- 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 ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- WMCHealth (Valhalla, NY)
- …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice ... Clin. Documentation Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...link Job Details: Job Summary: Provides clinically based concurrent review of patient medical records to ensure documentation accurately… more
- CUNY (New York, NY)
- Academic Student Support Specialist **POSITION DETAILS** The CUNY School of Medicine (CUNY SoM) located in the heart of Harlem, New York, is the only medical school ... offers an accelerated BS/MD degree (7-year program) and a Physician Assistant Master's Degree (27 months program). True to...Student Affairs is currently seeking a Academic Student Support Specialist . This position will play a primary role in… more
- VNS Health (Manhattan, NY)
- …appeal resolution and execution of the plan's fiduciary responsibilities. Prepares records for physician review as needed. + Conducts review of requests ... Hearings), Centers for Medicare and Medicaid Services (CMS), Independent Review Entities and Quality Improvement Organizations. + Collaborates with professionals,… more
- New York State Civil Service (Brooklyn, NY)
- …1, Speech Language Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional ... Services.Additional duties may include, but not be limited to: * Regularly review systems and procedures and implement recommendations for improvement of the… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The (per diem) Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, pre-admission testing ... testing and operating room time. 7. Checks credentials system for physician 's delineation of privileges for equipment and/or procedures according to medical… more
- WMCHealth (Valhalla, NY)
- …experience in a hospital setting, preferably cardiology, radiology, surgery or utilization review , required. Previous revenue integrity experience, Excel and ... payors. + Develop, Implement and coordinate billing practices between hospital and physician groups to ensure uniform coding and documentation. + Recommend sound… more