Average salary: $98,392 /yearly
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...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
Description
Virtual Utilizatio Review Advocate needed for permanent, full-time position.
Position Requirements
Requires LSW or LCSW and a minimum 2 years Utilization Review experience required.
This position is currently accepting applications.
Suggested
Permanent employment
Full time
Remote job
...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...
Suggested
Permanent employment
Full time
Remote job
...requirements. The role integrates and coordinates utilization management, care coordination, discharge... ...Bachelor's degree in nursing (BSN).
RN with 4 years case management experience... ...that staff have MCG training modules to review as needed.
Growth
Uses MCG...
Suggested
Holiday work
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
Full time
Remote job
Shift work
Weekend work
Sunday
Day shift
Saturday
...serves New 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...
Suggested
Relief
Immediate start
...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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Remote job
We are looking for a Technical Reviewer on a New York project that has a minimum of (1) years prior experience in the construction and/or utility industry. This will be an administrative position.
Requirements
Requirements include but are not limited to:
Have...
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For contractors
New York State RN License required.
Epic Chart review Joint Commission triennial Survey experience Medical terminology required.
Suggested
...The Senior Utilization Review 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 to utilization review...
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Contract work
For contractors
...Job Description
Job Description 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...
Suggested
Permanent employment
...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
...Job Title: Healthcare - Care Review Clinician I
Location: Remote ( Must possess NY... ...licensed in NY State
Will now accept RN's!
Reason for Job Request: 1... ...Summary:
Works with the Utilization Management team primarily responsible for...
Suggested
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...
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Full time
Contract 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 (2) Eligibility...
Suggested
Full time
Work experience placement
...OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs!
Tuition Reimbursement for all... ...Loan Forgiveness Program (PSLF)
Responsibilities:
Quality Review Auditor (QRA) is responsible for ongoing audits of the care management...
Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...responsible for scheduling and organizing Headquarters, and coordinating Review Sessions and Public Meetings, to ensure that the Chairman and... ...stakeholders on archiving and publishing of reports; and
- Utilize the internal database, Zoning Application Portal, for archiving...
Full time
...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
...Performs medical necessity and clinical reviews of authorization requests to determine medical... ...and/or interdepartmental teams on utilization processes to promote high quality and cost... ...Practical Nurse - State Licensure required
+ RN - Registered Nurse licensure preferred...
Hourly pay
Holiday work
Remote job
Flexible hours
Exciting Opportunity for experienced RN Utilization Management Leaders! As a Full Time Director of Utilization Management at VillageCare, you... ...at VillageCare, you can expect to oversee the utilization review process, collaborate with interdisciplinary teams to optimize...
Holiday work
Full time
Remote job
Monday to Friday
