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Job Description Registered Nurse / Wound Care (Tier 3) / VA Reviewer - Remote (#25276) • Location: Remote, • Employment Type: Contract (Case-based), • Hourly Rate: Per Case Compensation (See details below) About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: We are seeking a highly qualified and experienced Wound Care Registered Nurse to provide expert medical reviews for the Veterans Administration. This is a remote, case-based role where you will leverage your clinical expertise to conduct objective reviews of wound care cases, contributing to quality improvement and patient safety initiatives. This is an excellent opportunity for a practicing professional to earn supplemental income with a flexible schedule. Why Join Us? • Competitive Compensation:, • VA per Case Rates (subject to change per contract year), • A one-time flat rate of $150 will be paid upon obtaining the VA PIV card., • Reviewer time is not compensated for training., • Cases are compensated at a flat rate per case and per case type., • Audits FRRs (Facility Requested Reviews) - $95 / case, • MAOs (Medical Advisory Opinions) - $225 / case, • Work Schedule: Maximum flexibility. Work remotely and manage your caseload around your clinical schedule., • Professional Growth: Gain valuable experience in medical legal review and contribute to national healthcare quality standards., • Impactful Work: Play a critical role in improving healthcare outcomes for veterans. All reviews are protected, and reviewers are not required to testify in court. Qualifications: • Education: Graduate of an accredited nursing program., • Licensure: Must hold a current, non-restricted RN license in a U.S. state or territory., • Experience: Minimum of 5 years of active clinical practice in wound care and 2 years of recent experience in the specialty. Must be actively practicing with hospital privileges and working a minimum of 20 clinical hours per month onsite., • Technical Skills: Must be board-certified and hold an active RN wound care certificate., • Soft Skills: Exceptional analytical, critical thinking, and attention to detail. Ability to work independently and provide objective, well-reasoned written opinions. Key Responsibilities: • Audits/ Facility Requested:, • Quality Management Reviews, • Standardized set of questions, • Was the standard of care timely and appropriate?, • approx 1 hr. to complete, • Management Other Cases:, • non-standardized set of questions, • cases can be initiated for any number of performance improvement indicators, • approx. 1 hr. to complete, • Medical Advisory Opinions:, • non-standardized set of questions by attorneys, • typically initiated by patient complaints and malpractice concerns, • approx. 2–4 4 hrs. to complete, • All VA case reviews are protected, and reviewers will not be asked to present in court. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Job Description The Behavioral Health Physician UM Reviewer is responsible for conducting clinical reviews of behavioral health services to ensure medical necessity, appropriateness of care, and compliance with regulatory standards. This role collaborates closely with care management teams, providers, and payers to support effective utilization of behavioral health services and to promote high-quality, cost-effective treatment for members. We are currently seeking someone with licensure in New York. Key Responsibilities: * Review and evaluate behavioral health service requests for medical necessity based on evidence-based criteria (e.g., MCG, InterQual, ASAM). * Collaborate with clinical and non-clinical team members to support integrated care management. * Make determinations on service authorizations, denials, or the need for peer-to-peer discussions in alignment with organizational policies. * Participate in case conferences and interdepartmental rounds to support ongoing utilization management initiatives. * Ensure compliance with NCQA, URAC, CMS, and state/federal guidelines. * Provide clinical guidance and feedback to utilization review staff and care coordination teams. * Maintain documentation of all reviews and decisions in appropriate systems within required timeframes. * Support quality improvement initiatives and clinical policy development as needed. * Participate in audits and appeal processes related to utilization of review decisions. Qualifications: * MD or DO with current, unrestricted license to practice medicine in New York. * Board certification in Psychiatry or Child and Adolescent Psychiatry (required). * Minimum 5 years of clinical experience in behavioral health settings. * At least 2 years of experience in utilization management, care review, or health plan operations (preferred). * Familiarity with utilization review criteria, regulatory standards, and managed care principles. * Strong decision-making, analytical, and interpersonal communication skills. * Proficiency in EMR and UM platforms (e.g., Jiva or similar systems). Preferred Skills: * Experience with Medicaid, Medicare, or commercial insurance utilization review. * Knowledge of behavioral health treatment modalities including inpatient, outpatient, and substance use care. * Ability to work independently and as part of a multidisciplinary team. * Strong organizational and time management abilities.

