- 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
- WMCHealth (Valhalla, NY)
- …management areas of Integrated Case Management including mentoring/coaching care coordinators, utilization review staff and social workers. + Reviews cases ... objectives. This position plays an important role in ensuring physician support and execution of for Utilization ... guidelines and parameters to assure consistency in the review process to reflect appropriate utilization and… 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
- WMCHealth (Valhalla, NY)
- …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice ... approach and plan for physician responses to queries, including physician escalation assistance Full Performance Knowledge, Skills, Abilities and Attributes:… 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 (Paramus, NJ)
- **Overview** **The Neurology Nurse Practitioner or Physician Assistant performs the role utilizing the patient-centered coordinated care model demonstrated through ... of specialty practice.** **5. Participates in APRN interviewing, credentialing, and peer review process as requested.** **6. Participates in a minimum of one… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Surgical Nurse Practitioner or Physician Assistant at Hackensack UMC 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 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
- 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 (New York, NY)
- …interprets the client's responses to the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion but not less ... 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 (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)
- …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
- Hackensack Meridian Health (Hackensack, NJ)
- …ED inpatient admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance ... worksheet and computer system as appropriate. + Extensively reviews all physician and clinical documentation, lab results, diagnostic information and treatment plans… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities The James J Peters VAMC is seeking a Full -Time Staff Pathologist. The JJP Pathology and Laboratory Medicine Service (PALMS) encompass the health… more
- Hackensack Meridian Health (Hackensack, NJ)
- …assess needs and develop an individualized care plan in collaboration with the physician and other members of the health care team. + Facilitates communication and ... workgroups, and or meetings. + Identifies and refers quality issues for review to the Quality Management Program. + Participates in multidisciplinary rounds,… more
- Mount Sinai Health System (New York, NY)
- …patient care. He or she works closely with the Nursing Clinical Director, Physician Leader, and staff in ensuring that the Service/Unit maintains the highest ... the encouragement and facilitation of collegial interdisciplinary relationships, peer review , nursing research, innovative concepts of nursing practice, and joint… more