• Physician Advisor , Case

    Hackensack Meridian Health (Neptune, NJ)
    **Overview** Hackensack Meridian _Health_ is seeking a collaborative Physician Advisor to join our growing health network. The successful candidate will lead ... in the teaching, consulting and advising of the care management and utilization review departments and hospital leadership. +...Medical License + 1-2+ years of experience as a Physician Advisor or similar role + Ability… more
    Hackensack Meridian Health (12/06/24)
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  • Staff Nurse- Case Manager- Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …to the diverse backgrounds and experience of others. * Liaison with Physician Advisor . 2. Case Management : * Assessment of the patient's clinical, ... Case Manager is responsible for all aspects of case management / utilization review for an assigned...rate. * Appropriately identifies and refers cases to the physician advisor to support timely progression of… more
    Mount Sinai Health System (10/16/24)
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  • Physician Advisor

    WMCHealth (Valhalla, NY)
    …other duties as assigned. Qualifications/Requirements: Experience: Experience as a CDI champion and/or Case management Physician Advisor or having 3-5 ... Physician Advisor Company: WMC Advanced ... Physician Advisor Company: WMC Advanced Physician Services...administrative support and leadership to the utilization and resource management areas of Integrated Case Management more
    WMCHealth (12/13/24)
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  • Care Advisor , MSK Kids

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    …employees. Job Description Exciting Opportunity at MSK: We are seeking a Care Advisor to join the MSK Kids team.MSK Kids, Memorial Sloan Kettering's pediatric ... needed, and referring to resources where appropriate + Coordinate all materials management , collecting and submitting documentation to the medical record system +… more
    Memorial Sloan-Kettering Cancer Center (01/10/25)
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  • Manager, RN - In-Patient Hospital Case

    Mount Sinai Health System (New York, NY)
    **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This ... The NCM reports to and assists the Director of Case Management in providing ongoing education to...review medically complex and long stay cases; refer to physician advisor as indicated. 3. Collaborates with… more
    Mount Sinai Health System (11/19/24)
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  • RN/ Case Manager-MSH- Case

    Mount Sinai Health System (New York, NY)
    **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... NYSNA-MSH NYSNA at Mount Sinai Hospital , 329 - Case Management - MSH, Mount Sinai Hospital...rate. h. Appropriately identifies and refers cases to the physician advisor to support timely progression of… more
    Mount Sinai Health System (01/01/25)
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  • Social Worker MSW, Case Management

    RWJBarnabas Health (Elizabeth, NJ)
    …utilization management and insurance communication + Collaborate closely with physician advisor + Participate in interdisciplinary rounds and facilitate ... Category:Social Work Status:Per Diem Shift:Day Facility:Trinitas Regional Medical Center Department: Case Management Location: Williamson Street, 235 Williamson… more
    RWJBarnabas Health (12/26/24)
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  • Case Manager Emergency Department Inpatient…

    Mount Sinai Health System (New York, NY)
    …The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness ... Sinai St. Luke's and Mount Sinai West, BGG - Case Management - STL, Mount Sinai St....rate. 8. Appropriately identifies and refers cases to the physician advisor to support timely progression of… more
    Mount Sinai Health System (11/26/24)
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  • Hourly Clinical Physician 1 or 2 (South…

    New York State Civil Service (Staten Island, NY)
    …HELP No Agency Addiction Services and Supports, Office of Title Hourly Clinical Physician 1 or 2 (South Beach ATC) Occupational Category Health Care, Human/Social ... on evenings, weekends, and during off hours.*Serve as health advisor to multi-disciplinary team; provide consultation/peer review to other physicians/clinicians;… more
    New York State Civil Service (12/28/24)
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  • Hourly Physician Assistant (Blaisdell ATC)

    New York State Civil Service (Orangeburg, NY)
    …No Agency Addiction Services and Supports, Office of Title Hourly Physician Assistant (Blaisdell ATC) Occupational Category Health Care, Human/Social Services Salary ... 10962 Duties Description Under the supervision of a licensed physician , the Physician Assistant will perform the...care and facility operations. * Serve as a health advisor to a multi-disciplinary team.* Participate in activities intended… more
    New York State Civil Service (12/11/24)
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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 ... or the first business day. + Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action. + Participates… more
    Hackensack Meridian Health (11/15/24)
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  • Care Coordinator, Utilization Management

    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 ... or the first business day. + Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action. + Participates… more
    Hackensack Meridian Health (11/14/24)
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  • Clinical Denials & Appeals Specialist (Registered…

    Northwell Health (Melville, NY)
    …party payer. Prepares and defends level of care and medical necessity for assigned case . Collaborates with physician advisor , payor representative and site ... required, plus specialized certifications as needed. + Prior experience in Case Management , Utilization Review, and Appeals/Denials, highly preferred.… more
    Northwell Health (01/05/25)
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