• Physician Advisor

    WMCHealth (Valhalla, NY)
    Physician Advisor Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Allied Health Prof/Technical Department: Clinical Care Mgmt- ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26206) Internal Applicant link Job Details: Job Summary: The Physician Advisor is responsible for developing positive… more
    WMCHealth (07/20/24)
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  • RN Case Mgr Weekend Per Diem - Days

    Hackensack Meridian Health (Hackensack, NJ)
    …to achieve continuous improvement in both areas. + Refers cases and issues to physician advisor in compliance with department procedures and follows up as ... consumption including orders for CT and MRI. Refers variances to Physician Advisor . + Knowledgeable about Indigent Medication Programs. Updates and posts list… more
    Hackensack Meridian Health (09/06/24)
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  • Staff Nurse- Case Manager- Mount Sinai West- Part…

    The Mount Sinai Health System (New York, NY)
    …and responsive to the diverse backgrounds and experience of others. * Liaison with Physician Advisor . 2. Case Management: * Assessment of the patient's clinical, ... reduce readmission rate. * Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum of… more
    The Mount Sinai Health System (07/17/24)
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  • Nursing Clinical Manager, RN - Case Management…

    The Mount Sinai Health System (New York, NY)
    …Managers, as warranted, to review medically complex and long stay cases; refer to physician advisor as indicated. 3. Collaborates with Social Work Supervisors to ... Managers to review medically complex and long stay cases: refer to physician advisor as required. 12. Collaborates with Social Work Supervisors to resolve… more
    The Mount Sinai Health System (08/20/24)
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  • Nursing Clinical Manager/RN, Hospital Case…

    The Mount Sinai Health System (New York, NY)
    …Managers, as warranted, to review medically complex and long-stay cases; refer to physician advisor as indicated. + Collaborates with Social Work Supervisors to ... Case Managers to review medically complex and long-stay cases: refer to physician advisor as required. + Collaborates with Social Work Supervisors to resolve… more
    The Mount Sinai Health System (07/27/24)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Hackensack, NJ)
    …present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + Performs ... first business day. + Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action. + Participates actively on… more
    Hackensack Meridian Health (08/28/24)
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  • Care Coordinator, Utiliz Mgmt RN - F/T - Days

    Hackensack Meridian Health (Hackensack, NJ)
    …present + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions + Performs ... the first business day + Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action + Participates actively on… more
    Hackensack Meridian Health (08/20/24)
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  • Care Coordinator, Utilization Management - Per…

    Hackensack Meridian Health (Hackensack, NJ)
    …present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + Performs ... first business day. + Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action. + Participates actively on… more
    Hackensack Meridian Health (07/29/24)
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  • Care Management, Care Coordinator, Utilization…

    Hackensack Meridian Health (Holmdel, NJ)
    …present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + Performs ... first business day. + Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action. + Participates actively on… more
    Hackensack Meridian Health (08/15/24)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Neptune, NJ)
    …present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + Performs ... first business day. + Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action. + Participates actively on… more
    Hackensack Meridian Health (08/16/24)
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  • RN/Case Manager-MSH-Case Management-Full Time-Days

    The Mount Sinai Health System (New York, NY)
    …to reduce readmission rate. h. Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum ... standardized criteria to justify continued inpatient stay. c. Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment and… more
    The Mount Sinai Health System (09/06/24)
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  • Case Manager RN- Mount Sinai Morningside- Full…

    The Mount Sinai Health System (New York, NY)
    …to reduce readmission rate. 8. Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum ... standardized criteria to justify continued inpatient stay. 3. Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment and… more
    The Mount Sinai Health System (07/07/24)
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  • DRG Appeals Analyst-CDI Liaison; HSO Drg…

    The Mount Sinai Health System (New York, NY)
    …client coding for discussion with client. 5. Collaborates with the MS Health Systems Physician Advisor and HIM team to review denials and coordinate the appeal ... selection and resulting DRG groups and payment. Communicates with attending physician either verbally or through written methodology to validate observations and… more
    The Mount Sinai Health System (07/11/24)
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  • RN Case Manager - ED

    Nuvance Health (Norwalk, CT)
    …and use of evidence based screening criteria. 3. Refers cases appropriately to Physician Advisor review. 4. Collaborates with SW Care Coordinators to assure ... Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology… more
    Nuvance Health (07/13/24)
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  • Executive Director - Social Services - MSH - Full…

    The Mount Sinai Health System (New York, NY)
    …improve throughput. + Identifies and refers potential case management issues to a physician advisor and potential quality issues to QI department. Facilitates ... appropriate clinical documentation to ensure that level of services and acuity of care are accurately reflected in the medical record. + Maintains and supports the Case Management/Social Work System (ACM/ECIN/CAREPORT). + Ensures that the Medicare IM notice is… more
    The Mount Sinai Health System (06/25/24)
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  • Social Worker MSW, Case Management

    RWJBarnabas Health (Elizabeth, NJ)
    …in utilization management and insurance communication + Collaborates closely with physician advisor + Participate in interdisciplinary rounds and facilitate ... communication with the interdisciplinary care team + Complete psychosocial assessments and implement patient-centered care plans that meet needs identified in assessments + Discharge planning activities: seamless and timely coordination of care including:… more
    RWJBarnabas Health (08/28/24)
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  • Per Diem Registered Nurse ( RN), Case Management

    RWJBarnabas Health (Rahway, NJ)
    …in utilization management and insurance communication. Collaborates closely with physician advisor . Participate in interdisciplinary rounds and facilitate ... communication with the interdisciplinary care team. Complete psychosocial assessments and implement patient-centered care plans that meet needs identified in assessments. Discharge planning activities: seamless and timely coordination of care including:… more
    RWJBarnabas Health (08/15/24)
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  • RN Case Mgr Weekend Per Diem - Days

    Hackensack Meridian Health (Hackensack, NJ)
    …tool to aid physicians /hospitalists in appropriate placement of patients Consults with Physician Advisor as appropriate + Adheres to the Medical Center's ... Organizational Competencies and the Standards of Behavior **Qualifications** Education, Knowledge, Skills and Abilities Required: + Case Manager, Registered Nurse Graduate of a NLN/AACN accredited program in nursing a plus + Bachelor's degree in nursing (BSN)… more
    Hackensack Meridian Health (08/30/24)
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  • UM Coordinator - Utilization Review - F/T Days

    Hackensack Meridian Health (Belle Mead, NJ)
    …level of care. Referral of cases with questionable medical necessity to Physician Advisor for determination. + Review clinical and diagnostic interventions ... for appropriateness and timeliness to achieve optimal clinical and financial patient outcomes. + Participate in interdisciplinary team meetings as it relates to the following: insuring appropriate length of stay, reviewing treatment interventions, developing… more
    Hackensack Meridian Health (07/29/24)
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  • Learning Community Facilitator - Medical Student…

    CUNY (New York, NY)
    Learning Community Facilitator - Medical Student Advisor (Clin. Prof.- Medical Series) **FACULTY VACANCY ANNOUNCEMENT** The CUNY School of Medicine (CSOM) at The ... CSOM also has a Master of Science degree in Physician Assistant Studies (PA). Our mission is to provide...serve in a non-tenure track position as Medical Student Advisor and Learning Community Facilitator. We will be filling… more
    CUNY (06/13/24)
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