- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Utilization Review Physician 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
- WMCHealth (Valhalla, NY)
- …management areas of Integrated Case Management including mentoring/coaching care coordinators, utilization review staff and social workers. + Reviews cases ... objectives. This position plays an important role in ensuring physician support and execution of for Utilization ... guidelines and parameters to assure consistency in the review process to reflect appropriate utilization and… more
- WMCHealth (Valhalla, NY)
- …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice ... approach and plan for physician responses to queries, including physician escalation assistance Full Performance Knowledge, Skills, Abilities and Attributes:… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Hackensack University Medical Center Night Shift RRT Nurse Practitioner or Physician Assistant performs the role utilizing the patient-centered coordinated care ... of specialty practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum of one professional… more
- Hackensack Meridian Health (Paramus, NJ)
- **Overview** **The Neurology Nurse Practitioner or Physician Assistant performs the role utilizing the patient-centered coordinated care model demonstrated through ... of specialty practice.** **5. Participates in APRN interviewing, credentialing, and peer review process as requested.** **6. Participates in a minimum of one… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Surgical Nurse Practitioner or Physician Assistant at Hackensack UMC performs the role utilizing the patient-centered coordinated care model ... of specialty practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum of one professional… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Neurocritical Care Advanced Practice Nurse or Physician Assistant performs the role utilizing the patient-centered coordinated care model ... of specialty practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum of one professional… more
- Nuvance Health (Poughkeepsie, NY)
- …or BSN preferred. Must have current RN license. Preferred experience in Utilization Review /Management. Company: Vassar Brothers Medical Center Org Unit: 1190 ... Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology… 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. ... Checks admission and discharge dates. 8. Enters LAD into EPIC. 9. Keeps Utilization Review RN current on updates needed for payors. 10. Enters all documentation… 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 ... worksheet and computer system as appropriate. + Extensively reviews all physician and clinical documentation, lab results, diagnostic information and treatment plans… more
- Hackensack Meridian Health (Hackensack, NJ)
- …assess needs and develop an individualized care plan in collaboration with the physician and other members of the health care team. + Facilitates communication and ... workgroups, and or meetings. + Identifies and refers quality issues for review to the Quality Management Program. + Participates in multidisciplinary rounds,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …as possible, thus driving positive clinical outcomes, patient, family and physician satisfaction and preventing avoidable readmissions to the hospital. They will ... with key stakeholders: physicians, hospital leaders, floor nursing staff, physician advisors, care managers, social workers, physical therapist, occupational… more
- WMCHealth (Valhalla, NY)
- …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice ... Category: Professional/Non-Clinical Department: Health Info Mgmt-WMC Health Union: No Position: Full Time Hours: Mon, Tue, Wed,Sat,Sunday Shift: Day, Weekend Req #:… more
- New York State Civil Service (Thiells, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... (PEF) Salary Range From $87556 to $109854 Annually Employment Type Full -Time Appointment Type Permanent Jurisdictional Class Competitive Class Travel Percentage 0%… more
- Hackensack Meridian Health (Hackensack, NJ)
- …clinical procedures for nurses providing care to trauma patients, performs all utilization review and risk management activities. 3. Supervises, develops, and ... practice agreement with section physicians. 15. Interviews and recommend Physician Assistant/Advanced Practice Nurse candidates as needed. 16. Identifies educational… more
- WMCHealth (Valhalla, NY)
- …experience in a hospital setting, preferably cardiology, radiology, surgery or utilization review , required. Previous revenue integrity experience, Excel and ... Valhalla, NY Category: Professional/Non-Clinical Department: Revenue Integrity Union: No Position: Full Time Hours: 8:30-5pm, M-F Shift: Day Req #: 41399 Posted… more
- New York State Civil Service (Highland, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... (PEF) Salary Range From $84156 to $106454 Annually Employment Type Full -Time Appointment Type Permanent Jurisdictional Class Non-competitive Class Travel Percentage… more
- Nuvance Health (Carmel, NY)
- …years RN experience in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred. ... New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading...Location: Carmel-PHC 670 Stoneleigh Avenue Work Type: Full -Time Standard Hours: 37.50 FTE: 1.000000 Work Schedule: Day… more
- WMCHealth (Valhalla, NY)
- …NY Category: Clerical/Administrative Support Department: Health Info Mgmt-WMC Health Union: No Position: Full Time Hours: 8:30AM to 5PM, M-F Shift: Day Req #: 41597 ... to the the coding leadership team. + Participates in mandated medical record review processes. + Using current ICD10 CM/PCS coding systems, assigns and records an… more