Search Results: 36,309 vacancies
...them off together but they also have to understand we need to fill were staff is needed)
Day Shift 0800-1630, (UR positions will be remote)
Need to have UR experience, specifically with InterQual
Possibly will need to work some Holidays if needed.
Backfill for...
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Holiday work
Permanent employment
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Sunday
Day shift
Saturday
...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...
Remote job
...Description
Utilization Review Clinician/Advocate needed for full-time, permanent, remote position.
Position Responsibilities:
•Performs telephonic care review and authorization determinations for prospective, concurrent and discharge review with psychiatric...
Remote job
Permanent employment
Full time
...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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# Job Description
Care Review Clinician (Remote)
Remote: New York, New York, US
Salary: $40.00 Per... ...days, 3 hours left
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~ We are seeking a Remote Utilization Management Nurse to conduct standard/expedited Inpatient,...
Remote job
Hourly pay
...regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, discharge planning functions... ...Center.
c. Ensures that staff have MCG training modules to review as needed.
Growth
Uses MCG Guidelines as a coaching...
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Holiday work
...Experienced Document Review Attorney Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on our...
Remote job
Hourly pay
Flexible hours
...We are seeking a Utilization Review Nurse (LVN/RN) with strong clinical judgment to join our team at a Managed Care Organization in New York... ...referral requests based on established guidelines.
This is remote position only for the New York Tri-State area Responsibilities...
Remote job
Contract work
...Description: Experienced BSA/AML professional within the KYC Periodic Review Operational Control team to perform a high-quality 4-eye review... ...place a hybrid working program, with varying opportunities for remote work depending on the nature of the role, needs of your...
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Full time
Local area
...serves New Castle County and northern Maryland.
Visit us online:
Rockford Center is searching for a talented and patient centric Utilization Review Specialist!
Key Responsibilities include:
+ Completes pre-certs and concurrent reviews as assigned, on appropriate day and...
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Relief
Immediate start
...Business Development Manager - Utility Programs and Services
We are looking for a Business... ....
This position is a US based remote position.
What you will be doing:
Month... ...Participate in activities such as pipeline reviews, forecasting, gate reviews, proposal...
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Contract work
Work experience placement
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...active?
Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you'll be empowered to... ...evaluate the medical necessity of services that do not meet utilization review criteria. Review appeals for denied services related to...
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Part time
Work from home
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Monday to Friday
A Day treatment facility located in Flushing, NY is looking for an Clinical Review Nurses.
Type: Contract
Schedule: M-F 8:30am-5:30pm -1 Hour Break, as well as two 15-minute breaks
Location: Flushing, NY
JOB PURPOSE:
The Clinical Review Nurse is responsible for...
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...As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill review procedures and systems...
Remote job
Flexible hours
...Registered Nurse with UM and Inpatient Review experience. The Care Review Clinician must... ...during our interview process.
Remote position in New York.
Work schedule Monday... ..., Association
Active, unrestricted Utilization Management Certification (CPHM).
To all...
Remote job
Hourly pay
Holiday work
Full time
Work experience placement
Shift work
Weekend work
Monday to Friday
Responsibilities
The Director Utilization and Case Management will be responsible for the strategic direction setting, management, continuous... ...and level of care for patients. This position is empowered to review medical services with evidenced-based criteria that will be...
This job opportunity as a Remote Utility Coordinator with Utility Consulting Partners seems tailored for someone with your skills and experience. You'll be responsible for coordinating essential services remotely, ensuring smooth operations for the company's facilities...
Remote job
Hourly pay
Full time
Work from home
Flexible hours
Monday to Friday
...abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive...
Remote job
Full time
Flexible hours
Are you passionate about making an impact in the utilities sector? Do you thrive in dynamic environments where your expertise in SAP Finance... ...seeking a talented Utilities FICA Consultant to join our team remotely!
Responsibilities:
Collaborate with cross-functional...
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Hourly pay
Full time
Fully remote CPC Coding opportunity!
Charge Review Medical Coder
Position: Charge Review Medical Coder
Location: Fully Remote - Candidates can sit in NY, NJ, CT
Hours: Monday - Friday 8:00am - 4:00pm / 9:00am - 5:00pm
Overview : In this role, the Charge...
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Monday to Friday
