Trabajos medical reviewer en Yonkers, New YorkCrear alertas

Broadway Ventures has an opening for a Medical Claims Reviewer.

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state's most vulnerable and underserved residents. Founded in 1999, we've grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women's health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it. We're looking for talented, motivated individuals to join our growing team. Whether you're a medical provider, administrator, or operations professional, there's a career here for you. Join us in making a real difference in the health of our community. The HARP Care Coordination Supervisor will be responsible for the supervision of Care Coordinator operations within the Health Home Division. The HARP Supervisor monitors the departmental phone queue to ensure quality of calls between the care manager, members and providers. The HARP Care Coordination supervisor conducts new hire training and continued training for all clinical staff. The HARP Care Coordination Supervisor participates and interacts with all staff in a supportive role as it relates to care management and coordination daily operations. The HARP Care Coordination will enhance communication and processes within the clinical and non-clinical areas within and between other internal operating departments, to ensure that all member and employee needs are met. • Provides guidance within the HARP Department, particularly as it pertains to new processes and workflows which support program operations, • Promotes and facilitates a multidisciplinary approach, supporting HARP coordinated care operations amongst disciplines., • Oversee clinical program training/retraining and creation and updating of departmental training tools/workflows and resources, • Adhere to clinical standards of care through collaboration with providers in order to ensure appropriate outcomes, • Practice and adhere to departmental and state guidelines in order to protect self, members, and organization, • Provide crisis intervention when necessary, • Maintains a tracking tool which logs unacceptable inconsistencies and errors observed during quality reviews of recorded calls via the queue and care management documentation, care planning, follow up and interventions, • Performs quarterly audits of Staff's chart documentation, • Works collaboratively with HARP management team to ensure program goals, projects and initiatives are implemented and meet departmental workflows and policy standards, • Supports Care Management staff as needed when management is in meetings and/or working on other program initiatives, • Follows best practice and clinical standards, and adheres to departmental and State guidelines., • Performs all other duties or actions as required, • MSW/MA/MS Master's Degree or equivalent required, • LMSW, LCSW, LMHC, LMFT, RN preferred, • Two years' experience working with Behavioral Health and/or Substance abuse required, • Prior supervisory experience required, • At least 3 years previous managed care experience, • Ideally 2 years specific to Behavioral Health/HARP, • Previous Managed Care experience required in Medical Management/HARP Operations, • Knowledge of the Collaborative Care Model, • Experience with chronic condition management, particularly Diabetes, HIV, Heart Disease, • Experienced user/reviewer of the HCS/MAPP systems for Health Home member status preferred, • Knowledge of Psyckes, E-Paces, HCS (UAS) MAPP, Microsoft Teams Video knowledge preferred., • Excellent written and oral communication skills required, • Ability to multi-task well while maintaining a positive "can do" attitude, • Demonstrated ability to manage large caseloads in a fast-paced environment while building and enhancing team productivity, • Demonstrated professionalism and leadership skills along with the ability to develop, direct and support staff, • Computer literacy: Proficiency with Word and Excel. Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

Medical, Dental, and Vision Insurance.

Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor

This position is partially remote.Candidates will be required to work in the office a minimum of three days a week**.Bachelor of Science Degree in Civil Engineering, or equivalent .Professional Engineer in State of Indiana, or able to obtain within 12 months .Not less than 8 years in Transportatio

Medical, Dental, and Vision Insurance.

Federal, State, and Local government agencies.As an SBA-certified HUBZone, Woman Owned Small Business (WOSB), we deliver quality, professional services to support the missions and strategic business goals of our clients.Project Manager (PM) – Project Manager III.Department of Agriculture �

Medical, Dental, and Vision Insurance.

Comprehensive benefit package including medical / extended health care, dental, and vision.

Medical, Dental, and Vision Insurance.

Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an.Profee Coder - Internal Med (per diem).We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis.Pay for this role

Medical, Dental, and Vision Insurance.