About Atrium: What you do matters. As a people-centric organization, we foster an environment of collaboration, high performance, and innovation where your talents are valued and your achievements are celebrated. Join us and become part of an inclusive team. Client Overview: Our client is a pharmaceutical contract development and manufacturing organization (CDMO) that helps other companies develop and manufacture drugs on a contract basis, focused on oral solid dosage products & ingestible powder products. They are seeking a QC Data Reviewer to ensure data accuracy, integrity, and compliance within the Quality Control (QC) laboratory. Salary/Hourly Rate: $38/hr - $43/hr (Temp) $80k - $90k (Perm) Position Overview: The QC Data Reviewer will be responsible for conducting detailed, accurate, and timely reviews of analytical and microbiological data produced within the QC laboratory. This role plays a critical part in maintaining compliance with current Good Manufacturing Practices (cGMP), internal SOPs, and applicable regulatory standards. The QC Data Reviewer acts as a key quality gatekeeper-verifying that all data, documentation, and results are complete, consistent, and compliant before approval or release. This position requires strong attention to detail, technical expertise in laboratory systems, and a commitment to upholding the highest standards of data integrity. Responsibilities of the QC Data Reviewer: • Review analytical and microbiological data, chromatograms, and calculations for accuracy and compliance with SOPs, cGMP, and regulatory guidelines., • Verify that test results meet specifications and follow ALCOA+ data integrity principles., • Ensure completeness and accuracy of raw data, worksheets, and results before final approval., • Review instrument outputs and system suitability results (e.g., HPLC, GC, FTIR, UV, KF)., • Identify and report discrepancies, deviations, or data integrity concerns to management., • Support timely batch release by completing reviews within required timelines., • Collaborate with lab staff and QA to clarify data and resolve documentation issues., • Participate in investigations and CAPAs related to lab data or testing., • Assist with continuous improvement of data review processes and compliance practices. Required Experience/Skills for the QC Data Reviewer:, • Minimum 10 - 15 years of experience in a cGMP-regulated pharmaceutical environment., • Strong understanding of Good Documentation Practices (GDP) and data integrity principles., • Familiarity with laboratory instrumentation and methods (HPLC, GC, KF, UV, FTIR, Dissolution, etc.). Preferred Experience/Skills for the QC Data Reviewer:, • Strong preference for candidates with prior QC and QA data review experience. Education Requirements:, • Bachelor's degree in Chemistry, Biology, Pharmaceutical Sciences, or a related scientific discipline. Benefits:, • Benefits include Medical, Dental, and Vision coverage. By applying to this job, you agree to receive calls, AI-generated calls, text messages, and/or emails from Atrium and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to opt out on any message you receive. For more details, please review our Terms of Use and Privacy Policy . As a woman-owned firm, we value diversity. We are an equal opportunity and affirmative action employer and will consider all applications without regard to race, sex (including gender, pregnancy, sexual orientation and gender identity), age, color, religion or creed, national origin or ancestry, veteran status, disability (physical or mental), genetic information, citizenship or any other characteristic protected by law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Candidates who apply for roles through the Atrium website will be added to our candidate pool and may be considered for additional roles of a similar title. Please contact us to request an accommodation. EOE/M/F/D/V/SO Position ID: 158302

