- Mount Sinai Health System (New York, NY)
- …preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a ... to: 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using standardized… more
- Mount Sinai Health System (New York, NY)
- …interprets the clients' responses to the plan of care. 12. Performs a patient record review with the collaborating physician in a timely fashion but not less ... plans are not required to be countersigned by a physician . **Qualifications** At least two years of nursing experience...and other health team members. 6. Participates in peer review . 7. Incorporates research findings in clinical practice. 8.… more
- Mount Sinai Health System (New York, NY)
- …The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse, Physician Assistant, or Nurse Practitioner, who manages the 24 hour a day ... patient-centered care. **Qualifications** Must be a Licensed Registered Nurse, Physician Assistant or Nurse Practitioner Registered Nurse Bachelor's Degree in… more
- Trinity Health (Syracuse, NY)
- …in surgical or specialty coding practice. Reviews chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to ... payer regulations. Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review Responsible for proofing daily… more
- Highmark Health (Albany, NY)
- …URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary ... **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with… more
- BioLife Plasma Services (New York, NY)
- …determines donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, donor notification of unsuitable test results. ... applicable) for operational guidance and under the supervision of the Center Physician for medical issues. Ideally, the Medical Support Specialist will be familiar… more
- Rochester Regional Health (Rochester, NY)
- …hours and confirm surgeries performed as scheduled to facilitate accurate billing. + Review OR schedule against office physician schedule for accuracy, update ... Schedule and coordinate surgical cases and procedures with other physician specialty practices and departments. RESPONSIBILITIES: + Communicate with patients… more
- Intermountain Health (Albany, NY)
- …with Clinical Documentation Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review complex facility encounters and assign ... coding questions received by facility caregivers including CDI RNs, Quality and Physician Advisor Services MDs. This position supports higher level analytics for CDI… more
- Stony Brook University (Stony Brook, NY)
- …Abnormal findings or conditions are referred to the supervisor for review , confirmation, and further intervention. Medical Assistants must share pertinent ... test. Answers routine questions relative to procedures and assists physician with the examination process, including chaperoning patients during...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- TEKsystems (Hicksville, NY)
- …(NCCI) to review and resolve NCCI edits for Part B physician billing Claim Edits. *Full knowledge of company policies and procedures. *Maintains confidentiality ... filed. *Codes Inpatient,ASU and Surgical chart, edit and or validate the physician procedures according to services performed, meeting productivity levels 65 charts… more