Search Results: 27,798 vacancies
...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...
Suggested
Permanent employment
Full time
Contract work
Temporary work
Local area
Shift work
...documentation, recommends and assigns appropriate level of care. The Reviewer is responsible for obtaining the order for appropriate level... ...and treatment concepts, one year of which has been served in Utilization Review/Quality Assurance; or,
2. Certification as an...
Suggested
Holiday work
Immediate start
Shift work
...YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST... ...Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office of Liens & Trust (OLT) and Supplemental...
Suggested
Permanent employment
Full time
Work experience placement
Monday to Friday
...pollution. DEP is the largest combined municipal water and wastewater utility in the country, with nearly 6,000 employees. DEP's water supply... ...and Accounting, Large Payments and Accounting, Contract Review & Negotiations Unit, and Scope/Specifications Review Unit.
The...
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Contract work
...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...
Suggested
Remote job
...candidates with the talent to deliver outstanding service that anticipates client needs.
Position Details :
Specialist, Legal Staffing & Utilization
Job Description:
This role has a focus on legal resource allocation within the Legal Staffing & Utilization...
Suggested
Full time
Temporary work
Local area
Flexible hours
...Services, with some latitude for 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...
Suggested
Full time
Work experience placement
Shift work
...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...
Suggested
Permanent employment
Full time
For contractors
...be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of... ...Health Information Technician (RHIT), Certified Coding Specialist (CCS), or the American Academy of Professional Coders (AAPC) Certified...
Suggested
Full time
Work experience placement
...PURPOSE:
Under the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying with... ...and coordinates with the Provider/IDT for appropriate utilization of services
* Documents case reviews, associated communications...
Suggested
Flexible hours
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# Job Description
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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Hourly pay
Remote job
...Living Program, Care at Home Program and Homebound Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is...
Suggested
Full time
Contract work
...APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE COMMUNITY RELATIONS SPECIALIST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE... ...Specialist NM-II to function as the Director of Packet Review and Processing who will:
- Be responsible for overseeing the...
Suggested
Permanent employment
Full time
Night shift
Monday to Friday
...RN Utilization Review Specialist- New York
American Consultants is looking for an perm Utilization Review Specialist for a facility in NY. Must have New York RN license
Position Summary : Under the direct supervision of the HIM manager, the UR specialist monitors...
Suggested
Permanent employment
...Job Description
Reviews medical admission record & continued stay for plan of care, appropriateness of timeliness of services... ...generation of providers as well as regulatory agencies, as needed for Utilization Management activities
•Demonstrates the knowledge and skills...
Suggested
Full time
Traineeship
Local area
...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 by...
Relief
Immediate start
...Raul Martinez
HR Rep: Heather Stoveken
SUMMARY
The Utility position is an hourly position, and reports to the Production Shift... ...person authorized to give instructions or assignments.
A review of this position has excluded the marginal functions of the position...
Hourly pay
Contract work
Shift work
Night shift
All shifts
...Job Summary
The Apartment Services Specialist has several important responsibilities.... ...appointments to connect and disconnect utilities for accounts, handling Guest Service requests... ..., and walk.
The employee must review text approximately 20 inches or less (i....
Temporary work
Monday to Friday
...clinical license.**
**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical records... ...Medicare and Medicaid regulations preferred.
Knowledge of utilization management processes preferred.
**License/Certification:**...
Hourly pay
Holiday work
Remote job
Flexible hours
...nursing degree and current RN license in New York State
• Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance
• Experience in acute episodic care, wellness care and counseling of adults
• Proficiency in use...
Permanent employment
Full time
Temporary work
For contractors
Local area
Remote job
Monday to Friday
