Medical Reviewer

Title: Medical ReviewerLocation: Remote | Based in NYPay: $95-99/hrContract: 12+ months Must have practiced medicine in the US for 3+ years, license can be from outside of US but must be able to and must have practiced in US.Job ResponsibilitiesWorks with study team to ensure high quality of data is maintained by assisting with data review (per data review...

Title: Medical ReviewerLocation: 66 HUDSON BLVD EAST, NY, NY, 10001Hours: M-F 8-5 Pay Range: $30-$40Must Haves:• BA/BS in nursing degree and current RN license in New York State • Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance • Experience in acute episodic care, wellness care and...

Elmhurst Hospital Center (EHC) is the major tertiary care provider in the borough of Queens. The hospital is comprised of 545 beds and is a Level I Trauma Center, an Emergency Heart Care Station and a 911 Receiving Hospital. It is the premiere health care organization for key areas such as Surgery, Cardiology, Women's Health, Pediatrics, Rehabilitation...

A Medical and Health Care Admissions Reviewer on The Princeton Review's Medical Admissions Counseling (MAC) team is a professional editor and writer who crafts material for others, taking a student's vision, story or idea and creating a polished, publication-quality product that the student can submit to application committees. Prior experience with Medical...

Review and sign off on proposed pharmacist denials for preservice outpatient medication requests. Conduct coverage review on medical cases and render coverage determinations. Use clinical knowledge in the application and interpretation of medical and.. by Jobble

Who We AreRo is a direct-to-patient healthcare company with a mission of helping as many patients as possible achieve their health goals. Ro is the only company to offer telehealth care, at-home diagnostic testing, labs, and pharmacy services nationwide. This is enabled by Ro's vertically integrated platform that helps patients achieve their goals through a...

About Alaffia & Our MissionEach year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we're on a mission to change that. We've assembled a team of clinicians, AI/ML engineers, and product experts to build advanced AI that finally bends the cost curve for all...

About Alaffia & Our Mission Each year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we're on a mission to change that. We've assembled a team of clinicians, AI/ML engineers, and product experts to build advanced AI that finally bends the cost curve for all...

About Alaffia & Our MissionEach year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we’re on a mission to change that. We’ve assembled a team of clinicians, AI/ML engineers, and product experts to build advanced AI that finally bends the cost curve for all...

Woodhull Medical and Mental Health Center is attuned to the healthcare issues that matter to the people of North Brooklyn. Woodhull focuses on preventing disease and promoting healthy lifestyles by reaching out to the community at various locations.At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception....

Americare CSS is a 5 star home health care leader, with locations in Queens, Brooklyn, Bronx, Manhattan and Westchester Counties. We offer a nurturing work environment, a salary you deserve, and plenty of room for growth! - At Americare, we value and care about our staff. Americare’s quality of service begins with the superior qualifications of each member...

Position Details: Our client, a world-leading Pharmaceutical Company in New York, NY is currently looking for a Registered Nurse (New York Active RN License) to join their expanding team. Job Title: Registered Nurse (New York Active RN License) / Occupational Health & Wellness Duration: 12 months contract, extendable up to 36 months ...

About Alaffia & Our Mission Each year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we're on a mission to change that. We've assembled a team of clinicians, AI/ML engineers, and product experts to build advanced AI that finally bends the cost curve for all...

Job DescriptionJob DescriptionWe are seeking a Chart Review - FMG to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients.Responsibilities:Administer nursing care to ill, injured, or disabled patientsDiagnose and establish patient treatment plansMonitor and report changes in patient symptoms or...

Job DescriptionJob DescriptionWe are seeking a Chart Review - FMG to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients.Responsibilities:Administer nursing care to ill, injured, or disabled patientsDiagnose and establish patient treatment plansMonitor and report changes in patient symptoms or...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must have a New York State clinical license. Position Purpose: Performs...

Job DescriptionJob DescriptionPosition SummaryAt MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews.Under the direction of the Coding Department leaders, the Level 1 DRG Reviewer...

Job description Our purpose - Opening up a world of opportunity - explains why we exist. Here at HSBC we use our unique expertise, capabilities, breadth and perspectives to open up new kinds of opportunity for our more than 40 million customers. We're bringing together the people, ideas and capital that nurture progress and growth, helping to create a...

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 and substance use treatment facilities as assigned. • Determines appropriate level of care...

Job DescriptionJob DescriptionRN Utilization Review Specialist- New YorkAmerican Consultants is looking for an perm Utilization Review Specialist for a facility in NY. Must have New York RN licensePosition Summary: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management and quality of care for...