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$95k - $105k
Utilization Review Nurse VillageCare is looking for a self‑motivated and passionate RN for a full‑time, 100% remote position. Location: Must reside within the New York Tri‑State Area (NY, NJ, or CT). From the comfort of your own home, you will be responsible for the...SuggestedFull timeRemote work- Job Summary The Utilization Review Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing medical records, treatment plans, and healthcare services. The role involves collaborating with healthcare providers and an interdisciplinary...SuggestedWork experience placement
$214.24k
Join to apply for the Utilization Review Physician role at Hackensack Meridian Health 5 days ago Be among the first 25 applicants Join to apply for the Utilization Review Physician role at Hackensack Meridian Health Description The Utilization Review Physician collaborates...SuggestedHourly payPermanent employmentFull timeContract workPart timeFor contractorsApprenticeshipWork experience placementLocumInternshipShift workNight shiftWeekend workAfternoon shift- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving...SuggestedWork at officeLocal area
- Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for...SuggestedRemote work
- ...5 applicants Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers... ...and Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental...SuggestedPrice workExtra incomeContract workFor contractorsRemote workFlexible hours
- Overview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers.... ...license and Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
- About Dane Street Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking supplemental...SuggestedExtra incomeFor contractorsRemote workFlexible hours
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack University Medical Center. These include but are not limited to...SuggestedFull time
$26.5 - $47.59 per hour
...Children member's - ages 0-18. Position Purpose Performs a clinical review and assesses care related to mental health and substance abuse... ...Analyzes BH member data to improve quality and appropriate utilization of services Provides education to providers members and their...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hours- A leading managed care organization is seeking a self-motivated RN for a fully remote Utilization Review Nurse position. Responsibilities include assessing member needs, ensuring medical necessity of services, and collaborating with healthcare professionals. Candidates...SuggestedRemote job
- ...knowledge of a variety of imaging equipment including setup, utilization, troubleshooting, and proper care and sanitization of all equipment... ...00 Accountable Care Organizations to Know - Becker's Hospital Review ~ Best Employers for Workers over 50 - AARP ~ Gold-...SuggestedHourly payDaily paidFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours
- Utilization Review Coordinator Per Diem Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services to optimize reimbursement. Coastal...SuggestedDaily paidTemporary workReliefLocal area
- Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our physician panel. We are seeking Board-Certified Orthopedic Spine Surgeons with an active New York medical license...SuggestedExtra incomeContract workFor contractorsRemote workFlexible hours
$103 per hour
PHYSICIAN UTILIZATION REVIEW SPECIALIST PER DIEM - JFK Johnson Rehabilitation Institute Requisition #: 2024-143324. Shift Day. Status: Per Diem. Position Summary Senior Utilization Review Specialist collaborates with the healthcare team to manage and resolve activities...SuggestedHourly payDaily paidShift workNight shiftWeekend workAfternoon shift- ...forms, and all supporting documentation. o Collaborate with review teams to refine and enhance bid packages. 3. Cost Analysis... ...Demonstrate mastery of advanced estimating software and tools, utilizing them to perform precise quantity take-offs and cost calculations...For subcontractor
- ...health and social services, is hiring a Physician, Medical Document Review. This pivotal role focuses on reviewing clinical assessments... ...policies and procedures that uphold program standards. Utilize software systems such as SEAMS, EPIC, PSYCKES, Bronx RHIO, and...Work at officeRemote work2 days per week1 day per week
TAL Healthcare
New York, NY27 days ago - ...tasked with commissioning and qualifying new equipment facilities, utilities and maintaining equipment systems in a qualified / validated... .... Provides excellent customer service and support: Regularly reviews, prioritizes and promptly responds to customer equipment qualification...Work at officeImmediate start
- ...Help us build the next world-class venue.**What you’ll do:*** **Review Project Documents:** + Examine blueprints, specifications, and... ...Responsible Manufacturing - Protecting Our Planet for the Future*** We utilize renewable energy and a closed loop recycled water process.* We...Contract workFor subcontractorWork at officeLocal areaWorldwideFlexible hours
- ...and Abilities: Working experience of deviation investigations utilizing root cause analysis tools. Working experience in the CAPA process... ...new investigations team members. Serve as author or technical reviewer of departmental procedures as appropriate. Support...Work experience placement
- ...and Abilities: Working experience of deviation investigations utilizing root cause analysis tools. Working experience in the CAPA process... ...problems with minimal guidance. Serve as author or technical reviewer of departmental procedures as appropriate. Employ lean...Work experience placementWork at officeWeekend work
$55 per hour
...and regulatory guidelines. The incumbent will perform periodic reviews of equipment, policies and procedures, gap analysis where required... ...Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRA FORCE is built on a concept of “human...Permanent employmentFull timeWork at officeLocal areaFlexible hours- ...the Long Term Services and Supports (LTSS) Supervisor, the LTSS Reviewer is responsible for completing care and service needs reviews.... ...date that the request was received, nature of the request, utilization determination (and events leading up to the determination). Verifies...Remote workFlexible hours
$100k - $185k
...support of business growth. Responsibilities: Calculate and review monthly estimate and final Fund NAV’s, analyze NAV reconciliations... ...Compliance, and Regulatory Reporting Process investor payments Utilize technology and outsourced solutions to enhance efficiencies and...16 hoursFull timeWork at officeLocal areaFlexible hours- ...environment Full-time contract position for 12 months Chance to utilize advanced technology like Onit, PowerBI, and Tableau... ...Management (ELM) and eBilling activities Assist in the timekeeper review and approval process in Onit Manage matter budget processes within...Full timeContract workWork experience placementImmediate start
- ...business requirements and communicate plans with stakeholders for review and approval. Translate business requirements into business-... ...issues have been resolved. Implement SAP S4/Hana system solutions utilizing the system development lifecycle and project management...Contract work
- ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert physicians. We are currently seeking Board-Certified Occupational Medicine Physicians with an active...Extra incomeContract workRemote workFlexible hours
$15 per hour
...have or would use AI for. \n Use the tool of rubrics to address user needs in a structured way. \n Evaluate AI outputs by reviewing and ranking reasoning and problem-solving responses from large language models. \n Contribute across projects depending on...Remote jobWeekly payFreelanceWork from homeFlexible hoursOutlier AI
New York, NY3 days ago$29 - $38.75 per hour
...administering medication and treatments in a safe organized manner. + Review, read, notate, and initial the electronic health record to... ...). + Ensure that medications are passed according to times utilizing a mobile medication cart. + Document and initial as medications...Part timeWork at officeLocal areaImmediate startShift work- ...be anywhere near a Client location within NJ. Any site can be utilized and 50% on-site requirement. Top Skills: Advanced SQL skills (5... ...integrity and clean data principles. Responsible for leading team code review and improving team programming practices. Independently...
