Search Results: 35,367 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 administration...
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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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Holiday work
Remote job
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Weekend work
Sunday
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Saturday
...Job Description
Job Description RN- Utilization Review Nurse
LTSS/DME
*Full Time 100% Remote Opportunity*
COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE!
VillageCare is looking for a self-motivated and passionate RN as Utilization Review...
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Holiday work
Full time
Local area
Remote job
...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...
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Holiday work
Immediate start
Shift work
...Job Title: Healthcare - Care Review Clinician I
Location: Remote (Must possess NY Nursing License)
Duration: 6 Months... ...Nurse -LPN NY & NY RN
Summary:
Works with the Utilization Management team primarily responsible for inpatient medical necessity...
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Immediate start
Remote job
...Surround yourself with people who care about making a difference – come join us!
We have an exciting opportunity for a Utilization Review Nurse to work in Ramapo Ridge Behavioral Health (RRBH). The Utilization Review Nurse promotes effective utilization and monitoring...
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Holiday work
Full time
Monday to Friday
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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Contract work
For contractors
...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
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...
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...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
...Job Title: Rheumatology Review Group Eligibility Liaison
Job ID: 24-02297
Location: Madison, NJ, 07940
Duration: 12 Months contract on W2
Job Description:
Job Title Rheumatology Review Group (RRG) Eligibility Liaison Division R&D / Global Drug...
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Flexible hours
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...admitted attorneys, who desire an engaging work environment where they are valued and respected. We have an ongoing need for document reviewers.
Document Reviewers will review documents for complex litigation matters using an electronic review platform to code for...
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Hourly pay
Temporary work
Remote job
Work from home
Home office
Flexible hours
Monday to Thursday
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 the hospital...
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Permanent employment
...pollution. DEP is the largest combined municipal water and wastewater utility in the country, with nearly 6,000 employees. DEP's water supply... ...under-construction best management practices (BMP) projects, reviewing, and managing designs, modeling, and designing new Bluebelt...
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Internship
Summer internship
Rotational program
...Enter Job Description...
Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge of HEDIS, QARR and Star specifications
Distribute requests for records and schedules appointments with provider offices to ensure timely completion...
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...engineering firm located in Elmwood Park, New Jersey is seeking a Senior Utility Engineer to join our team. As a Senior Utility Engineer, you... ...utility relocation conflicts on infrastructure projects.
Review and provide feedback on Utility Owner design submittals....
Holiday work
Contract work
Temporary work
Relocation
...developing medical and mental health policies, programs, and
initiatives that support best case practice agency wide.
The Medical Review Authorization and Monitoring Unit (MRAM) reviews foster care medical
records and ensures compliance with the established health standards...
...research and support using online tools
What you’ll do:
Utilize defined practices, procedures, and company policies to provide... ...organizing, and entering data in federal and state tax returns for review
Schedule customer meetings and follow-up when needed,...
Beecher's Handmade Cheese
Newark Liberty International Airport
3 Brewster Rd
Newark, NJ 07114
Dish and utility
Role Purpose
To ensure that Jackmont's restaurants are clean and presentable to provide a quality guest experience.
Key Responsibilities & Accountabilities...
...credit professional who is familiar with a variety of credit products and willing to learn new ones?
We are looking for a Credit Risk Review (CRR) Director to:
• Assist in the planning, execution, and reporting of credit reviews across UBS' Combined U.S. Operations (CUSO...
Part time
Work experience placement
Work from home
Work visa
Work alone
Flexible hours