Utilization Review Jobs in New York
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Search Results - Utilization Review Jobs in New York
Dane Street-New York
Board Certification to conduct Utilization Reviews.
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests...
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Provider Resources, LLC-New York
Matter Expert (SME) in your clinical area of expertise
• Maintain compliance with all regulation changes as they impact medical and utilization review practices
• Document all review information as instructed
• Communicate report results...
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Dane Street-New York
and Workers' Compensation Board Certification to conduct Utilization Reviews.
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity...
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Provider Resources, LLC-New York
Matter Expert (SME) in your clinical area of expertise
• Maintain compliance with all regulation changes as they impact medical and utilization review practices
• Document all review information as instructed
• Communicate report results...
Read more
Dane Street-New York
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...
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Provider Resources, LLC-New York
Matter Expert (SME) in your clinical area of expertise
• Maintain compliance with all regulation changes as they impact medical and utilization review practices
• Document all review information as instructed
• Communicate report results...
Read more
Provider Resources-New York
SME) in your clinical area of expertise
• Maintain compliance with all regulation changes as they impact medical and utilization review practices
• Document all review information as instructed
• Communicate report results to the appropriate supervisor...
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RCM Healthcare Services-New York
medically fragile children across New York. The Care Manager (RN) plays a key role in reviewing Plans of Care, conducting utilization review for HCBS services, and coordinating inpatient, homecare, medication, and DME needs.
You’ll work closely with Health...
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Provider Resources-New York
SME) in your clinical area of expertise
• Maintain compliance with all regulation changes as they impact medical and utilization review practices
• Document all review information as instructed
• Communicate report results to the appropriate supervisor...
Read more
Dane Street, LLC-New York
These are advisory-only opinions.
• Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services...
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appcast.io -
Greenlife Healthcare Staffing-New York
Minimum of 2 years of experience in utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR
• 3 years of clinical or administrative experience; OR
• A Bachelor’s degree in Nursing and 2 years...
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workable.com -
VNS Health-New York
care plans. Facilitates periodic case record reviews and case conferences with all providers serving the clients/members
• Provides information and assistance through advocacy and education to clients/members and family on availability and eligibility...
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New York
Overview:
The Per Diem Pharmacist appropriately dispenses prescribed drugs, handles incoming physician calls, logs data into the computer, performs Rx workflow processing, and conducts drug utilization reviews.
This is a per diem position located...
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avitapharmacy.com -
New York
meetings, utilization review and discharge planning meetings to determine if client/member requires an alternate level of care or is appropriate for discharge
• Participates in 24/7 on-call coverage schedule and performs on-call duties, as required...
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vnshealth.org -
New York
clients.
• Participation in committees responsible for quality assurance, incident management and utilization review.
• Oversee EHR and clinic procedure training of new staff.
• Responsible for Incident Report submission.
• Provide direct care services...
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icims.com -
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