We’re seeking a Project Manager with 3+ years of experience leading on-site data collection projects with a focus on user studies.This role owns end-to-end delivery—timelines, budgets, and client-facing communications—while ensuring high-quality execution through strong attention to detail and

Generous benefits package includes paid time off, 401k, medical, dental, life insurance, and long/short-term disability insurance plans.

Medical, Dental, and Vision Insurance.

Project Manager (Construction).House Buyers of America is looking for a Field Manager who will be responsible for the project management of our home renovations.This person will oversee all aspects of 5-10 projects per month including bidding out jobs, permitting work and ensuring everything is comp

Medical, Dental & Vision Benefits effective the 1st day of the month after 30 days.

Experience with medical payer and PBM claims adjudication systems, such as RxClaim. 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

You will have the opportunity to assess and report on the property condition of various commercial projects such as multifamily residential, office, hospitality, retail, industrial, educational, religious, educational, recreational, medical, and assisted living property types, as well as manufacture

Founded in 1952 and formerly known as Heery International Inc.United States as part of Turner & Townsend.It specializes in project and program management for public sector organizations, with industry-leading experts in corporate, cultural, healthcare, justice, sports, K-12 education, higher educati

Medical, Dental & Vision Insurance.

This role is for one of the Weekday's clients.We are seeking a seasoned Senior Project Manager to lead complex, cross-functional initiatives within a large enterprise environment.This role sits at the intersection of project execution, program coordination, and business operations.It requires strong

Shield is a global startup, with offices in TLV, NYC, LDN, and LIS.We’re rapidly growing and looking for another important piece of the puzzle.We are looking for a talented Project Manager to join our team! The ideal candidate is an exceptional individual who excels in both project and customer ma

Paradigm offers medical, dental, vision, life, 401K, PTO,. Paradigm offers medical, dental, vision, life, 401K, PTO, tuition reimbursement, and sick days.

We provide comprehensive medical benefits, a 401k plan, paid holidays, and more. D offers our employees excellent benefits such as medical, dental, vision, life insurance, paid holidays, 401K + matching, networking & career learning and development programs. If, because of a medical condition or dis

Medical, dental, and vision plan offerings along with 401(k).

We are looking for a Project Manager to lead large-scale commercial electrical construction projects within a self-perform electrical contractor environment, with direct ownership over healthcare, institutional, and complex commercial builds.This role is responsible for driving projects from precons

Medical, dental, and vision coverage for you and your dependents + on-demand healthcare concierge.

Depending on your employment status, AECOM benefits may include medical, dental, vision, life, AD&D, disability benefits, paid time off, leaves of absences, voluntary benefits, perks, flexible work options.

Medical, Dental and Vision insurance.

Drawing upon an extensive knowledge base, we develop, finance, engineer, build, own, and operate high quality utility-scale photovoltaic projects and battery energy storage projects.Our Construction team is looking for a talented Project Manager to help support the efforts of our fast-growing compan

AEI Consultants offers all full-time employees an outstanding, extensive benefits package, which among other benefits includes medical, dental, and vision benefits, paid time off and sick leave, life insurance, short-term and long-term disability insurance, 401K, complimentary use of AEI’s condo a

Dignotion is seeking a highly organized and proactive.From digital campaign launches to CRM workflows and custom web projects, you’ll play a key role in ensuring our growing team operates efficiently, on time, and with a focus on quality delivery.This is a hands-on, execution-focused role ideal

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Medical office experience preferred. Temporary Medical Office Receptionist. Department: EHPN Rochelle Park Medical Group.

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Medical Receptionist Primary Care Oradell FT. Medical office experience preferred.

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Service Appointment/Receptionist.We are seeking a friendly and organized Service Appointment/Receptionist to join our team at Quality Auto Group in Englewood, NJ.This role is essential in providing excellent customer service and ensuring smooth communication between our service department and custom

Located in Oradell, NJ, this position's primary duties include greeting visitors and operating a multi-line telephone system to answer incoming calls and direct callers to appropriate personnel.The Receptionist/Administrative Assistant provides a variety of administrative duties that support the Adm

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Medical, Dental, and Vision Insurance, employer contribution to life insurance, 401(k) plan, ESOP, and client and employee referral bonus program.

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual