- Rochester Regional Health (Rochester, NY)
- …as soon as possible after admission-within the first12 to 24 hours. Applies utilization review criteria to assess and document appropriateness of admission, ... documented in the patient chart. Forward patient chart to physician for review when problems are identified....physician to identify cause. Communicates as needed with Physician Advisor , assures patient is placed on… more
- New York State Civil Service (Albany, NY)
- …collaborative review and utilization of available data.* Serve as physician advisor to OPWDD Medical Directors and lead clinician when collaborating with ... nine Bureaus in need of the expertise of a physician including working with the Bureau Directors, the Division's...recommendations to the Bureau of Service Allocation Research and Review (BSARR) regarding cases that do not meet standard… more
- Arnot Health (Elmira, NY)
- …the Case Management practice. The Case Manager will work cooperatively with the Physician Advisor and Team. DUTIES AND RESPONSIBILITIES: ** 1. Determines medical ... the management of patient care. The Case Manager will review all patients for utilization management and...Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's… more
- Nuvance Health (Poughkeepsie, NY)
- …and at a minimum the case manager reviews observation cases daily. 3. Utilizes physician advisor to interface with physicians as needed. 4. Collaborates with the ... or BSN preferred. Must have current RN license. Preferred experience in Utilization Review /Management.Company: Vassar Brothers Medical Center Org Unit: 1190… more
- Kaleida Health (Buffalo, NY)
- …as facilitating strong working relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and hospital departments ... and insurance / managed care practices including but not limited to: utilization review , RAC, MAC, Q10, clinical and DRG denial management required. **Working… more
- Arnot Health (Elmira, NY)
- …of auth/denial review decisions. 8. Maintains a working relationship with Physician Advisor regarding physician issues related to auths/denials. 9. ... Bachelor's in nursing preferred. Must have proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR)… more
- Fresenius Medical Center (Jamaica, NY)
- …departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. + ... staff in problem solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible… more