecommute Medical Review Location US-NJ-Secaucus Job ID 298059 Pos... ...We are seeking flexible and experienced physicians for our medical reviewstream division. This... ...files and provides recommendations for utilization review, chart reviews, medical necessity...SuggestedContract workTemporary workFor contractorsRemote workFlexible hoursMonday to Friday
- ...Care Medical Practices PC ("Professional Care”) is a private, physician founded, nationally accredited correctional health care practice... ...medical professional in that it provides the ability to truly utilize all of your learned medical skills and knowledge on a daily basis...SuggestedHourly payPart timeFlexible hours
Professional Care Medical Practice, P.C.
Belmont, NY2 hours agonew - ...effectiveness of medical care. Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness... ...education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hours
- ...HealthCare Partners (HCP) is the largest physician-owned and led IPA in the Northeast,... ...highest quality of care while efficiently utilizing healthcare resources. HCP’s vision is... ...specialist-level position involves expertise in reviewing healthcare service requests, including...SuggestedHourly payFull timeWork experience placementLocal area
- ...Health, part of CVS Health®, is seeking a Nurse Practitioner or Physician Assistant to provide In-Home Health Evaluations, engaging with... ...health questions. It includes a medication and medical history review, a physical evaluation, and, if ordered by the person’s health...SuggestedHourly payFull timePart timeLocal areaFlexible hours
- ...activities so that it is truly an interdisciplinary process. -Utilizes appropriate benchmarks. -Assembles and prepares data... ..., and the Administration for Children’s Services (Client). -Reviews and monitors admissions and discharges to ensure appropriate clinical...SuggestedHourly payWeekly payContract workWork at officeLocal areaImmediate startShift work
- ...on a panel with medical, behavior, and sheltering leaders to review cases and make weekly pathway planning decisions, including humane... ...exams, diagnostic tests, and medical treatments with full utilization of Fear Free medical handling. Ensure all staff are practicing...Full timeWork experience placementWork at officeLocal areaRelocation packageFlexible hoursShift workWeekend workSundayAfternoon shiftEarly shift
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New York State2 days ago - ...to extract insights from current industry or sector trends. Review your work and that of others for quality, accuracy and relevance... ...quality work - Uphold rigorous standards in deliverables - Utilize firm methodologies and technology resources effectively What...Full timeH1b
- Registered Nurse Clinical Reviewer / IDR - Lake Success, NY (#25203) Minimum of 1-3 years of experience in utilization review/appeals background Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit...Hourly payFull timeContract workPrivate practiceWork at officeFlexible hours
- Registered Nurse Clinical Reviewer / IDR - Healthcare Advocacy with Purpose Location: Lake Success, NY Job ID: #25210 Employment... ...client need. Professional Growth: Deepen your skills in utilization review, appeals, and regulatory analysis within a collaborative...Hourly payFull timeContract workFlexible hours
- ...Job Description Job Description Registered Nurse Clinical Reviewer / IDR – Lake Success, NY Job ID: #25203 Location: Lake Success... ...on performance and client needs. Candidates should have a utilization review or appeals background (1–3 years) and be comfortable...Hourly payFull timeContract workPrivate practice
