Clinical Review RN, Medicaid - 249588 - Jericho

This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. · Conduct utilization reviews up to and including the appeal level. · Act as a resource for administrative staff in training and problem solving. · ...

Medicaid Cost Outlier Clinical Reviewer, RN · Location: Onsite · Address: Jericho, NY · Schedule: Monday–Friday, 8:00 AM–5:00 PM · Pay Rate: $43/hour · Employment Type: Contract with possibility of hire · Position Overview · The Clinical Reviewer (RN) is responsible for completin ...

We're looking for a Coder to join the Cost Outlier Review team.They are working with NY Medicaid to review high cost claims (people that have been in the hospital for a long time) and may be up to multimillion dollar claims. · ...

The Clinical Reviewer (RN) is responsible for completing the full spectrum of activities related to utilization and quality reviews.This individual will leverage clinical expertise to conduct detailed reviews, support Medical Review Analysts and Physician Consultants, and ensure ...

+ Clinical Review RN (Medicaid Cost Outlier) · + Conduct utilization reviews up to and including the appeal level. · Conduct quality and clinical study data collection reviews. · Act as a resource for administrative staff in training, problem solving and clarifying procedures. · ...

We are seeking an experienced Clinical Review RN to complete utilization and quality reviews. The ideal candidate will have acute care/medical surgical experience and be licensed as a Registered Professional Nurse in New York State. · Conduct utilization reviews up to and includi ...

Hello Job Seekers, · Hope you are doing well. · I am Mohit Saini from Pride health and hiring for the below mentioned roles, Please let me know if you are available or looking for a job change. Please refer your friends/colleague if you are not looking for this opportunity. · Job ...

+Provides supportive counseling and ADL training to people with psychiatric disabilities in residential programs. · +Educational Requirements: High School Diploma, Bachelor's Degree Preferred · +Provide counseling, behavioral interventions, restorative services and crisis managem ...

Hello Job Seekers, · Hope you are doing well. · I am Mohit Saini from Pride health and hiring for the below mentioned roles, Please let me know if you are available or looking for a job change. Please refer your friends/colleague if you are not looking for this opportunity. · Job ...

We are seeking a full-time Associate Attorney who is motivated, detail-oriented, · and interested in building a long-term practice in Wills, Trusts, · Estates, and Real Estate transactions.A newly admitted attorney looking for hands-on training, · An attorney with 1–3 years of ex ...

· Primary Care Physician · Compensation: $208K-$223K pr/yr · Job Type: Full Time, Monday - Friday. Day shift. Time split between 2 locations. · Our client a well established FQHC in Nassau County, NY is seeking a dedicated and skilled Primary Care Physician to add to there team ...

Hello Job Seekers, · Hope you are doing well. · I am Mohit Saini from · Pride health · and hiring for the below mentioned roles, Please let me know if you are available or looking for a job change. Please refer your friends/colleague if you are not looking for this opportunity. · ...

JOB DEFINITION: · The Care Coordinator works with the CN Guidance Critical Time Intervention Team to deliver services within an evidence-based model that is time limited, phase-based care management approach focused on enhancing continuity of care during transitional times. Care ...

We are looking for an Associate Attorney who wants meaningful responsibility, real mentorship and a long-term home where their work truly matters. · This position is ideal for: · A newly admitted attorney seeking hands-on experience and direct training or · An attorney with 1–3 y ...

Provides supportive counseling, ADL training, crisis intervention and restorative services to people with psychiatric disabilities in residential programs in compliance with relevant regulations. · ...

The Primary Care Physician provides direct primary medical care to children and adult patients. · ...

Overview · The Director of Risk Management & Quality Assurance oversees the daily clinical operations and coordinates all services at the federally qualified health center to ensure continuous quality improvement while remaining compliant with all state and federal regulations. R ...

We are NuHealth We want to make culturally sensitive health care more affordable and more accessible here on Long Island. Located in East Meadow, Nassau University Medical Center is the only public safety net hospital and community health care center in Nassau County. · We are se ...

Job DetailsJob Location: HeadQuarters - Plainview, NY 11803Salary Range: $80, $80,000.00 Salary/yearThe Director of Self-Directed Services will report to the Executive Director. The Director of Self-Directed Services will be responsible for the oversight of the Self-Direction Pro ...

As a Care Design New York Care Manager you will help people with intellectual and/or development disabilities identify and realize their long-term and short-term goals by developing implementing and monitoring their person-centered Life Plans. · ...