Newark, NJ · On-site
$40 - $42/hr
Responsibilities: 1. Conducts on-site/virtual reviews at participating provider offices to assess environment, quality of physicians medical records, and compliance with documentation standards. 2. ...
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Newark, NJ · On-site
$40 - $42/hr
Responsibilities: 1. Conducts on-site/virtual reviews at participating provider offices to assess environment, quality of physicians medical records, and compliance with documentation standards. 2. ...
Los Angeles, CA · On-site
$22.75 - $30.25/hr
Company Description Virtual Organization Management Institute (VOMI), the world's leading and only ... For detailed information, please review the following document ::::: Human Evolution 2-22-2222
Los Angeles, CA · On-site
$22.75 - $30.25/hr
Company Description Virtual Organization Management Institute (VOMI), the world's leading and only ... For detailed information, please review the following document ::::: Human Evolution 2-22-2222
Lansing, MI · On-site
$19 - $25.50/hr
The Virtual Mentor attends/actively reviews weekly communications with The Academy. Essential Duties * To communicate weekly with assigned LifeTech Academy Learners * Establish weekly goals and plans ...
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Lansing, MI · On-site
$19 - $25.50/hr
The Virtual Mentor attends/actively reviews weekly communications with The Academy. Essential Duties * To communicate weekly with assigned LifeTech Academy Learners * Establish weekly goals and plans ...
Saint Petersburg, FL · On-site +1
$20 - $27/hr
Check out our website here, our Glassdoor reviews here, or read this feature in the LA Times about how we're the freelance platform everyone wants to be part of. About Freelancing as a Virtual ...
Saint Petersburg, FL · On-site +1
$20 - $27/hr
Check out our website here, our Glassdoor reviews here, or read this feature in the LA Times about how we're the freelance platform everyone wants to be part of. About Freelancing as a Virtual ...
Charlotte, NC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
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Charlotte, NC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
Raleigh, NC · On-site
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
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Raleigh, NC · On-site
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
Wilmington, NC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
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Wilmington, NC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
Wilmington, NC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
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Wilmington, NC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
Greenville, SC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
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Greenville, SC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
Raleigh, NC · On-site
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
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Raleigh, NC · On-site
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
Greenville, SC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
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Greenville, SC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
Charlotte, NC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
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Charlotte, NC · Remote
$60K - $70K/yr
Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Environment: Office sites and virtual office. Benefits : * 401(k) * 401(k) matching * Dental ...
Conyers, GA · Remote
$58K - $67K/yr
... Virtual Medical Assistant/Admin to support our growing healthcare practice. In this fully remote ... Prepare, review, and maintain medical records, reports, and correspondence * Assist with billing ...
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Conyers, GA · Remote
$58K - $67K/yr
... Virtual Medical Assistant/Admin to support our growing healthcare practice. In this fully remote ... Prepare, review, and maintain medical records, reports, and correspondence * Assist with billing ...
$21.75 - $29.25/hr
We are actively seeking Analytics PM / Virtual Assistant for one of our client, Please share your ... Prepare weekly/monthly business review reports and presentations. * Support ad hoc data analysis ...
$21.75 - $29.25/hr
We are actively seeking Analytics PM / Virtual Assistant for one of our client, Please share your ... Prepare weekly/monthly business review reports and presentations. * Support ad hoc data analysis ...
The Virtual F&I Concierge serves as a key liaison between dealership Sales teams, Virtual Finance ... This role is responsible for reviewing, processing, and validating deal documentation while ...
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The Virtual F&I Concierge serves as a key liaison between dealership Sales teams, Virtual Finance ... This role is responsible for reviewing, processing, and validating deal documentation while ...
Lake Mary, FL · On-site +1
As a Virtual Recruiter, you will manage most of the interaction with the candidate, while the ... Gather and maintain market information and industry trend data by reviewing trade periodicals ...
Lake Mary, FL · On-site +1
As a Virtual Recruiter, you will manage most of the interaction with the candidate, while the ... Gather and maintain market information and industry trend data by reviewing trade periodicals ...
