- 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
- 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