- UpvoteDownvoteShare Job
- Suggest Revision
Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
Part-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate and facilitate resolution of individual grievances and appeals.
Part-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Provides first level RN review for all outpatient and ancillary prior authorization requests for medical appropriateness and medical necessity using appropriate criteria, referring those requests that fail review to the medical director for second level review and determination.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Position is hybrid, 2 days remote and 3 days in-office in Manhattan, NY. Qualified candidates must have NYS-RN License or NYS-LMSW License, UAS-NY Certification and previous supervisory experience, RN or LMSW Managed Care Care Management, Documentation Review and MLTC experience.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
The Utilization Management Coordinator is responsible for all utilization management activities for assigned cases from admission through discharge, including peer reviews and appeals, in accordance with the Utilization Review Plan, for patient population ages 5 years through 21 years, with significant behavioral health needs and Autism Spectrum Disorders or other developmental disorders.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Preferred Skills-The ideal candidate has 7-10 years of experience in design and review of stormwater management practices, site and facility inspections for stormwater, water quality and/or erosion control projects.
$133,496Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Manage the risk and exposures within their portfolio on an ongoing basis, using the various credit risk management and product monitoring systems within Deutsche Bank, including internal stress test information, exposure data and performance/portfolio data received on a regular basis from hedge funds.
$203,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Acts as the primary resource for the business regarding review and management of legal matters relating to structured finance / securitization, commercial and commercial real estate (“CRE”) lending and whole loan trading transactions.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Review monthly and quarterly NAV packages, including cash and position reconciliations, capital allocations, calculation of management fees and waterfall calculations and investor account statements prepared by fund administrators.
$200,000Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
- Suggest Revision
In Utilization Review process including benefit interpretation, contract language, medical and policy review. The Utilization Management Appeals Nurse performs daily appeal reviews and clinical quality oversite.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Teams: Credit Risk, Enterprise Risk, Liquidity Risk, Market Risk, Model Risk, Operational Risk, Risk Engineering, Corporate Risk, Credit Review Group. Embedded in everything we do, risk management is key to effectively identifying, monitoring and anticipating the diverse array of risks the firm faces in serving clients and operating its global businesses, including credit risk, market risk, liquidity risk operational risk and model risk.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Established in 1975, ICE offers award-winning six to 13-month career training programs in Culinary Arts, Pastry & Baking Arts, Health-Supportive Culinary Arts, Restaurant & Culinary Management, and Hospitality & Hotel Management, in addition to professional development in Artisan Bread Baking, The Art of Cake Decorating and Intensive Sommelier Training — with more than 14,000 alumni, many of whom are leaders in the industry.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Third Party Risk Management Lifecycle & Implementation of TPRM Second Line Review. Assist with RACA quarterly review in the expertise of third party risk management. Work with other SMEs under the third party risk management framework to ensure the third party risk management activities are efficient.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Review subsidy applications for completeness and accuracy prior to submission to property management and HPD. Determine vacancy priorities and ensure timely filling of vacancies coordinating with funders, property management and program staff.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Review and challenge front line plans to address IAM control environment or governance weaknesses and improve the effectiveness of operational risk management with an emphasis on IAM risk management, trends in financial services and other highly regulated industries.
Full-timeExpandApply NowActive JobUpdated Today
review management jobs Title: medical director Company: Meet in Long Island City, NY
FEATURED BLOG POSTS
How to Get a Union Job? A Step-by-Step Guide
A union job can significantly impact your job security, pay, and employment benefits. Whether this is your first job or you have years of experience, a union job can offer much-needed protection in a labor market where employees are hired and fired at will.
How to Write a Statement of Interest the Best Way
Your life's goal is to work for Company A. Their brand, their product, their reputation—it's safe to say you're a fan. The only problem is that their careers page never highlights the role that matches your skills and experience. It's a bummer for sure, but don't fret.
How to Decide Between Two Job Offers: 10 Practical Tips
It’s arguably a good predicament to have. You’ve applied to many jobs, interviewed multiple times, and now find yourself with two legit job offers. Nice! But although this is a feel-good validation of everything you have to offer, a daunting choice lies ahead. How do you decide which job will be the best fit for you?
Why Work in Sales? 9 Reasons & Tips on Answering as an Interview Question!
Working in sales can be demanding and challenging, but it can also be gratifying. Sales is an excellent career with a clear path full of excitement and potential for growth. So, if you're contemplating careers and have wondered "why work in sales?", keep reading to determine if sales is a suitable role for you.
How to Fire an Employee
So… you've finally decided to let one of your employees go. Drafting the paperwork and corresponding with HR is the easy part, but knowing how to fire an employee is where things get complicated. In fact, it is one of the most challenging conversations to have in the workplace. However, it must be done, and it must be done with poise and tact. Not only should you keep your state law in mind, but you should also consider your former employee's wellbeing.
How Long Does it Take to Hear Back from a Job?
Are you applying for your very first job? Maybe you’re anticipating your termination from your current role and want to be proactive. Either way, waiting to hear back on your job application can be stressful. If time has passed since you applied, you may wonder how long does it take to hear back from a job. Well, the answer is... it depends.
How to Respond to a Recruiter Through Email? (Tips & Examples)
Rather than wading through an endless list of open roles, wouldn’t it be nice if relevant job opportunities come to you?