- 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
- University of Rochester (Rochester, NY)
- … nurse practitioners Faculty Responsibilities: * Participates in annual peer review of patient medical record documentation * Annual clinical performance ... staff development and recruitment * Participates as needed in review of critical incidents * Participates as needed in...Performs chart reviews to assess standard of care in documentation by physicians. * Collaborates and communicates with other… more
- BronxCare Health System (Bronx, NY)
- …leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns and trends to ... identified deficiencies to best respond to all hospital denials notification and documentation efforts. The Appeals Manager will provide timely tracking and trending… more
- Rochester Regional Health (Rochester, NY)
- …and those at potential risk for adverse healthcare outcomes. The Registered Nurse works in collaboration with primary care providers and the multidisciplinary care ... provide family and caregiver support; * Ensure language access/ translation capability; * Review patient progress no less frequent than quarterly; * Modify goals and… more
- WMCHealth (West Nyack, NY)
- …needs assessment performed by the Care Manager through extensive medical record review , face to face and/or telephonic encounters with assigned patients and families ... . Each of these services has standardized protocols of delivery and documentation . . Outreach and health promotion services. . Comprehensive assessment with required… more
- Surgery Care Affiliates (Brooklyn, NY)
- …you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. + Promote the mission, vision, and values of SCA . + ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...with other disciplines as needed. + Participate in quality review and performance improvement projects. + Participate in the… more
- Stony Brook University (Stony Brook, NY)
- …may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR from the ... cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to...authorization prior to transfer from other hospitals. + Consistent documentation in the EMR regarding acuity, plan of care… more
- University of Rochester (Rochester, NY)
- …required documents as needed. Completes audits on patient records and clinical documentation for quality purposes. Serves as a liaison to outpatient clinics. ... application of strict inclusion/exclusion criteria and protocols. Performs meticulous chart review and enters clinical data into the quality databases to identify… more
- FlexStaff (Bronx, NY)
- …is completed in a timely manner according to regulation. Monthly random review of participant's charts/clinical documentation for quality and address any ... to resolve the source of the problem(s). Ensure all documentation for all participants is complete, accurate, and timely,...registration in New York State required as a Registered Nurse . Additional Requirements: Proficient in the use of a… more
- CenterLight Health System (NY)
- …is completed in a timely manner according to regulation. + Monthly random review of participant's charts/clinical documentation for quality and address any ... resolve the source of the problem(s). + Ensure all documentation for all participants is complete, accurate, and timely,...registration in New York State required as a Registered Nurse . Additional Requirements: + Proficient in the use of… more