- VNS Health (Manhattan, NY)
- OverviewThe Hospice Clinical Review Manager 's primary responsibility is ensuring compliance with local coverage determinants (LCD) in coding and ... in the EHR, when generating the Plan of Care Order for hospice . The Hospice Clinical Review Manager is an integral part of the QAPI team and… more
- Hackensack Meridian Health (Little Falls, NJ)
- …indicators are measured quarterly and action plans are successfully implemented. Complete clinical record review and trending reports. Maintain infection logs ... , provides a comprehensive continuum of home health care and hospice services, support, and resources to patients and families in Passaic,… more
- Catholic Health Services (Melville, NY)
- … clinical expertise/reference for specialty services as needed to adequately prepare clinical review and/or appeal. | Demonstrates aptitude and skill in ... Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and...care to MCC in response to physician order, or review of updated clinical information | Acts… more
- Atlantic Health System (Summit, NJ)
- …while adhering to organization's quality standards. 3. Analyzes data to monitor clinical , operational, and financial outcomes, as well as department's quality norms; ... Healthcare System, Freehold, NJ + Atlantic Home Care and Hospice + Atlantic Mobile Health + Atlantic Rehabilitation We...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
- Catholic Health Services (Melville, NY)
- …Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical documentation. ... employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health,… more
- Atlantic Health System (Summit, NJ)
- …patient care situations requiring advanced competency and knowledge. 3. Serve as a clinical resource for problem solving and assist staff with patient related issues ... of department and unit tools. 10. Acts as a manager in absence of the manager . 11....Assists with budget process. 14. Assists staff in implementing clinical pathways and outcomes management. 15. Assists in unit… more