- Cognizant (Albany, NY)
- …guidelines and regulations + Experience in the analysis and processing of claims, utilization review /quality assurance procedures + Must be able to work with ... is required + Facets experience is highly preferred + Knowledge of physician practice and hospital coding, billing, and medical terminology, CPT, HCPCS, ICD-9… more
- UHS (Johnson City, NY)
- …sterilization. + Ensures that patient equipment is in appropriate working order for utilization in direct care. + Ensures that sterility and aeration is achieved, ... mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can… more
- New York State Civil Service (Ridge, NY)
- …2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional Comments * Please note that starting ... 3 (and all parenthetics), Nurse Practitioner (and all parenthetics), Physician Assistant, Psychologist 1, Psychologist 2, Rehabilitation Counselor 1, Rehabilitation… more
- St. Mary's Healthcare (Amsterdam, NY)
- …the referral the patient has presented. Schedules requested exams to maximize equipment utilization by time and location, review open slots and manage waitlist ... diploma/GED required. Minimum of two (2) years of experience in Hospital or Physician office setting working in a patient access position or call center environment… more
- Mount Sinai Health System (New York, NY)
- …4. Reviews and performs patient service recovery 5. Consults with physician and nursing leadership according to established standards, policies, procedures, and ... approach to care delivery. 8. Performs a patient record review with transplant coordinators and providers to ensure accurate...practice, systems are supportive of clinical care. 15. Promotes utilization of RNs to optimize their scope of clinical… more
- WMCHealth (Kingston, NY)
- …the patient information from the Philips Azurion 7 M20 to ISCV for Physician review . + Effective communicator with colleagues and providers regarding the ... clinical patient care experience involving cardiac cath laboratory procedures and utilization of related specialized equipment preferred. EDUCATION + A high school… more
- University of Rochester (Rochester, NY)
- …Enrollment & Outreach, Financial Assistance, Registration and Insurance Management, Utilization Management, Social Work, Patient Accounts, Medical Records, Home Care ... and Finance. + Coordinate with external entities including patients, families, physician offices, third party payers, Department of Social Services, Department of… more
- CDPHP (Latham, NY)
- …for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality ... (2) years experience in a health insurance related discipline required. + Utilization management experience is preferred. + Knowledge of managed care, health plan… more
- UHS (Johnson City, NY)
- …in professional organizations locally, regionally or nationally. + Promote utilization of specialty knowledge from the standards of specialty professional ... mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can… more
- Healthfirst (NY)
- …out of home placement, and//or community-based services and may be called upon to do Utilization Review for those services + Develops care plans that align with ... treatment to ensure alignment and execution of the members care and physician treatment plan + Assists in identifying opportunities for alternative care options… more
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