Job Description Join VillageCare as a Full Time UAS RN Reviewer and elevate your nursing career in an innovative, fully remote environment! This role offers the chance to apply your expertise in a customer-focused healthcare setting while being a crucial part of a dynamic, forward-thinking team. With a competitive salary ranging from $87,647.11 to $95,000, you'll find the satisfaction of enhancing patient care from the comfort of your own home. Embrace the flexibility of a remote position that fosters high performance and integrity in everything we do. Bring your problem-solving skills and commitment to excellence to a role that truly makes a difference in people's lives. Must reside within the New York Tri-State Area - NY, NJ, or CT. You can get great benefits such as a generous PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Step into a fulfilling career with VillageCare, where your contributions have a meaningful impact on health care delivery today! Who are we? An Introduction VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. What it's like to be a UAS RN Reviewer at Villagecare As a new UAS RN Reviewer at VillageCare, your day-to-day responsibilities will include: • Performs Quality Assurance reviews completed by the Nurse Assessors, • Reviews completed UAS-NY for accuracy, completeness and timeliness of finalization, • Reviews all documentation for appropriateness of care and consistency of documentation, • Review of all responses and comments in community, functional and mental health assessments for consistency, • Utilizes QAS reports to maintain knowledge of current trends related to quality measures and risk score, • Reviews proposed plan of care/ATSP to ensure that it reflects the clinical and psychosocial needs of the member, • Communicates with the Nurse Assessor for requested revisions and clarification in order to finalize assessment, • Follows up to ensure timely completion of assignments and submission of original paperwork to the office, • Provides guidance and training to the Nurse Assessors related to accurate completion of the UAS-NY, • Monitor finalization of UAS-NY in order to ensure adherence with State policy Utilizing the QCSS Assessment Analyzer is essential for maintaining assessment quality and staying informed on current trends related to quality measures and risk scores. Effective communication skills are key for collaborating with Nurse Assessors, facilitating requested revisions, and providing guidance based on members' clinical needs. Are you ready for an exciting opportunity? If you feel that this job is what you're looking for, applying is a piece of cake - just follow the instructions on this page. Good luck! VillageCare is an Equal Opportunity Employer. Job Posted by ApplicantPro

Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Review team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: This role has a weekend requirement. You will work 5 days per week to include Saturdays & Sundays. You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. You will report into the Medical Director. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $211,200 - $277,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Provide timely medical reviews that meet Oscar's stringent quality parameters., • Provide clinical determinations based on evidence-based criteria and Oscar internal guidelines and policies, while utilizing clinical acumen., • Clearly and accurately document all communication and decision-making in Oscar workflow tools, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level)., • Use correct templates for documenting decisions during case review., • Meet the appropriate turn-around times for clinical reviews., • Receive and review escalated reviews., • Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research., • Compliance with all applicable laws and regulations, • Board certification, • MD or DO with a current unrestricted license to practice medicine, • 6+ years of clinical practice, • Board Certified in Radiation/Oncology, Cardiology, or Neurology, • Licensure in multiple Oscar states, • Experience with care management within the health insurance industry. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job DescriptionPosition Summary Responsible for conducting policy and procedure manual review, pre-opening licensure and re-licensure surveys and associated tasks for Licensed Home Care Services Agencies (LHCSAs) Qualifications: • Master’s degree in Social Work and licensed in New York State (LMSW/LCSW), • Two years of experience in social work preferred, • Experience in home care, • Demonstrates logical reasoning & critical thinking skills, • Detail oriented, highly organized work skills, • Demonstrates a mature, professional, respectful, demeanor and style, • Excellent verbal and written communication skills, • Computer skills including proficiency in Microsoft Word and Microsoft Excel, • Quality improvement orientation, • Flexibility to travel at times for several hours, • Reviews and approves policy and procedure manuals to ensure compliance with Article 36 Title 10 of New York State Rules and Regulations (10NYCRR), • Conducts pre-opening tasks which include, but are not limited to Article 36documents review, conference calls, and on-site surveys, • Writes letters to the agencies regarding the policy and procedure manual if not in compliance with Article 36 Title 10 of New York State Rules and Regulations,explaining necessary revisions, • Writes letters to LHCSAs and DOH recommending either licensure or failureafter pre-opening survey., • Follows-up with applicant regarding outstanding manual corrections, includingwriting letters to them, as necessary., • Makes recommendations to DOH that applications be withdrawn when applicantfails to submit required material., • Reviews the agencies’ environmental space, equipment, personnel files, andpersonnel knowledge on the policy and procedure manual during the on-site preopening visit., • Conducts operational on-site surveys of LHCSAs, which consists of reviewing asample of client records, personnel records, QI/QA meeting minutes, Governing Authority meeting minutes, the policy and procedure manual, the agency’s Federal Tax ID number, operating license, complaint log, admission packet and on-call procedure., • Writes Statements of Deficiencies (SODs) if applicable, of the surveyed agencies using the DOH’s ASPEN computer program., • Assists with the preparation and scheduling of the pre-opening site visits., • Reviews site Assessment Report and discusses questions/concerns with theDirector., • Prepares for the required travel, materials and transportation options., • Maintains flexibility regarding workspace and environment while in the field., • Meets co-reviewer(s), if applicable, at the appointed location and time., • Continually works to create an environment of teamwork toward common goals,mutual support and respect., • Tracks all aspects of the work process, as required by the Director, LHCSA., • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents., • 401(k) with Employer Match - Join the team and we will invest in your future, • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, to observe holidays., • Wellness - We care about your well-being. From Commuter Benefits to FSAs we’ve got you covered., • Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we’re focused on your growth as a working professional. Powered by JazzHR 5IacWimZic

