- Hackensack Meridian Health (Hackensack, NJ)
- **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Hunterdon Health Care System (Flemington, NJ)
- This is an in-person role. Position Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure ... an applicable health insurance plan. Primary Position Responsibilities 1. Performs utilization activities, using Milliman Care Guidelines under the guidance of the… more
- Deloitte (Morristown, NJ)
- …nurse, physician , physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality, DRG Validation ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...for physicians, CDI team and ancillary staff and assist physician champion to conduct education as needed + Train… more
- WMCHealth (Port Jervis, NY)
- …checks. . Obtain, validate and interpret clinical documentation including orders, H&P, physician progress notes, review lab results, radiology results, assuring ... Authorization Specialist Company: Bon Secours Community Hospital City/State: Port...financial responsibility, insurance or authorization issues ensuring a positive patient/ physician experience through transparency. . Performs eligibility checks on… more
- J&J Family of Companies (New York, NY)
- …**Job Description:** We are searching for the best talent for Sr. Clinical Specialist to be in New York City/Northern New Jersey area. **About Surgery** Fueled ... Learn more at https://www.jnj.com/medtech **Core Job** **Responsibilities:** + The Clinical Specialist reports to the Regional Sales Manager (RSM) and is responsible… more
- Mount Sinai Health System (New York, NY)
- …the system on all matters related to medical staff governance, credentialing, peer review and performance management; + In collaboration with the FPA, Development of ... a system-wide physician orientation program, and a streamlined onboarding and recruitment...providers; + Development and maintenance of a system peer review process that is inclusive of all matters related… more
- New York State Civil Service (Goshen, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... health and substance use screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health treatment… more