- UHS (Johnson City, NY)
- …Program Manager (TPM), to assure the provision of safe, efficient and effective clinical care to all injured patient by continuously monitoring, evaluating and ... clinical performance to reduce variation and improve clinical care . The TRN has responsibility for...with the TPM and Trauma Registrars to assure accurate, concurrent clinical data abstraction and entry into… more
- Trinity Health (Albany, NY)
- …documentation of diagnoses and co-morbidities is a complete reflection of the patient's clinical status and care . + Collects and analyzes data to formulate ... KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding, provider auditing and clinical /education experience required. Must have 5 or more years' experience as… more
- Elderwood (Waverly, NY)
- …Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and ... Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed ...scan documents, phone calls) with case managers to provide concurrent updates as requested by Insurance Companies, handles Third… more
- Northwell Health (Forest Hills, NY)
- …In concert with attending physician.Responds to third party payer requests for concurrent clinical information providing all relevant documentation to ensure ... oversees and evaluates the appropriateness of care across the acute care continuum. Applies clinical expertise and medical appropriateness criteria to… more
- Sodus Rehab & Nursing Center (Utica, NY)
- …Medical Department to obtain clinical notes & social work documentation to compile concurrent review package. + . Submitting concurrent review ... . Obtain authorization single case agreement for all Managed Care patients. + . Provide notification to Nursing Home...Nursing Home Leadership Team regarding status & deadline of concurrent review . + . Coordinate with Social… more
- MVP Health Care (Rochester, NY)
- …medical management system + Responsible for identification and assignment of cases requiring concurrent review to the appropriate BH UM Clinician + Communicate ... At MVP Health Care , we're on a mission to create a...team at ###@mvphealthcare.com . **Job Details** **Job Family** **Medical Management/ Clinical ** **Pay Type** **Salary** **Hiring Min Rate** **44,850 USD**… more
- Healthfirst (NY)
- …coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, and case management as assigned. The ... Monitors assigned case load to meet performance metric requirements + Functions as a clinical resource for the multi-disciplinary care team in order to maximize… more
- Guthrie (Corning, NY)
- …ongoing interaction with the patient and family/caregivers, physician and other health care providers to achieve designated clinical , operational and financial ... to the case management process. Certified to complete Patient Review Instruments (PRIs). Has a working knowledge of the...PRI and other referral procedures as needed for continuing care needs. e) Provides leadership for clinical … more
- Mount Sinai Health System (New York, NY)
- …/ appeals as specified by Insurance / State & Federal regulation. + Enters concurrent review information for Review Nurses in Allscripts + Obtains/Prepares ... Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical /Technical/Service** + Demonstrates the ability to perform clinical… more
- Stony Brook University (Stony Brook, NY)
- …Supervisor - Cytogenetics **Position Summary** At Stony Brook Medicine, a **TH Clinical Laboratory Technologist I/Shift Supervisor** is a valuable member of our ... with all regulatory standards. Qualified candidates will demonstrate superior patient care and possess outstanding communication skills while adhering to our high… more