TITLE: Clinical Reviewer (RN) AIMS & IDR, NY Medicaid
LOCATION: Remote (must live in New York, do not apply if outside of NY)
REQUIRED EDUCATION/EXPERIENCE:
GENERAL RESPONSIBILITIES:
These candidates will be cross trained to work with the IDR team and the AIMS Clinical Review team. The AIMS team deals with NY Medicaid.
This individual will complete the full spectrum of activities related to State and Federal Independent Dispute Resolution (IDR) case determinations. They will conduct clinical level review, Prior Authorization, and disputed benefits review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process.
DUTIES:
QUALIFICATIONS:
It is the primary responsibility of the Cook to prepare and cook food on all stations in the kitchen. All duties are to be performed in accordance with departmental and property policies, practices, and procedures. Top 5 Specific Job Functions:Prepar Prep Cook, Cook, Restaurant...
Looking to hire an individual within the Investor Relations group, focused on Investor and Onboarding Services for an important new engagement. This individual will focus primarily on subscription support for new and existing investors. Responsibilities # Provide ...
...Description Job Title: Telephonic LPN Care Coordination (Full remote) Location: Remote (with occasional reimbursed field visits... ..., activities, and clinical notes accurately in the electronic medical record (EMR) and care management platform. Escalate complex...
...sanitized work station Follows health and safety guidelines Performs other functions as directed QUALIFICATIONS AND REQUIREMENTS: ~ Education and Work Experience ~ Must be at least 15 years old ~1+ years of customer service experience preferred #hc60186
...groundwater. Focus on areas of interest including site investigations, environmental remediation projects, soil investigation, water supply... ...flow patterns, monitoring water level in wells, and studying geological data to determine the location of water sources and identify...