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Available Positions for Healthcare

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Jobs 21 - 39 of 39

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Job Title Company Salary Location Date
Pediatric RNs Health Care Center $25/hr-$40/hr New York, NY 08.19.2010 Click to Close Apply
Speech Language Pathologist - Contract Rehabilitation Center $55/hr-$65/hr New York, NY 08.19.2010 Click to Close Apply
Registered Nurses Health Care Center $30/hr-$35/hr Manhattan/Westchester, NY 08.19.2010 Click to Close Apply
Rehab Director Queens Hospital $75K-$90K New York, NY 08.19.2010 Click to Close Apply
Utilization Management Case Manager Managed Care Company $70K-$72K New York, NY 08.30.2010 Click to Close Apply
Supervisor - Care Management Prominent Healthcare Organization $80K-$90K New York, NY 08.26.2010 Click to Close Apply
Patient Service Manager Home Health Care Company $90K-$100K Bronx, NY 08.26.2010 Click to Close Apply
Case Manager Large Hospital $70K-$90K New York, NY 08.25.2010 Click to Close Apply
Clinical Manager Home Care Company $80K-$85K Brooklyn, NY 08.25.2010 Click to Close Apply
Case Manager Home Health Care Company $75K-$85K Bronx, NY 08.25.2010 Click to Close Apply
Patient Care Director - OR Patient Care Director - OR $90K-$120K New York, NY 08.25.2010 Click to Close Apply
Field Nurse Field Nurse $68K-$70K Home Care Agency 08.25.2010 Click to Close Apply
Patient Care Director - Surgical Telemetry Prominent NYC Hospital $90K-$110K New York, NY 08.25.2010 Click to Close Apply
Field Nurse Case Manager - LTHHCP Home Health Care Organization $75K-$82K Bronx and Westchester, NY 08.25.2010 Click to Close Apply
Nurse Educator Leading Medical Center $95K-$100K Brooklyn, NY 08.25.2010 Click to Close Apply
Hospice Nurse Large Healthcare System $70K-$80K Bronx, NY 08.25.2010 Click to Close Apply
NP - Inpatient Oncology Prominent Teaching Hospital $90K-$110K New York, NY 08.25.2010 Click to Close Apply
Appeals and Grievances Clinical Specialist Managed Care Organization $70K-$75K New York, NY 08.25.2010 Click to Close Apply

Location:

New York, NY

Qualifications

Must be RN licensed in NY, NJ license is a plus. Must have previous experience in Appeals and Grievances, Claims Processing or Utilization Management/case management in a managed care organization or hospital setting. Ability to identify clinical quality of care issues. Ability to differentiate between PCP rendered care and specialty care. Knowledge of the New York State and Federal Regulatory environment.

Job Description

The Appeals and Grievances Clinical Specialist is responsible for supporting the Manager and Department Specialists regarding clinical issues. In addition, the Specialist is responsible for receiving, investigating and responding in writing to member and provider appeal and grievances involving review of clinical information. Ensure appeals and grievances are categorized and processed within New York State and Federal timeframes. Identify potential quality issues and initiate investigations. Refer substantiated quality of care issues to the Quality Improvement and Credentialing Departments. Maintain absolute file integrity with regards to content, location and confidentiality. Prepare for and participate in regulatory site visits. Develop and assist with training for new department employees. (11720)

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Senior Director of Utilization Management Health Insurance Company $140K-$170K New York, NY 08.25.2010 Click to Close Apply

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