- CenterWell (Hauppauge, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- Albany Medical Center (Albany, NY)
- …our HIV Medicine Clinic team of dedicated healthcare providers! The Albany Medical College Division of HIV Medicine (DHIVM) offers comprehensive HIV services ... including primary medical care, medical case management, medication adherence,...in EHR* Performs venipuncture per order of MD/APP* Performs review and triage of incoming test results, patient requests… more
- Healthfirst (NY)
- The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, ... and case management as assigned. The Case Manager, Utilization Management is also responsible for efficient utilization of health services and optimal health… more
- Albany Medical Center (Albany, NY)
- …be part of the Bernard & Millie Duker Children's Hospital at Albany Medical Center. We offer a friendly team-oriented work environment centered on efficient, ... treating provider + Obtains and documents a patient's history ( Medical , Surgical and Social) and focused physical assessment, related...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
- Albany Medical Center (Albany, NY)
- …be part of the Bernard & Millie Duker Children's Hospital at Albany Medical Center team. We offer a friendly team-oriented work environment centered on efficient, ... treating provider + Obtains and documents a patient's history ( Medical , Surgical and Social) and focused physical assessment, related...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
- Albany Medical Center (Albany, NY)
- …values to treating provider + Obtains and documents a patient's history ( Medical , Surgical and Social) and focused physical assessment, related to the clinic ... or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests...facilitates call-backs to patients as necessary + Facilitates the utilization of resources to meet patient outcomes and contribute… more
- Albany Medical Center (Albany, NY)
- …our patients' needs. + Collaborate with Risk Management, Patient Relations, Utilization Management, Case Management, and Quality Management about potential problems ... conflict. + Participate in case presentation in Complex Care Review to seek interdisciplinary input regarding challenging cases. +...planning, and models of intervention + LMSW - Licensed Medical Social Worker - State Licensure Upon Hire -… more
- Albany Medical Center (Albany, NY)
- …abnormal values to treating provider Obtains and documents a patient's history ( Medical , Surgical and Social) and focused physical assessment, related to the clinic ... of a Physician or APP and documents results in EHR Performs review and triage of incoming test results, patient requests and pharmacy renewals;facilitates… more
- Rochester Regional Health (Rochester, NY)
- …soon as possible after admission-within the first 12 to 24 hours. Applies utilization review criteria to assess and document appropriateness of admission, ... Title: Nurse Navigator - Heart Failure Clinic Location: Rochester General Hospital Medical Office Building Hours Per Week: 40 Schedule: Monday-Friday 8am-4:30pm or… more
- Stony Brook University (Stony Brook, NY)
- …Revenue Cycle Management is responsible for the development, implementation, maintenance, review and audit of the Hospital Charge Description Master to optimize ... and education to Hospital departments, affiliates and other stakeholders. Requires utilization of coding guidelines, billing and payment regulations, and third party… more