- Independent Health (Buffalo, NY)
- …coding guidelines and financial policies/contracts. + Responsible for all reconsideration clinical appeals to include review of records, consultation with ... Specialist (CCDS), American Health Information Management Association (CCS-H, CCS-P), Certification Denials and Appeals Management (C-DAM), or NYS licensed RN… more
- Mount Sinai Health System (New York, NY)
- …Discharge Appeals / Insurance requests) + Support Appeals Nurse / Manager by confirming status of denials + Tracking status of Medical Record requests ... Clinical /Technical/Service** + Demonstrates the ability to perform clinical /technical/service/administrative tasks: + Prioritizes Insurance Requests / Denials… more
- Stony Brook University (Stony Brook, NY)
- Case Manager - Per Diem **Position Summary** At Stony...the hospital stay. + Assist with coverage for UR, Appeals and denials + Actively involved in ... Brook Medicine, a **Case Manager ** is a valuable member of our team, who...is a valuable member of our team, who provides clinical services to our patient population. Qualified candidates will… more
- Crouse Hospital (Syracuse, NY)
- …Care Managers in the department, including Utilization Management, Discharge Planning and Denials and Appeals functions. + Assessing workflow related to ... health education and outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day management of the RN… more
- Ellis Medicine (Schenectady, NY)
- …Management with initial clinical review requests as needed. + Notifies Case Manager of any potential delays of moving the patient through the continuum. + ... is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient discharge...Prints/copies the chart to fax or send for insurance denials or quality improvement organization appeals . +… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910132 Neurosurgery Clinical Support Work Shift: UR - Day (United States of America) Range: UR ... referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non- clinical staff, identifying barriers to appointment… more
- University of Rochester (Rochester, NY)
- …referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non- clinical staff, identifying barriers to appointment ... company barriers and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of the process which… more
- Catholic Health Services (West Islip, NY)
- …not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals , Managed Care and Revenue Cycle and Patient Access departments to ensure ... the most advantageous clinical and financial outcomes. Supports all CH and consultant...consultant initiatives addressing activities relative to Care Management and Denials . Identifies opportunities for improvement that result in development… more