• Utilization Review

    Prime Healthcare (Passaic, NJ)
    …skills. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189060/ utilization - review - coordinator ... both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able...standards set forth by the Hospital/ Department at UR Coordinator position for at least 6 months.4. 1+ year… more
    Prime Healthcare (01/09/25)
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  • Utilization Review

    Prime Healthcare (Boonton Township, NJ)
    …#LI-TS1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/185117/ utilization - review - coordinator ... outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
    Prime Healthcare (12/18/24)
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  • Asst Utilization Coordinator

    WMCHealth (Valhalla, NY)
    Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting: 01/21/25 to 02/03/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
    WMCHealth (01/22/25)
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  • QIDP Coordinator

    CP Unlimited (Fishkill, NY)
    QIDP Coordinator Type of Position Full time Search Location(s) Fishkill, NY Apply Now ... served. + Oversee the scheduling and coordination of quarterly, annual, and special review meetings. + Assists with creating and monitoring Staff Action Plans and… more
    CP Unlimited (12/19/24)
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  • Care Coordinator , Care Management…

    Hackensack Meridian Health (Hackensack, NJ)
    …to transform healthcare and serve as a leader of positive change. The Care Coordinator , Care Management is a member of the healthcare team and is responsible for ... **Responsibilities** A day in the life of a Care Coordinator , Care Management at Hackensack Meridian _Health_ includes: +...or meetings. + Identifies and refers quality issues for review to the Quality Management Program. + Participates in… more
    Hackensack Meridian Health (01/16/25)
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  • Division Coordinator (Senior Management…

    SUNY Westchester Community College (Valhalla, NY)
    …analyses, and performs in-depth research on trends in the area under review ; compiles data, and performs fiscal and statistical analyses of programs for ... studies and reports; + Supervises and/or participates in the review of accounting procedures, processes and controls to provide recommendations regarding accounting… more
    SUNY Westchester Community College (01/14/25)
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  • Supervisor Nurse Case Management

    Nuvance Health (Rhinebeck, NY)
    ….Familiarity with CMS Conditions of Participation for Discharge planning and Utilization Review . .Current NYS nursing license. Bachelor's degree preferred. ... .Familiarity with CMS Conditions of Participation for Discharge planning and Utilization Review . Working Conditions: Manual: Some manual skills/motor coord… more
    Nuvance Health (01/18/25)
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  • Behavioral Health Care Mgr-Case Management

    WMCHealth (Poughkeepsie, NY)
    …inpatient programs by implementation or investigation of the procedures in the Utilization Review and Discharge Planning program at Westchester Medical Center. ... + Reviews daily census and forwards abstracts to appropriate coordinator to ensure ongoing review of patient...agency or managed care company in the area of utilization review , quality assurance, risk management or… more
    WMCHealth (12/13/24)
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  • Coord, Clinical Respiratory Therapy

    WMCHealth (Poughkeepsie, NY)
    …Internal Applicant link Job Details: The role of the Respiratory Coordinator will be to provide clinical direction of staff, responsibility of ... day to day operation, maintain and review quality improvement, act as liaison between the Respiratory...including granting of scheduled time off. In addition the Coordinator will assist the Clinical Manager with new program… more
    WMCHealth (12/16/24)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Montrose, NY)
    …orientation, competencies and providing quality improvement and outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic ... an evidence-based-practice culture. Collaborates with the Minimum Data Set (MDS) coordinator to ensure documentation is accurate and reflective of the Resource… more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • Integrated Case Management Specialist - Full Time

    Hackensack Meridian Health (Hackensack, NJ)
    …information, inclusive of free text fields, to support the case management, utilization review process. 5. Retrieves information for the Physician Advisors ... Meridian _Health_ includes: 1. In collaboration with the Care Coordinator , reviews daily admission data to verify inpatient insurance...discharge dates. 8. Enters LAD into EPIC. 9. Keeps Utilization Review RN current on updates needed… more
    Hackensack Meridian Health (01/01/25)
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  • Revenue Integrity Analyst- On-site position

    WMCHealth (Valhalla, NY)
    …experience in a hospital setting, preferably cardiology, radiology, surgery or utilization review , required. Previous revenue integrity experience, Excel and ... pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + Analyze and maintain WMCHealth… more
    WMCHealth (01/17/25)
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  • Hourly Licensed Master Social Worker (RC Ward ATC)

    New York State Civil Service (Middletown, NY)
    …a multidisciplinary treatment team. The incumbent will function as an admissions coordinator and may be responsible for managing a small counseling caseload. ... may include, but are not limited to:* Interview clients and review medical/psychiatric history, and complete various assessments as part of treatment… more
    New York State Civil Service (10/30/24)
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  • Senior Administrative Analyst / Administrative…

    New York State Civil Service (New Paltz, NY)
    …FMIS/SFS, purchasing, and travel; coordinate Region's purchasing and travel cards; review unit or departmental financial forms such as vouchers for conformance ... with our Internal Controls policy and procedures.Act as the IT Regional Coordinator entering various Information Technology Services (ITS) requests in the ITS… more
    New York State Civil Service (01/11/25)
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  • Supervisor, Social Work, Full Time, Days, Care…

    Atlantic Health System (Pompton Plains, NJ)
    …manager responsibilities in absence of manager. Collaborates with CM nursing coordinator . Assist administrative staff with problem solving. 04. Plans, develops the ... coordination, disposition delays in effort to improve quality, resource utilization and decrease LOS. 07. Collaborates with other depts...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
    Atlantic Health System (12/04/24)
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