Search Results: 35,089 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...
Suggested
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...
Suggested
Holiday work
Remote job
Shift work
Weekend work
Sunday
Day shift
Saturday
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 and substance...
Suggested
Permanent employment
Full time
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...
Suggested
Holiday work
Immediate start
Shift work
...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...
Suggested
Holiday work
Full time
Local area
Remote job
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...
Suggested
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...
Suggested
Holiday work
...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
...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...
Suggested
Full time
Work experience placement
Shift work
...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
...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...
Suggested
Hourly pay
Temporary work
Remote job
Work from home
Home office
Flexible hours
Monday to Thursday
...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
...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...
Suggested
Full time
...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...
Suggested
Description:
Client facing position within Brokerage’s Institutional Equity Division (IED) for a documentation specialist, responsible for handling all relationship level trading agreements, including, but not limited to equity derivatives, prime brokerage, stock loan,...
Suggested
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...
Permanent employment
...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
...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
...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...
Responsibilities
Peraton seeks a Red Team Cybersecurity Reviewer to provide information assurance expertise in the conduct of DODIN cybersecurity... ...assigned above using SRGs, STIGs, or best practices utilizing the most appropriate certified technology area
Current DOD 81...
Local area
Remote job
Worldwide
