- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... Management Criteria ( ie MCG ) b. Supports & Participates in pre- admission review , utilization management, and concurrent and retrospective review … more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** ** Utilization Review Admission Specialist (OR Scheduler), Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** ... The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions , pre- admission testing and operating room… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** Reviews medical admission record & continued stay for plan of care, appropriateness of timeliness of services **RESPONSIBILITIES** Responsible ... for all aspects of the concurrent review program, insurance certification, and authorization process for all Psychiatric or Chemical Dependency Inpatient Units… more
- Hackensack Meridian Health (Hackensack, NJ)
- …information, inclusive of free text fields, to support the case management, utilization review process. + Retrieves information for the Physician Advisors ... a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance...discharge dates. + Enters LAD into EPIC. + Keeps Utilization Review RN current on updates needed… more
- City of New York (New York, NY)
- …requirements. The Immunization Infrastructure and Clinical Support Unit and Exemption Medical Specialist will report to the Director of the IICSU and will work ... IICSU and the SCU. With the IICSU, the Medical Specialist will work with the provider community to ensure...for increasing vaccination coverage are implemented. Activities will include utilization of data to develop and implement new vaccination… more
- WMCHealth (Suffern, NY)
- …needs assessment performed by the Care Manager through extensive medical record review , face to face and/or telephonic encounters with assigned patients and families ... of critical events, control of chronic disease, decrease avoidable admissions and readmissions; safe care transitions, improvement in self-management skills… more