Houston, TX · On-site
The Virtual F&I Concierge serves as a key liaison between dealership Sales teams, Virtual Finance ... This role is responsible for reviewing, processing, and validating deal documentation while ...
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Houston, TX · On-site
The Virtual F&I Concierge serves as a key liaison between dealership Sales teams, Virtual Finance ... This role is responsible for reviewing, processing, and validating deal documentation while ...
$21.75 - $29.25/hr
Virtual Assistant (Executive Support, CRM & Operations) - Remote U.S. Hours Position Type ... Review calendars and inboxes, prioritize urgent items * Schedule meetings and coordinate logistics
$21.75 - $29.25/hr
Virtual Assistant (Executive Support, CRM & Operations) - Remote U.S. Hours Position Type ... Review calendars and inboxes, prioritize urgent items * Schedule meetings and coordinate logistics
Running daily or weekly virtual motivation sessions where you connect 1:1 or in small groups, review their progress in adaptive learning apps and dashboards, and push them to hit 100% of their weekly ...
Running daily or weekly virtual motivation sessions where you connect 1:1 or in small groups, review their progress in adaptive learning apps and dashboards, and push them to hit 100% of their weekly ...
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... Virtual Medical Assistant/Admin to support our growing healthcare practice. In this fully remote ... Prepare, review, and maintain medical records, reports, and correspondence * Assist with billing ...
$58K - $67K/yr
... Virtual Medical Assistant/Admin to support our growing healthcare practice. In this fully remote ... Prepare, review, and maintain medical records, reports, and correspondence * Assist with billing ...
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Newark, NJ • On-site
$40 - $42/hr
Full-time
Medical, Retirement, PTO
Posted 17 days ago
Remote but must be able to get to Newark, Nj to pick up and drop off equipment
This position is responsible for conducting quality audits for state audits, HEDIS and quality referral and complaints issues. This position is also responsible for preparing weekly, monthly, quarterly and year-end reports.
Responsibilities:
1. Conducts on-site/virtual reviews at participating provider offices to assess environment, quality of physicians medical records, and compliance with documentation standards.
2. Prepares appropriate documentation to summarize on-site findings with physician, providing education and discussing opportunities for improvement.
3. Provides data support services to facilitate the process and analyze trends/patterns for quality improvement and health management.
4. Assists the Quality Management department with various special projects and focused clinical studies.
5. Performs related tasks or special studies as requested.
6. Assists in training of internal Horizon NJ Health staff, providers and vendors on programs and audit standards, both on and off site.
7. In-house representative and project lead for state audits.
8. Responsible for analysis of audit findings.
9. Produces various reports as requested.
10. Co-ordinates and manages the Corrective Action Plan (CAP) process for assigned audit type
11. Conducts reaudits ensuring prior deficiencies were addressed
1. Requires three to five years related business experience, preferably n health care industry.
2. Requires License Practical Nurse License or an active New Jersey Registered Nurse License.
1. Requires knowledge of managed care principles.
2. Requires knowledge of medical terminology.
3. Requires knowledge of PC's and related software.
4. Prefers knowledge of URAC accreditation standards and HEDIS principles.
5. Prefers knowledge of health management or patient education.
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Winston Staffing, based in New York, NY, US is a renowned leader in the staffing and human resources industries, providing a diverse range of services such as temporary staffing, permanent placement, executive search, and consulting services. Founded in 1967, Winston has remained dedicated to matching the right talent with the right opportunities, thereby solidifying their reputation for excellence. The company operates according to a set of core values that emphasize integrity, professionalism, teamwork, and mutual respect. The mission of Winston Staffing is to deliver innovative staffing solutions and provide top-tier talent to help their clients succeed. Winston’s achievements are broad and varied, demonstrating expertise and proficiency in multiple industry sectors. They have built long-standing relationships with a multitude of firms, becoming an integral part of their clients' success.
Recruiting and staffing services
51 - 200 Employees
New York, NY, US
1967
