- Mount Sinai Health System (New York, NY)
- …Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will...Supports the mission, vision, philosophy and goals of the Medical Center. + Promotes an environment that is sensitive… more
- Mount Sinai Health System (New York, NY)
- …on units as warranted. 2. Meets with Case Managers, as warranted, to review medically complex and long stay cases; refer to physician advisor as indicated. ... 10. Attends interdisciplinary rounds as necessary. 11. Meets with Case Managers to review medically complex...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED patients ... specified timeframes. * 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. + Manager ... Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will...Supports the mission, vision, philosophy and goals of the Medical Center. 6. Promotes an environment that is sensitive… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Director of Case Management is responsible for the overall operation of the Case Management Department. This includes oversight of daily ... care to patients. This involves the delivery of comprehensive front-line Case Management services, including utilization management, care facilitation and discharge… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical information ... with Third Party Payor requirements preferred. Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital **Responsibilities** + **Admission: Payer… more
- Travelers Insurance Company (New York, NY)
- …investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim ... of policy information to facts or allegations of each case . + Work with Manager on use of Claim...as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent… more
- Travelers Insurance Company (Melville, NY)
- …investigating, evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims. Provides quality claim handling throughout the ... with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. +… more
- Nuvance Health (Norwalk, CT)
- …in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus multiple primary and specialty care ... between emergency services, surgical services, nursing, finance, physicians, utilization review and Health Information Management to ensure appropriate level of… more
- City of New York (New York, NY)
- …among clients. Accompany Public Health Advisors to home visits and provide in-home medical consultation for clients. Review complex and contradictory HIV ... for HIV partner and linkage to care services to medical providers and people with HIV diagnosis throughout New...to care operations, performing systematic and technical reviews of case investigations and partner services. Evaluate and consult with… more
- Mount Sinai Health System (New York, NY)
- …1-3 years related administrative or business experience Non-Bargaining Unit, BGG - Case Management - STL, Mount Sinai St. Luke's **Responsibilities** 1. Develop and ... quality and timeliness of data 9. Manages data through review , computerization, cleaning and auditing for compliance with standard...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- City of New York (New York, NY)
- …medical accommodations - Supervision of administrative physicians assigned to review medical accommodations - Completes Accommodation Reviews (Home ... Job Description City Medical Specialist II / Complex Care...needs at school - Reviews and assists with in-school case management - Manages complex clinical cases… more
- Mount Sinai Health System (New York, NY)
- … medical leadership when appropriate + Documents authorization review for medical and pharmacy claims. + Prepares case reports, summaries, or other ... in the area of nursing practice assigned; in this case , acute care utilization review . + Previous...to modify and/or add necessary services. + Performs continuing review of medical records; analyzing data trends… more
- New York State Civil Service (New York, NY)
- …with the medical community to improve the flow of needed supportive medical documentation and to minimize case processing time. Additional Comments Full-time ... Yes Agency Temporary and Disability Assistance, Office of Title Disability Review Psychologist (NY HELPS) Occupational Category Other Professional Careers Salary… more
- Comunilife (Bronx, NY)
- …for these meetings + Conduct weekly supervisory conferences with each staff member of the case management teams to review case records and client's status ... days from referral. + Ensure that the initial and medical assessments are conducted, and that comprehensive service plans...Review and provide supervision in the development of case management service plans and ensure that reassessments are… more
- VNS Health (Manhattan, NY)
- …components related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical providers, ... Reviews requests for outpatient and inpatient admission; approves services or consults with medical directors when case does not meet medical necessity… more
- Mount Sinai Health System (New York, NY)
- …with the physician and shall reflect accepted standards of nursing and medical practice. Protocols shall include provisions for case management including ... in accordance with written policies approved by nursing and medical administration and manage a clinical program throughout the...in the specific clinical area and performs a periodic review of the collaborative agreement. b. Assesses the health… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **The Department of Emergency Medicine seeks a Medical Director to lead the Mount Sinai-Union Square Urgent Care Center (MSUS UCC).** This role ... supports the implementation of medical and clinical policies, services and procedures within the...practice manager and nurse manager to develop agenda and review data prior to meeting + Defines and implements… more
- International Rescue Committee (New York, NY)
- …child is released from custody into a sponsor's care (Home Study) + Provide case management support via remote and / or conducting in-home visits to ensure the ... and Senior Caseworkers (Level 2), as well advises Crisis Case Managers (Level 3). Specifically, the Casework Supervisor ensures...Act as a point of escalation for staff with complex cases, cases of concern, and client crisis. This… more
- VNS Health (Manhattan, NY)
- …components related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical providers, ... outpatient and inpatient admission; approves services or consults with medical directors when case does not meet...two years acute inpatient hospital experience in chronic or complex care required + Must have experience and qualifications… more