- 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
- Mount Sinai Health System (New York, NY)
- …Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic ... **Job Description** ** Utilization Review Admission Specialist ...and operating roaom time. 7. Checks credentials system for physician 's delineation of privileges for equipment and/or procedures according… 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 ... and serve as a leader of positive change. The **Clinical Documentation Specialist ** facilitates improvement in the overall quality, completeness and accuracy of… more
- WMCHealth (Valhalla, NY)
- …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice ... Network CDI Physician Champion Company: NorthEast Provider Solutions Inc. City/State:...processes. The Physican Champion will provide clinically based concurrent review of patient medical records to ensure documentation accurately… more
- Hackensack Meridian Health (Neptune, NJ)
- …ED inpatient admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance ... and serve as a leader of positive change. The **Clinical Documentation Specialist ** facilitates improvement in the overall quality, completeness and accuracy of… more
- Hackensack Meridian Health (Neptune, NJ)
- …inclusive of free text fields, to support the case management, utilization review process. + Retrieves information for the Physician Advisors as needed. + ... A day in the life of a **Care Coordination Specialist ** at **Hackensack Meridian** **_Health_** includes: ** Utilization ...+ Verifies admission and discharge date information. + Updates Utilization Review RN needed for payors. +… more
- Hackensack Meridian Health (Hackensack, NJ)
- …inclusive of free text fields, to support the case management, utilization review process. 5. Retrieves information for the Physician Advisors as needed. 6. ... a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance...discharge dates. 8. Enters LAD into EPIC. 9. Keeps Utilization Review RN current on updates needed… more
- Catholic Health Services (Melville, NY)
- …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the ... Island's Top Workplace! Job Details The Professional Fee (ProFee) Clinical Documentation Specialist (CDS) will serve as an advisor and expert resource for providers… more
- CUNY (New York, NY)
- Finance Procurement Specialist **POSITION DETAILS** The CUNY School of Medicine (CUNY SoM) located in the heart of Harlem, New York, is the only medical school in ... 2016. The CUNY SoM offers an accelerated BS/MD degree (7-year program) and a Physician Assistant Master's Degree (27 months program). True to its legacy of access,… more
- Hackensack Meridian Health (Neptune, NJ)
- …Finally, you will be responsible for prioritizing and balancing template specialist team workload and measuring team performance. **Responsibilities** A day in ... access initiatives. + Responsible for generating and analyzing schedule utilization data. Prioritize and oversee implementation of improvement opportunities across… more
- Mount Sinai Health System (New York, NY)
- …reviews with physician office staff and distributes correspondence related to review . + Analyzes returned CDQI alerts for accuracy and completeness + Reviews ... **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to improve the...and completeness of clinical documentation and coding in outpatient physician practices. They will work closely with physicians, Health… 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
- Northwell Health (Melville, NY)
- …level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective ... specialized certifications as needed. + Prior experience in Case Management, Utilization Review , and Appeals/Denials, highly preferred. *Additional Salary Detail… 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
- Nuvance Health (Norwalk, CT)
- …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and Health Information Management to ensure ... coming in from other hospitals. Responsibilities: 1. Manages the Utilization Review elements of the ED encounter...evidence based screening criteria. 3. Refers cases appropriately to Physician Advisor review . 4. Collaborates with SW… 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