- VNS Health (Manhattan, NY)
- OverviewThe Hospice Clinical Review Manager 's primary responsibility is ensuring compliance with local coverage determinants (LCD) in coding and ... in the EHR, when generating the Plan of Care Order for hospice . The Hospice Clinical Review Manager is an integral part of the QAPI team and… more
- Northwell Health (Bay Shore, NY)
- …of patients admitted to the Hospital. Job Responsibility + * Performs concurrent review on all patients and share all problematic cases with the Supervisor and ... and action. + * Acts as a liaison with patient's insurance carrier (case manager , utilization reviewer) to coordinate post hospital services and referrals. + * Makes… more
- Catholic Health Services (Melville, NY)
- … clinical expertise/reference for specialty services as needed to adequately prepare clinical review and/or appeal. | Demonstrates aptitude and skill in ... Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and...care to MCC in response to physician order, or review of updated clinical information | Acts… more
- Catholic Health Services (Melville, NY)
- …Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical documentation. ... employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health,… more