Utilization Review Jobs in New York
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Search Results - Utilization Review Jobs in New York
New York State Office of Mental Health-New York
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 provided to individual diagnosed with mental illness...
Mitchell Martin-New York
Strong knowledge of utilization review requirements for Medicaid and Medicare programs.
Proven experience in delegated vendor oversight, corrective action plan development, and facilitating cross-functional teams.
Proficiency in electronic medical...
resume-library.com -
Compass Healthcare Consulting and Placement-New York
of Case Management, Utilization Review and Discharge Planning. Oversees and coordinates the collection of pertinent Hospital data and provides educational activities to all levels of Hospital staff regarding the above functions.
Responsibilities...
Mitchell Martin-New York
methods.
• Coordinate referrals and services with external agencies.
• Maintain accurate and up-to-date case records.
• Offer crisis intervention as needed.
• Participate in clinical and administrative meetings, such as case conferences and utilization...
resume-library.com -
Mount Sinai Health System-New York
Description
The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED patients and Observation ( RETU) patients to determine the correct Level of care ( LOC), appropriateness...
BAYADA Home Health Care-New York
performance improvement plans, field staff orientation, clinical chart review, and utilization review reporting Strong assessment and organizational skills Demonstrated successful track record of working independently while taking on increased or diverse...
IPRO-New York
review assignments, required.
Education & Experience
• New York Licensed Registered Nurse, required.
• A minimum of two years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring...
Interborough Developmental and Consultation Center-New York
timeframes.
• Develop and coordinate implementation of treatment plan collaboratively with patient
• Collaborate with other providers to provide best possible client care
• Participate in utilization review and quality improvement review.
• Conduct individual...
Emonics, LLC-New York
to utilization reviews for a health plan or a combination of hospital and health plan case management
Assessments that were all conducted telephonically and did not involve going into the home
NOW RECRUITING
Please indicate which class start your submitting...
resume-library.com -
New York
intervention goals and activities which support the service plan
• Coordinate Annual Functional Assessment Review for each resident, submitting report and recommendations to Utilization Review Committee.
• Responsible for maintaining contact with other service...
icims.com -
Emonics, LLC-New York
to utilization reviews for a health plan or a combination of hospital and health plan case management
Assessments that were all conducted telephonically and did not involve going into the home
NOW RECRUITING
Please indicate which class start your submitting...
resume-library.com -
Family Service League Inc.-New York
system; chart review/utilization review; monitoring of high:risk cases. The Assistant Program Director will assist in reviewing all referrals and coordination with priority referral sources. Coordinate an open access process for referral.
Attend other...
tiptopjob.com -
Emonics, LLC-New York
to utilization reviews for a health plan or a combination of hospital and health plan case management
Assessments that were all conducted telephonically and did not involve going into the home
NOW RECRUITING
RECRUITMENT DEADLINE
COMPLIANCE DEADLINE
EQUIPMENT...
resume-library.com -
New York
education leaflets for commonly prescribed agents including pain medications such as NSAIDs, Opioids, antimicrobials, and others as indicated
• Respond to drug information queries
• Perform prospective drug utilization reviews and provide interventions...
icims.com -
Emonics, LLC-New York
to utilization reviews for a health plan or a combination of hospital and health plan case management
Assessments that were all conducted telephonically and did not involve going into the home
NOW RECRUITING
Please indicate which class start your submitting...
resume-library.com -
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