• Physician Utilization Review

    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, Xsolis) b. Supports & Participates in pre- admission review , utilization management, and concurrent and retrospective review more
    Hackensack Meridian Health (08/19/24)
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  • Utilization Review Admission

    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
    Mount Sinai Health System (09/04/24)
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  • Utilization Management Specialist

    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 ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
    Mount Sinai Health System (10/10/24)
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  • Clin. Documentation Specialist

    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
    WMCHealth (10/10/24)
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  • Network CDI Team Lead

    WMCHealth (Valhalla, NY)
    …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice ... Job Details: Job Summary: The Clinical Documentation Improvement Lead Specialist demonstrates excellent problem-solving, clinical knowledge, and coding knowledge… more
    WMCHealth (10/30/24)
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  • Network CDI Physician Champion

    WMCHealth (Valhalla, NY)
    …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice ... and processes. The Physican Champion will provide clinically based concurrent review of patient medical records to ensure documentation accurately reflects the… more
    WMCHealth (10/30/24)
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  • Ambulatory Care Manager

    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
    WMCHealth (11/07/24)
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