Job Description ABOUT BREAST CANCER RESEARCH FOUNDATION Breast cancer is a complex disease with no simple solution. Every diagnosis is unique and puts lives at risk. We must stop breast cancer in its tracks, and research is the answer. Founded in 1993 by Evelyn H. Lauder, the Breast Cancer Research Foundation is the largest private funder of breast cancer research in the world. We invest in a wide range of research—including prevention, diagnosis, treatment, survivorship, and metastasis—because each area of investigation informs another, propelling us toward the solutions we urgently need. We convene and connect the best minds in science—giving them the opportunity to pursue their most innovative ideas. Our combination of investment and cross-disciplinary collaboration accelerates the entire field and builds momentum for new discoveries. BCRF-funded investigators have been behind every major breakthrough in breast cancer research, and the field is moving faster than ever. We are fueling the world’s most promising research and we can’t stop now. ABOUT THE ROLE Reporting to the Managing Director, Research Program, the Senior Manager, Program & Grants Administration will join the Research team. The Senior Manager, Program & Grants Administration is a newly created position that will work closely with Research Program directors in the development and implementation of program operations including but not limited to: program announcements and RFAs, program metrics and reports, steering/review committee scheduling and meeting minutes, application and review, pre- and post-award grant administration. In addition, the Senior Manager, Program & Grants Administration will manage a small portfolio of initiative and special program awards and function as part of the grant administration team. The role is expected to evolve to support the needs of BCRF’s expanding research program and thus provides opportunity for growth and advancement for the right candidate. This position is based in New York, New York. BCRF currently requires staff to work onsite a minimum of three days per week. Primary Responsibilities Program Administration In coordination with the program lead, Senior Manager, Program & Grant Administration will: * Develop, review, and execute initiative program announcements/requests for proposals * Develop and review program applications, forms, templates, and deliverables * Schedule, attend, and record steering/review committee meetings and provide meeting minutes * Prepare and distribute meeting materials * Manage committee meeting action items/deliverables Program Evaluation & Reporting * Design and implement evaluation processes that measure program outcomes and impact * Partner with Initiative Leads to analyze program metrics * Develop internal and external reports that synthesize results for internal and external stakeholders * Translate evaluation results and investigator outcomes into actionable program improvements Grants Administration * Manage application and review processes in ProposalCentral, including reviewer settings and assignments, applicant ranking and scoring reports * Manage all pre- and post-award grant management through the grant lifecycle, including but not limited to contracting, regulatory documents, scheduling and reviewing deliverables, managing grant payments/refunds, amendments, and closeout * Serve as primary contact for applicants and awarded investigators, awardee institution officials, and when applicable, external partners * Serve as the lead grants administrator for a small portfolio of initiative and special program awards * Assist as needed in general grants administration during high volume periods ABOUT YOU You are motivated and driven, as demonstrated by a willingness and enthusiasm to identify and undertake new challenges that contribute to program innovation and/or efficiency. You have a verifiable history of being able to work collegially in a cross-functional and collaborative environment but are comfortable working independently. You have a passion for the mission and work of BCRF. In addition, you have the following qualifications and experience: * Minimum of 5 years of experience in program administration including grant lifecycle logic and workflow, experience in medical nonprofit or academic setting a plus * Competency with grant lifecycle software, experience with ProposalCentral a plus * Bachelor’s degree in a related field preferred * Expert competency in Microsoft Office suite, primarily Excel, and Adobe, familiarity with database and analytical software a plus * Professional oral and written communications * Excellent time management skills, with the ability to manage multiple projects simultaneously, meet deadlines, and deliver quick turnaround in a high-energy environment that requires attention to detail and accuracy, discretion, flexibility, and a superior work ethic. * Professional credibility, intellectual depth, maturity, sound judgment, and the ability to work with confidential information. * Other duties as may be assigned Travel: Some participation in events beyond normal office hours, which are scheduled in advance, and occasional domestic travel for training purposes. Compensation and Benefits: This is a full-time exempt role. The salary range for this role is $78,000 – $85,000. Our compensation packages include an exceptional benefits package focusing on employe physical, mental and financial wellness. More specifically we offer * Medical, dental and vision coverage from the first day of employment; with the election of certain medical plans, BCRF helps significantly defray the cost of out-of-pocket expenses with contributions to a health reimbursement account or heath savings account. * The opportunity to enroll in pre-tax Commuter Transit, Flexible Spending Account or Health Savings Account and Dependent Care Account from the first day of employment. * 401K, with up to a 5% match each pay period; employee contributions and any match are immediately fully vested * Paid parental leave offering 18 weeks 100% paid leave for a birthing parent and 12 weeks 100% paid leave for non-birthing parent * Paid Time Off including * 15 days of annual vacation time in first year of employment, increasing with length of service * 7 days of annual paid sick time * Paid holidays along with BCRF wide half days and summer Fridays To Apply: Please submit a CV and cover letter expressing your intention to apply for the role. After uploading your CV, please select the "upload attachment" option on the next screen to provide your cover letter. Only candidates short-listed for an initial interview will be contacted. Please, no phone calls. Our Commitments BCRF upholds an equal opportunity employment policy and employs personnel without regard to race, creed, color, ethnicity, national origin, ancestry, religion, sex, sexual orientation, gender identity or expression, marital status, age, physical or mental ability, veteran status, military obligations, genetic information, or any other basis protected by applicable law. This policy applies to all applicants, employees, consultants, third-party workers.

