- The Mount Sinai Health System (New York, NY)
- …information requested by the managed care companies as part of the concurrent review in a timely fashion. * Provides clinical information requested by the ... plan of care and coordination of services based on clinical needs and available resources. 3. Utilization Review...monitoring of discharge planning process in collaboration with the clinical nurse initiates the discharge planning process… more
- City of New York (New York, NY)
- …appointments; tracking and receiving test results; entering results into EMR; perform utilization/ concurrent review on all screening tests as well as on ... of New York (FDNY), seeks a full-time Case Management Nurse in the Bureau of Health Services, World Trade...nursing from an accredited college, and three years of clinical nursing experience; or 2. A valid New York… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …with questionable medical necessity to Physician Advisor for determination. + Review clinical and diagnostic interventions for appropriateness and timeliness ... a designated patient caseload. Collaborates with the attending LIP, Clinical Case Manager, nurse , and other members...team to insure optimal reimbursement for services provided. + Review concurrent denials from third party payers… more
- Vitalief (Newark, NJ)
- …on-site in Newark, NJ. Job Responsibilities: + Under the direct supervision of the Nurse Manager of Clinical Research Center (CRC), you will be responsible for ... clients adapt to evolving requirements in the research and clinical trial industry with cutting-edge solutions. Reasons to Work...plus. + Ability to work on 12 to 15 concurrent trials - must have strong organizational and prioritization… more
- NJM Insurance (Parsippany, NJ)
- …with treatment providers to promote rehabilitation. + Review clinical information and perform utilization management, concurrent and retrospective, ... 3 + years of experience preferred in: Med-Surg and critical care and clinical nursing, Utilization Management Review /Hospital concurrent reviews, and/or… more
- The Mount Sinai Health System (New York, NY)
- …information requested by the managed care companies as part of the concurrent review in a timely fashion. + Provides clinical information requested by the ... for assessment, communication and monitoring of discharge planning process (The clinical nurse initiates the discharge planning process on admission).… more
- The Mount Sinai Health System (New York, NY)
- …information requested by the managed care companies as part of the concurrent review in a timely fashion. c. Provides clinical information requested by the ... for assessment, communication and monitoring of discharge planning process (The clinical nurse initiates the discharge planning process on admission).… more
- The Mount Sinai Health System (New York, NY)
- …information requested by the managed care companies as part of the concurrent review in a timely fashion. 3. Provides clinical information requested by the ... for assessment, communication and monitoring of discharge planning process (The clinical nurse initiates the discharge planning process on admission).… more
- Hackensack Meridian Health (Red Bank, NJ)
- …a concurrent list of inhouse stroke patients and monitors clinical progress. + Evaluates customer satisfaction and implements processes to establish ... occurs. + Monitors compliance to hospital policies, procedures and standards through clinical observations, medical record review , staff evaluation, feedback and… more
- The Mount Sinai Health System (Long Island City, NY)
- …Social Service Department. + When managed care denies payment for days during concurrent review , contact the attending with this information. The attending can ... across the continuum. Ensuring and facilitating the achievement of quality, clinical and cost outcomes; Negotiating, procuring and coordinating services and… more
- RWJBarnabas Health (Livingston, NJ)
- …Care system. In a coordinative role, he/she assumes responsibility for concurrent and retrospective data collection and analysis to identify quality assessment ... Surgery Program. As such, it is responsible for the timely completion and review of monthly PI projects for all assigned modalities. Coordinates Outcomes Review… more
- Hackensack Meridian Health (Holmdel, NJ)
- …reviews for appropriateness of admission and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24 hours or the ... team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient… more
- Hackensack Meridian Health (Edison, NJ)
- …reviews for appropriateness of admission and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24 hours or the ... healthcare teamand is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated… more