- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
- SUNY Upstate Medical University (Syracuse, NY)
- …including PC, Windows, Microsoft applications, Zoom/WebEx platforms, etc. Preferred Qualifications: Utilization management or utilization review experience, ... Job Summary: The UR-CR Specialist I is primarily responsible for ensuring that...reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria… more
- Trinity Health (Syracuse, NY)
- …college level course in medical terminology.One year of case management or utilization review /billing or coding experience.One year of experience in ... coding/medical records/billing or healthcare related fieldOne year of case management or utilization review , billing, or coding experiencePlease be aware for the… more
- Datavant (Albany, NY)
- …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical ... well versed in DRG downgrade denials and appeal writing for inpatient admission . Experience with clinical criteria resources and payor guidelines. **You will:** +… more
- Rochester Institute of Technology (Rochester, NY)
- **9779BR** **Position Title:** Senior Clinical Staff Specialist **Organization:** Student Health Center **Job Responsibilities:** + Patient Care Services & Clinical ... delegated by the Administrative Supervisor: + Create Master Templates + Manage, review and adjust daily appointment schedules; use independent judgement to address… more
- DePaul (Rochester, NY)
- …follow-up consultation and training. + Responsible for Utilization Record Review functions to include Individual record audits, admission reviews, continued ... Overview The Quality Management Specialist works with the Quality Management Department to provide the highest achievable quality of services to the individuals we… more
- Mohawk Valley Health System (Utica, NY)
- … regarding correct level of care and reimbursement. Apply knowledge of utilization review , discharge planning, patient status changes, length of stay, ... appropriateness of admission and continued stay, severity, and morbidity/mortality. + Review patient status when admission criteria is non-sufficient for … more
- University of Rochester (Rochester, NY)
- …directly to the Senior Manager of Student Affairs, the Student Support Specialist plays a vital role in supporting students in workforce investment programs, ... through data collection, evaluation, and stakeholder engagement. The Student Support Specialist also oversees all mandatory student compliance items for new and… more
- University of Rochester (Rochester, NY)
- …**ESSENTIAL FUNCTIONS** Registry Abstraction: + Accurately identify all trauma admissions , transfers, and deaths, using clinical identifiers and strict ... Attend registry vendor sponsored training workshops/meetings to maximize trauma registry utilization and performance. Registry Admin Duties + Oversee the conversion,… more
- BriteLife Recovery (West Kill, NY)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... We are seeking a passionate and qualified Certified Recovery Specialist (CRS) to join our dynamic team. The CRS...a database (EMR). + Ability to explain and complete admissions paperwork. + Ability to complete the admissions… more