Job Description Summary: Serves as the commercial area leader and lead valuation expert handling all property types and markets, including complex property types and assignments. Job Responsibilities: • Evaluates complex individual appraisal reports and evaluations to ensure compliance with regulatory guidelines and bank policy., • Recommends action to achieve compliance for unacceptable appraisal reports., • Directs the day-to-day operations of the commercial area of the department., • Exercises the usual authority concerning scheduling, performance evaluations, performance management, and salary recommendations., • Assists with developing and monitoring the departmental succession plan, focusing on the commercial areas. This includes identifying external talent as well as developing internal programs for staff development., • Facilitates a culture that maximizes retention and demonstrates a commitment to diversity., • Assists in the review of non-complex environmental reports to ensure compliance with regulatory guidelines and bank policy, • Assists with review of the Valuation Policy as well as the Environmental Liability and Risk Policy, • Makes recommendations to the department head for changes or enhancements to the policies for compliance with regulatory requirements and to implement appropriate best practices., • Through a Vendor Management Program, oversees the monitoring and documenting of the performance of the commercial appraisal and environmental professional’s compliance with bank policy and departmental procedure., • Monitors and maintains a risk-focused valuation process to ensure the level of reporting and depth of the commercial valuation reviews are consistent with bank policy and to support lending decisions., • Monitors and maintains an environmental risk management program for a lending context, that is risk-adjusted based on key transaction factors., • Conducts periodic reviews of commercial valuation and environmental reports as part of a quality assurance program., • Monitors the primary commercial real estate markets served by the bank., • Designs and prepares periodic real estate market briefings for lending, underwriting, and senior management., • Presents key market updates to internal groups., • Provides other training and support when needed both within and outside the department., • Stays current on and takes required education courses based on market need and license requirements., • Monitors changes in industry technology for workflow, commercial valuation modeling, and environmental monitoring., • Assists in the selection process of new technology tools, with a focus on driving greater efficiency in the commercial area of department, enhancing communication with other departments, continually improving customer service, and risk mitigation., • Works with department staff and members of the lending teams to develop and distribute complex residential and commercial RFPs., • Based on a cursory review of reports received, assists with review assignment to internal and external reviewers., • Processes completed appraisal reviews, track reviewer quality and update departmental databases and workflow tools document vendor performance., • Bachelor’s Degree required., • Master’s Degree preferred., • 8+ years related experience., • Commercial - General (Appraisal) License required., • Professional Designation required (ex: MAI, ASA, MRICS)., • Engineering License or Certification preferred., • Ability to collaborate cross-functionally., • Effective written and verbal communication skills., • Medical, Dental, Vision and Rx which are contributory., • Bonus programs., • Employee Stock Option Program (ESOP)., • Life Insurance, Long Term Disability and Accidental Death and Dismemberment (LTD&AD&D)., • Paid Time Off (PTO) which includes Personal and Vacation Time., • Paid Sick Time., • Bank Holidays. This role is eligible for a hybrid schedule; 3 days in the office and 2 days work from home based on business need. Columbia Bank and its affiliates is an Equal Opportunity Employer, including individuals with disabilities and veterans.

