- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Utilization Review Physician collaborates with the healthcare team in the** **management and resolution of activities that assure the ... population and Hackensack UMC. These include but are not limited to utilization review ,** **hospital reimbursement, clinical compliance, case management, and… more
- Mount Sinai Health System (New York, NY)
- …Admission Specialist (OR Scheduler), Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates ... testing and operating roaom time. 7. Checks credentials system for physician 's delineation of privileges for equipment and/or procedures according to medical… more
- Hackensack Meridian Health (Holmdel, NJ)
- …at Hackensack Meridian _Health_ includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... as a leader of positive change. The **Care Coordinator, Utilization Management** is a member of the healthcare team...appropriate records as required by payer agencies and initiates physician advisor's review as necessary for unwarranted… more
- Hackensack Meridian Health (Perth Amboy, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... and serve as a leader of positive change. The ** Utilization Management Care Coordinator** is a member of the...appropriate records as required by payer agencies and initiates physician advisor's review as necessary for unwarranted… more
- BronxCare Health System (Bronx, NY)
- …prepare a response for submission in appeal. - In absence of Director, will review denial correspondence to determine validity of denial reason and course of action ... as determined by Director. Qualifications CERTIFICATION/LICENSURE : Registered Nurse or physician or a foreign medical graduate with ECFMG certification preferred .… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Hackensack University Medical Center Night Shift RRT Nurse Practitioner or Physician Assistant performs the role utilizing the patient-centered coordinated care ... of specialty practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum of one professional… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Interventional Pain Management Nurse Practitiner or Physician Assistant for Hackensack UMC's Pain and Palliative Care performs the role utilizing ... practice, consultation/collaboration, coaching/guiding, research, and ethical decision making.** **M-F full time role in the HUMC hospital/acute setting. On call… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Neurocritical Care Advanced Practice Nurse or Physician Assistant performs the role utilizing the patient-centered coordinated care model ... of specialty practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum of one professional… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Nurse Practitioner or Physician Assistant for Vascular Surgery at HackensackUMC performs the role utilizing the patient-centered coordinated ca re ... of specialty practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum of one professional… more
- Mount Sinai Health System (New York, NY)
- …Practitioner-Critical Care Physician Extenders- Mount Sinai Hospital- Split Shift- Full Time** A nurse practitioner (NP) as described in Title VIII, Article ... the plan of care. + Performs a patient record review with the collaborating physician in a...Ability to interpret and apply principles of nursing research utilization . + Ability to manage and coordinate a patient… more
- Mount Sinai Health System (New York, NY)
- …Experience Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager ... are not limited to: a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
- Mount Sinai Health System (New York, NY)
- …Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... are not limited to: 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
- Mount Sinai Health System (New York, NY)
- …interprets the clients responses to the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion but not less than ... to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee. 4.… more
- Mount Sinai Health System (Long Island City, NY)
- …interprets the clients responses to the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion but not less than ... to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee. +… more
- Mount Sinai Health System (New York, NY)
- …The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse, Physician Assistant, or Nurse Practitioner, who manages the 24 hour a day ... patient-centered care. **Qualifications** * Must be a Licensed Registered Nurse, Physician Assistant or Nurse Practitioner Registered Nurse Bachelor's Degree in… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Executive Director - Social Services - MSH - Full Time - Day** The Executive Director of MSH Social Work provides financial, ... Establishes and maintains working relationships with managed care organizations and external review agencies. + Directs and supervises the social work and support… more
- RWJBarnabas Health (Jersey City, NJ)
- …and/or HMO contracts, InterQual and other classifications as designated by the Utilization /Case Management Review Plan. Identifies trends and patterns of ... Clinical Care Coordinator (RN) Case Management Full Time DayReq #:0000174226 Category:Nurse Case Manager Status:...+ Minimum of one year experience in Case Management, Utilization Management or Home Care + Successful completion of… more
- Mount Sinai Health System (New York, NY)
- …to influence other services by focusing on patient processes. 10.Develops and implements Utilization Review (UR) based on internal data collection, data received ... the delivery of comprehensive front-line Case Management services, including utilization management, care facilitation and discharge planning. The Director works… more
- RWJBarnabas Health (Newark, NJ)
- …Cardiac Cath Lab FT DaysReq #:0000176168 Category:Nursing Manager Status: Full -Time Shift:Day Facility:Newark Beth Israel Medical Center Department:Cardiac Cath ... department schedule, providing continuous and high quality service for the patient, physician , and staff * Relates effectively with entire department for continuity… more
- Northwell Health (Forest Hills, NY)
- …Case Manager - FlexStaff Serves as liaison between the patient and facility/ physician . Ensures a continuum of quality patient care throughout hospitalization and ... + Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria + Submits… more