Reviewer jobs in Whitestone, NYCreate job alerts

Must have a minimum of 2 years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR * 3 years of clinical or ...

The Conflicts Attorney is responsible for reviewing conflict check reports prepared by risk analysts in connection with the business intake and new hire processes, preparing analyses identifying ...

Minimum Qualifications NYC Children's Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of psychiatric and medical services ...

The Brooklyn District Attorney's Conviction Review Unit (CRU), the largest and most prolific unit of its kind, has an opening for an experienced trial attorney with extensive investigative experience ...

Develop, review, and revise the Utilization Management Plan on a yearly basis. * Engage with payors and vendors in the management and tracking of denials and appeals, as appropriate. * Maintains a ...

Review incoming referrals and update medical chart + medical tracking * Schedule medical appointments * Complete, quarterlies, semi annuals and annual CFAs * Review and update individualized plan of ...

Review of required medical tests and documents pertaining to consultations and medical histories * Secure a thorough health history from the applicant and record findings * Arrange (but not ...

Reviews complaints and grievances made or filed by staff. Makes appropriate reports to the Nursing Manager/charge nurse as required or as may be necessary. * Ensures that staff participates in and ...

Initial review of case to assist attorneys' evaluation of case * Draft case chronologies, "cast of characters", answers and other pleadings; oversee receipt and intake of client documents

The Analyst will review, compare and finalize audit and inspection reports. He/she will also determine the assignment of the proper classification(s) for business operations based upon audit and ...

Review and evaluate the assessment and UAS information for members in the MLTC and MAP lines of business. Develop a working relationship with the PCP to be able to contact and discuss the care of the ...

Tax Review: * Review tax returns prepared by junior team members, ensuring accuracy and adherence to federal, state, and local tax regulations. * Ensure the timely completion of all client ...

Provide post kidney transplant management and follow up. Lab review and triage of patient calls, clinic visits, coordination of care with NPs and physicians. Job Function: * Work in the ...

This plan should be reviewed and revised as needed. * Integrates therapeutic intervention techniques into programs or home of person served through consultation with parent/guardian and staff at team ...

Review and monitor job status, working with the Senior Construction Manager and/or Construction Project Manager to adjust schedules and on any necessary changes to the budget. g. Attend market ...

Review RCSA of each group of the Branch upon changes and make challenges including annual review which involves analysis and aggregation of the RCSA * Responsible for tracking record of Operational ...

Must submit Resume, Nursys Verification, NY License # and BLS (If not, BLS is required before the start date) JOB SUMMARY Ability to review health status questions and make evaluations and ...

On a day-to-day basis, tasks will include, but not be limited to, reviewing title reports, entity documents, loan documents, HUD/settlement statements, and granting funding approval. This is all ...

Review and update medical history data. * Supervision & Consultation: Supervise Psychiatric Nurse Practitioners, provide peer reviews, and offer clinical consultations to providers across various ...

Risk Review Team: * Attend bi-weekly (every 2 weeks) 1 hour team meetings to review higher risk cases and make recommendations. Receiving Supervision/Training: * Attend weekly 1 hour group ...

In partnership with the Director of Operations, engage, strategize, review, and improve current procedures and policies, to enhance efficiencies and processes within the team * Provide direct support ...

The Director is responsible to the Designated Institutional Official, the Graduate Medical Education Committee, and to the ACGME's Fellowship Review Committee for the timely and accurate completion ...

Review medical records and referrals to provide informed evaluations. * Accurately input and code data in the UAS-NY (Uniform Assessment System of New York). * Document all interactions, outcomes ...

Job Summary: • Review and evaluate the assessment and UAS information for members in the MLTC and MAP lines of business. • Develop a working relationship with the PCP to be able to contact and ...