- 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
- 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...day in the life of a **Registered Nurse Care Manager ** at **Hackensack Meridian** **_Health_** includes: + All patients… 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
- VNS Health (Manhattan, NY)
- …management teams to generate timely requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable ... opportunities What You Will Do + Delivers timely notification of clinical decisions that are conditions for discharge. Identifies potential barriers including,… more
- Fresenius Medical Center (Yonkers, NY)
- …counseling services to patients as permitted within the scope of their clinical training and state license. + Provides educational and goal directed counseling ... for all patients based on acuity level. + Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to… more