Job Description Are you highly motivated, hard-working, and seeking to join a growth-focused consulting & engineering firm? Are you looking for a company that will invest in your development and grow your professional skills? If so, consider a career with Apex! Powered by record sales, extraordinary client retention, strategic acquisitions, and an entrepreneurial spirit, Apex Companies is one of the fastest growing engineering and environmental consulting firms in the US. We were recently recognized by the Zweig Group as one of the fastest growing firms in the AEC industry. We take pride in providing our clients with exceptional service and have earned numerous awards for project excellence. We continue to grow, and we want you to grow with us. Your Responsibilities as a Project Manager: • Lead and manage a diverse portfolio of environmental projects., • Write and review technical reports and proposals., • Prepare and deliver marketing presentations., • Hire and manage subcontractors., • Mentor and train scientific staff; potential to manage direct reports., • Support growth focused approach to client communications., • Ensure quality work product., • Ensure safe performance of project work., • 5+ years of relevant environmental experience., • Ideal candidate will have a book of business surrounding remediation and environmental investigation projects., • Additional certification strongly desired (e.g. PG, LSRP, PE, etc.), • Demonstrates proficiency in applicable regulations and guidance (e.g. PADEP, NJDEP, NYSEC, etc.), • Proficient in generating a work product, with staff Scientist support, compliant with applicable regulatory and company protocols/SOPs, that requires minimum revision by a Senior reviewer., • Ability to manage a project to completion, within the project budget., • Identifies out of scope tasks/effort, qualifies value, and secures change order approval., • Compliance with billing schedules, Accounts Receivable management, and other financial SOPs for the purpose of increasing cash flow and decreasing WIP., • Communicate plan, schedule, and status utilizing company procedure/SOP., • Consistently plans and organizes workflow to minimize last minute demands on company resources., • Ability to provide Senior management with accurate 3-month projections of resource needs (total staff hours, subcontracted cost) to implement contracted work in their projects., • Ensures Company and subcontractor contracts are in‐place and utilized., • Eliminates barriers and drives projects to completion with weekly oversight/direction from Senior management., • Develops new opportunities with existing clients with direct involvement of Senior management., • Projects technical competence and regulatory knowledge to generate confidence with client and project team., • Familiarity with Deltek Vantagepoint, DOMO, and HubSpot desired but not required. Why you'll love working with us: • Company-subsidized medical and dental, • Company-paid life, short, and long-term disability, • 401k match, tuition assistance, and more, • Cross-training and the ability to work on a variety of projects, • Performance-based bonuses or other incentives, • Working with the best and brightest in the industry, • 1,800+ employee national firm with 50+ locations across the US. Apex Job Title: Project Manager Req ID: 10875 Annual Expected Pay Range$120,000—$125,000 USD We believe in equality for all and celebrate the diversity and differences of our employees, customers, and communities. We do not discriminate based on gender, race or color, ethnicity or national origin, age, disability, religion, sexual orientation, gender identity or expression, veteran status, or any other applicable characteristics protected by law. Apex aims to make apexcos.com accessible to all users. If you have a disability or special need that requires accommodation to navigate our website or complete the application process, please contact or (301) 417-0200. Likewise, feel free to reach out to us if you would like to view or discuss Apex policy related to equal employment opportunity or have any related concerns. EO/AA/VEV/Disabled Employer TO ALL RECRUITMENT AGENCIES: Apex Companies does not accept unsolicited agency resumes. Please do not forward resumes for any of our job postings to our career's sites, or to any employees of Apex Companies or affiliates. Apex Companies is not responsible for any fees related to unsolicited resumes.

