- VNS Health (Bronx, NY)
- …preferred and Joint visits with other nursing staff to demonstrate new techniques preferred Hospice Only: four years' clinical hospice experience or ... variety of tools, eg, Field visit tool evaluation, record review , employee assessment, skills checklist, milestones, etc., to identify,... Hospice Only: Minimum of two years' full-time clinical hospice or home care experience CAREERS… 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 applying ... 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 as… 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 as… more
- Hackensack Meridian Health (Maywood, NJ)
- …healthcare and serve as a leader of positive change. The **Registered Nurse Care Manager ** is a member of the healthcare team and is responsible for coordinating, ... communicating and facilitating the clinical progression of the patient's treatment and discharge plan...and handoff between acute & post-acute services. RN Case Manager is for Child and Adolescent Outpatient Behavioral Health… 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
- Catholic Health Services (Melville, NY)
- …through. | Reviews providers' requests for services and coordinates utilization/appeals management review . | Assist Utilization and Appeals Manager in setting up ... care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the...as well as all financial metrics associated with front-end review process. | Collects data, prepares analysis, and oversees… more