Disability Review Specialist - New York

The Clinical Review Specialist (RN) conducts clinical reviews of inpatient medical appeals for medical necessity and quality of care. · Review appeal cases for medical necessity. · Analyze medical records. · Prepare summaries and rationale. · ...

· Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers with worl ...

REPORTS: Director of Utilization Review · DEPARTMENT: Clinical · LOCATION: George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035 · MAJOR FUNCTIONS: · Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid ...

The Disability Review Specialist is responsible for proactively calling, renewing and making coverage recommendations for disability policyholders. · Proactively places outbound calls to existing customers with disability policies within specified timeframe.Maximizes opportunitie ...

Job Description · Role: Specialist - Legal Contracts Review · Location: New York, NY or Edison, NJ. Candidate must work from one of these offices 5 days a week. · Job Description: · The position requires review of Statements of Work, Work Orders, Change Orders, amendment to SOWs, ...

We're looking to hire a trustworthy Global Communications Review Specialist to execute communications reviews for Jane Street globally in our Legal & Compliance team. · This role sits within our Legal & Compliance team and will coordinate with individuals across offices to monito ...

Initio Sphere is a full-service private capital ecosystem where capital meets talent. We serve fund managers, investors, operators and finance professionals across private markets—combining deal flow analytical talent investor relations networking training and job placement into ...

The position requires review of Statements of Work, Work Orders, Change Orders etc. · ...

This role involves reviewing legal contracts for consistency with master service agreements and ensuring compliance with internal approvals. · ...

· About the Position · We're looking to hire a trustworthy Compliance Specialist to execute communications reviews for Jane Street globally. This role sits within our Legal & Compliance team and will coordinate with individuals across offices to monitor our internal electronic c ...

The Integrity Review Specialist works in close coordination with the City Department of Investigations and other enforcement entities. · Oversight and policy in the areas of procurement, due diligence requirements, contractual requirements, prevailing wage and labor law enforceme ...

+Job summary+The New York City Department of Housing Preservation Development (HPD) promotes quality and affordability in the city's housing, and diversity and strength in the city's neighborhoods because every New Yorker deserves a safe, affordable place to live in a neighborhoo ...

· Job Description · Agency Description: · The New York City Department of Housing Preservation Development (HPD) promotes quality and affordability in the city's housing, and diversity and strength in the city's neighborhoods because every New Yorker deserves a safe, affordable ...

The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions. This role ensures timely approvals and continued stay authorizations from insurance payers by effectively communicating clinical information and advocating for ap ...

The Promotional Review Specialist is responsible for managing the Advertising and Promotional Material Review/Approval Process (A&P Review Process) and will be a contributing member of the Communications & Brand Experience team. · ...

To assist in the daily operation of oasis scrubbing and coding. · ...

Fresh Realm is hiring a Document Review Specialist for the Food Safety Quality Assurance team. This individual is responsible for reviewing, verifying, and maintaining production and quality assurance records to ensure compliance with regulatory, customer, and internal requiremen ...

Fresh Realm is hiring a Document Review Specialist for the Food Safety Quality Assurance team. This individual is responsible for reviewing, verifying, and maintaining production and quality assurance records to ensure compliance with regulatory, customer, and internal requiremen ...

This is a job for an Integrity Review Specialist in the Division of Economic Opportunity and Regulatory Compliance. The role involves reviewing the integrity of applicants and ensuring contractors comply with labor and employment obligations. · The Integrity Review Specialist wor ...

The Promotional Review Specialist is responsible for managing the Advertising and Promotional Material Review/Approval Process (A&P Review Process) and will be a contributing member of the Communications & Brand Experience team. · ...