Utilization Review Jobs in New York
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Search Results - Utilization Review Jobs in New York
Mount Sinai Health System-New York
/services
Responsibilities
• Principle Duties and responsibilities include, but are not limited to:
• Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized...
lwqct.com -
Greenlife Healthcare Staffing-New York
grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.
Requirements
Must have an NYS Registered Nurse license
Must have a minimum of 2 years experience performing utilization review...
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...
lwqct.com -
Greenlife Healthcare Staffing-New York
Minimum of 2 years of experience reviewing charts for the purpose of quality improvement or utilization review is preferred
Must have the ability to work independently, as well as in a team environment, and to prioritize reviews and projects...
resume-library.com -
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...
lwqct.com -
sus.com-New York
reflect goals of service plans for assisting counselors to develop intervention goals and activities which support the service plan.
5. Coordinates Annual Functional Assessment Review for each client, submitting report and recommendations to Utilization...
appcast.io -
Greenlife Healthcare Staffing-New York
in pediatric/adolescent/reproductive health care is preferred
Minimum of 2 years of experience reviewing charts for the purpose of quality improvement or utilization review is preferred
Must have the ability to work independently, as well as in a team...
resume-library.com -
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...
VNS Health-New York
records in program EMR. Maintains case records in accordance with program policies/procedures, VNS Health standards and regulatory requirements
• Participates and consults with team supervisor in case conferences, staff meetings, utilization review...
appcast.io -
New York
to Utilization Review Committee.
• Responsible for maintaining contact with other service agencies and insuring client placement for treatment and program activities (may include volunteer job placement)
• Responsible for coordination with Intake Coordinator...
icims.com -
Greenlife Healthcare Staffing-New York
health care is preferred.
At least 2 years of acute care hospital experience is preferred.
At least 2 years of experience reviewing charts for the purpose of quality improvement or utilization review is preferred.
Knowledgeable of current disease/care...
resume-library.com -
NYC Health + Hospitals-New York
in discharge planning and including referrals to alternative levels of care.
• Collaborate and coordinate with primary care and other medical specialists
• Participates and conduct tier reviews as per policy
• Utilization Management
• Participate in utilization...
lwqct.com -
Greenlife Healthcare Staffing-New York
JOB TITLE (#24992): Dental Hygienist Reviewer / Contract - Upstate, NY
Minimum of 2 years experience in the provision of clinical services or in quality improvement/utilization reviews
Greenlife Healthcare Staffing is currently seeking a Dental...
resume-library.com -
EmblemHealth-New York
appeals.
Responsibilities
• Under the direction of the director, is responsible for the execution of efficient departmental processes designed to oversee the medical review process for clinical appeals and par provider retrospective utilization reviews...
lwqct.com -
Greenlife Healthcare Staffing-New York
grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.
Requirements
• Must have an NYS Registered Nurse license
• Must have a minimum of 2 years experience performing utilization review...
workable.com -
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