Average salary: $129,166 /yearly
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...Clinical Operations Medical Director
Utilization Management of Medical Oncology Benefits
Carelon Benefits Management
$20,000 Sign... ...providers.
Job Summary:
Perform physician-level case review, following initial nurse review, of Medical Oncology regimens...
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Work experience placement
Local area
Remote job
Work from home
Relocation bonus
...Job Description
Job Description POSITION OVERVIEW:
The Utilization Manager is responsible for the day to day functions of collaborative... ...at pre-admission through discharge, ongoing medical necessity reviews and interdisciplinary team support with respect to MCO...
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...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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Immediate start
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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
...Innova Solutions is immediately hiring for a Clinical - Rheumatology Review Group Eligibility Liaison
Title: Clinical - Rheumatology Review Group Eligibility Liaison Location: Madison, NJ(Hybrid)
Duration: 12 Months
Pay Range*: $49- $50 per hour...
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Worldwide
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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... ...more of the following engineering areas: development, design review, and construction inspection. Performs mathematical...
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Full time
...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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Permanent employment
Full time
For contractors
...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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...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
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Monday to Friday
...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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...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...
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Night shift
All shifts
...motivated and proud of the work you do? Here at Aramark, we take pride in the level of service and safety we provide! As a General Utility Worker on our team of other service stars, you'll take on the important task of maintaining the cleanliness of dishes, equipment, and...
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Hourly pay
Flexible hours
Afternoon shift
...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...
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Full time
Contract work
...regulatory requirements.
OQA&FI is recruiting for (2) two Principal Administrative Associate II to function as a Quality Control Case Reviewers, who will:
- Review POS, HRA One Viewer of imaged/scanned documents, Welfare Management System (WMS) data and other pertinent...
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Permanent employment
Full time
Local area
...needed to discuss lien re-payment.
OLR/OLT is recruiting for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer, who will:
- Conduct medical reviews and analyses claims to calculate injury related Medicaid liens pursuant to SSL-104b on...
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Full time
Monday to Friday
...Business Development Manager - Utility Programs and Services
We are looking for a Business Development (BD) Manager to join our Utility... ...for the pursuit.
Participate in activities such as pipeline reviews, forecasting, gate reviews, proposal reviews, etc.
Serve as...
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Contract work
Work experience placement
Shift work
...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 (OCS) is seeking (1) Eligibility...
Full time
Work experience placement
Shift work
...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
...Job Description
Wage/Salary: $20 to $24 per hour
Position Summary:
The Quality Reviewer provides free, quality tax return review for eligible taxpayers. Using IRS approved software (Tax slayer), along with the information provided by the client, and by asking...
Hourly pay
Local area
Flexible hours
...Description
APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE.
The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with Agency policy and changes under welfare reform. This is...
Permanent employment
Full time
Monday to Friday
