Utilization Management Reviewer, RN - Rochester

This position coordinates integrates and monitors utilization of physical health medical healthcare services for members ensuring compliance with internal external standards set by regulatory accreditation entities Refers appropriate cases to Medical Director for review Refer to ...

Larimer Law is seeking a highly motivated and experienced Document Review Project Manager Attorney with experience managing eDiscovery projects to join our team of discovery professionals. · ...

We are seeking a highly motivated and experienced Document Review Project Manager Attorney with experience managing eDiscovery projects to join our team of discovery professionals. · ...

We are seeking Board-Certified Pain Management Physicians with an active Mississippi medical license to perform independent medical reviews on a fully remote flexible schedule. · ...

The Care Management Coordinator primary responsibility is to evaluate a member's clinical condition through the review of medical records (including medical history and treatment records) to determine the medical necessity for patient's services based on advanced knowledge and in ...

++The Quality Management Specialist works with the Quality Management Department to provide the highest achievable quality of services to the individuals we serve. · ,+The Quality Management Department defines best practices, · identifies strengths in service delivery and provide ...

The Quality Management Specialist works with the Quality Management Department to provide the highest achievable quality of services to the individuals we serve. · Implementing the Quality Management Plan within the agency. · Incident Management to include the review of incident ...

The Care Management Coordinator primary responsibility is to evaluate a member's clinical condition through the review of medical records (including medical history and treatment records) to determine the medical necessity for patient's services based on advanced knowledge and in ...

The Client Service Specialist is responsible for working collaboratively with other members of the Account Management team to ensure team is equipped to support and consult clients on their employee benefits programs. · Field and manage client, employee, and carrier inquiries. · ...

The Client Service Specialist is responsible for working collaboratively with other members of the Account Management team to ensure team is equipped to support and consult clients on their employee benefits programs. · Field and manage client, employee, and carrier inquiries. · ...

Essex Center for Rehabilitation and Healthcareis a 100-bed rehabilitation and skilled nursing facility located in Elizabethtown, New York. · ...

+As a Health Information Management Technician 2 at Rochester Psychiatric Center, you will work under the direction of a Health Information Management Administrator to supervise Health Information Management Technicians 1 and clerical support staff engaged in health information m ...

+Job summary · We are seeking a highly organized and detail-oriented Automotive Office Manager to join our team.+ResponsibilitiesEnsure compliance with dealership policies and procedures to maintain operational efficiency. · Demonstrate strong organizational skills to effectively ...

The University of Rochester School of Nursing is seeking knowledgeable and detail-oriented individuals to serve as Admissions Application Reviewers for our Prelicensure Nursing Programs. The reviewer will play a key role in the School of Nursing's holistic admissions review proce ...

Regional Managers are responsible to monitor and pro-actively implement fiscal responsibility for each asset under their supervision. · Develop strategic long-term asset plans. · Owning the execution of said plans. · ...

+Job summaryThe Pharmacy Prior Authorization Technician performs functions as permitted by law including the initial level processing and review of prior authorization requests for both pharmacy reviews and medical specialty drug reviews. · Conducts an initial level medication pr ...

The Associate Director of District will assist with the organization and management of all CSE processes, · scheduling of district held meetings, annual reviews, ...

The Fort Washington Men's Shelter is a 200-bed temporary shelter which Project Renewal manages under a contract with the Department of Homeless Services and the Department of Health and Mental Hygiene. · ...

The Credit Analyst II is primarily responsible for underwriting routine to complex commercial loan requests in the Commercial & Industrial (C&I) and Commercial Real Estate (CRE) areas. · This includes analyzing financial information and preparing the credit analyses, ensuring tha ...

The Store Supervisor ensures the shop meets customer service, inventory management, and paperwork expectations while supervising store personnel. · The position requires providing quality customer service, performing data entry tasks, managing inventory, and supervising store per ...