Job DescriptionPosition Summary At 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 DRG Operations Department leaders, the DRG Reviewer will conduct reviews of inpatient claims for both coding accuracy as well as perform screening referrals for clinical support of coded diagnoses. Responsibilities: • Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing., • Demonstrates the ability to perform a comprehensive initial review as outlined in the standard operating procedures and departmental guides., • Collaborates with physician reviewers, as needed., • Ability to prioritize and organize workload and complete tasks independently., • Required attendance of all departmental team meetings and/or training., • Report productivity daily utilizing department productivity report., • Meet/exceed daily productivity expectations., • Maintains 95% accuracy in claim reviews., • Required to work a 7.5-hour workday within the company’s core hours., • Coding Certification required (at least one of the following is required and must be maintained as a condition of employment)., • Certified Coding Specialist (CCS), • Certified Inpatient Coder (CIC), • Registered Heath Information Technician (RHIT), • College level courses in medical terminology, anatomy, pathophysiology, pharmacology, and medical coding courses., • At least 3 years’ experience in MS-DRG and APR-DRG validation in acute care inpatient coding, auditing. Payment integrity DRG validation is a plus., • Adherence to the Official Coding and Reporting guidelines, AHA Coding Clinic determinations, and CMS and other regulatory compliance guidelines and mandates., • Requires working knowledge of applicable industry-based standards., • Proficiency in Outlook, Word, Excel, and other applications., • Excellent written and verbal communication skills., • Maintain professional credentialed status with approved continuing education programs, • Ability to work independently and can multi-task or transition to different tasks easily. Remote Work Requirements: • High speed internet (100 Mbps per person recommended) with secured WIFI., • A dedicated workspace with minimal interruptions to protect PHI and HIPAA information., • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents., • 401(k) with Employer Match - Join the team and we will invest in your future, • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, to observe holidays., • Wellness - We care about your well-being. From Commuter Benefits to FSAs we’ve got you covered. IsCqOBvtBa

