- Fresenius Medical Center (Brooklyn, NY)
- …effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance ... condition directly to the PCT III (if applicable) or nurse supervisor. + Observe patient and conduct machine safety...clinical application in an accurate and timely manner. + Review treatment sheets for completeness ensure nursing signatures are… more
- Molina Healthcare (Syracuse, NY)
- …HCS Department staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and direction of ... timely completion. + Actively participates in the Department auditing program to review and communicate findings with staff and identify opportunities for improved… more
- Arnot Health (Elmira, NY)
- …related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... of admission and stay in accordance with Interqual. ** 2. Prepares Medicare /Non Medicare hospital notices of noncoverage (HINN) when patient's level… more
- Bassett Healthcare (Cooperstown, NY)
- …Raises up emergent situations or expressed patient problems directly to RN, Supervising Nurse , or Practitioner for assistance. Answers phones within 3 rings using a ... authorizations are obtained and documented appropriately within the referral. Performs chart review in preparation for providers clinic. Makes best effort to ensure… more
- Stony Brook University (Stony Brook, NY)
- …supporting documentation to support RUG levels claimed. + Collaborate with Nurse Managers to ensure appropriate completion of the resident center comprehensive ... the Department of Veteran's Affairs. + Completes notification to Medicare beneficiaries for changes in level of care (SNF...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Insight Global (New York, NY)
- …with primary care providers and provide remote patient monitoring to Medicare populations, specifically those with chronic illnesses (ex. Type2 diabetes, ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- Northwell Health (Staten Island, NY)
- …* Performs concurrent utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of stay. + ... companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to… more
- Arnot Health (Bath, NY)
- …of the Long Term Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective time ... of resident care. e. Assists the DON with implementing appropriate review systems for competency-based appraisals of staff. f. Participates in Nursing/Medical… more
- New York State Civil Service (NY)
- …as a member of an interdisciplinary treatment team and attend meetings for case review ; * Participate in and lead individual, family and group counseling sessions; * ... and maintain a wide variety of records. * Peer review . LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all #LI-MF1 Minimum Qualifications Minimum Qualifications for… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …timely manner and provides support for the Case Management (CM) and Registered Nurse (RN) reviewers and manages the denial process. + Leads interdisciplinary complex ... the UM/ CM staff. + Participates in clinical peer review recruitment and supervision. + Collaborates with Provider Relations...without restrictions and free of sanctions from Medicaid or Medicare required. + Minimum of five (5) years of… more