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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...
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...Clinical Operations Medical Director
Utilization Management of Medical Oncology Benefits
Carelon Benefits Management... ...decisions to members and providers.
Job Summary:
Perform physician-level case review, following initial nurse review, of Medical Oncology...
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Work from home
Relocation bonus
...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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Full time
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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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...Job Description
The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program... ....
Works closely with the Nursing Clinical Director, Physician Leader, and staff to ensure that assigned department/unit...
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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...
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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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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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...Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift :... ...reviews for diagnostic imaging services by utilizing appropriate policies, clinical and... ...health plan network.
* Notifies ordering physician or rendering service provider office of...
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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...
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...Case Record Reviewer
Job Details
Level
Experienced
Job Location
1 PIERREPONT PLAZA SUITE 901 - BROOKLYN, NY
Position Type
Part Time
Education Level
4 Year Degree
Salary Range
$30.00 - $37.00 Hourly
Case Record Reviewer
Case Record...
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...Job Title: Document Review Specialist
Duration: 8 Months
Location: 1585 Broadway, New York, NY
Description:
Client facing position within Brokerage s Institutional Equity Division (IED) for a documentation specialist, responsible for handling all relationship...
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...for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organizations outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare...
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...are qualified employers under the Federal Governments Paid Student Loan Forgiveness Program (PSLF)
Responsibilities:
Quality Review Auditor (QRA) is responsible for ongoing audits of the care management staff, quality assurance, accuracy and overall integrity of...
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Part time
Relocation bonus
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About Client:
Client is a global financial services firm that provides a wide range of investment banking, securities, wealth management, and investment management services. It is a prominent global financial services firm with a rich history and a strong presence in...
...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,...
Bank staff
Flexible hours
3 days per week
...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
...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