Job Description Emergency NP / VA Reviewer - Remote (#25023) • Minimum of 5 years active clinical practice within the specialty and 2 years of recent experience Greenlife Healthcare Staffing is currently seeking an Emergency Nurse Practitioner - VA Reviewer to fill an opening with a Non-profit organization Requirements of the Emergency NP / VA Reviewer: • Must hold a current, non-restricted license in a U.S. state or territory, • Must be actively engaged in the practice of medicine and maintain active hospital privileges, • Must be board-certified, • Must have a minimum of 5 years of active clinical practice within the specialty and 2 years of recent experience in the specialty they are reviewing for, • Must currently be working a minimum of 20 clinical hours per month in emergency NP. Benefits of the Emergency NP / VA Reviewer: • VA per Case Rates (subject to change per contract year), • A one-time flat rate of $150 will be paid upon obtaining the VA PIV card., • Reviewer time is not compensated for training., • Cases are compensated at a flat rate per case and per case type., • Audits FRRs (Facility Requested Reviews) - $95 / case, • MAOs (Medical Advisory Opinions) - $225 / case Responsibilities of the Emergency NP / VA Reviewer: • Audits/ Facility Requested:, • Quality Management Reviews, • Standardized set of questions, • Was the standard of care timely and appropriate?, • approx..1 hr. to complete, • Management Other Cases:, • non-standardized set of questions, • cases can be initiated for any number of performance improvement indicators, • approx. 1 hr. to complete, • Medical Advisory Opinions:, • non-standardized set of questions by attorneys, • typically initiated by patient complaints and malpractice concerns, • approx. 2–4 4 hrs. to complete, • All VA case reviews are protected and reviewers will not be asked to present in court. Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.

Job Description Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. The ideal candidates will hold a NY license and be Board Certified in Orthopedic Surgery, with experience in completing Independent Medical Exams. The ideal candidate will be New York State Workers' Comp certified. Independent Medical Exams are available to be completed across the state of New York. Requirements As Physician Reviewer/Advisor, you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria, • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision, • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes, • Provides copies of any criteria utilized in a review with the report in a timely manner, • Returns cases on or before the due date and time, • Makes telephone calls as mandated by the state and/or client specifics, • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job, • Attends all required orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits, • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits Robust opportunity for supplemental income • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability, • No doctor/patient relationship is established and no treatment is provided. 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, • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job

Job Description Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. The ideal candidates will hold a NY license and be Board Certified in Neurology with experience in completing Independent Medical Exams. The ideal candidate will be New York State Workers' Comp certified. Independent Medical Exams are available to be completed across the state of New York. Requirements As Physician Reviewer/Advisor, you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria, • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision, • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes, • Provides copies of any criteria utilized in a review with the report in a timely manner, • Returns cases on or before the due date and time, • Makes telephone calls as mandated by the state and/or client specifics, • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job, • Attends all required orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits, • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits Robust opportunity for supplemental income • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability, • No doctor/patient relationship is established and no treatment is provided. 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, • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

We are actively recruiting specialists in the following areas:.Otolaryngology (ENT) - Neurotology.Otolaryngology (ENT) - Sleep Medicine.Otolaryngology (ENT) - Plastic Surgery within Head/Neck.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and approp

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. Must have a minimum of 5 years full-time experience in direct care.

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

Must hold a current medical license. As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. Performs comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. Performs comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance with all State and Federal mandated

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

We are actively recruiting specialists in the following areas:.Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine.Physical Medicine & Rehabilitation - Neuromuscular Medicine.Physical Medicine & Rehabilitation - Brain Injury Medicine.As a VA medical reviewer, you will conduc

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

We are actively recruiting specialists in the following area: * Urology - Urogynecology & Reconstructive Pelvic Surgery As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

We are actively recruiting specialists in the following areas:.Ophthalmology - Cataract Specialist.Ophthalmology - Retinal Specialist.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, f

Dane Street is seeking Ophthalmology Physicians to join their expanding physician panel for Independent Medical Exams (IMEs) in support of military and veteran communities. Ophthalmology, Independent Medical Exams, Veteran services, Military support, Physician reviewer, Flexible scheduling, Physical

Registered Nurse / Wound Care (Tier 3) / VA Reviewer - Remote (#25276). We are seeking a highly qualified and experienced Wound Care Registered Nurse to provide expert medical reviews for the Veterans Administration. Must be board-certified and hold an active RN wound care certificate.