- Mount Sinai Health System (Long Island City, NY)
- …Description** The Director will direct and manage departmental activities involved in utilization review , appeals management and discharge planning to facilitate ... to influence other services by focusing on patient processes. 8.Develops and implements Utilization Review (UR) based on internal data collection, data received… more
- Northwell Health (Manhasset, NY)
- …and provide pharmacy recommendations + Education and development of nurse, physician and pharmacy staff development pertaining to transplant and immunosuppression. + ... and research. + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and… more
- Arnot Health (Elmira, NY)
- …Bachelor's in nursing preferred. Must have proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) ... of auth/denial review decisions. 8. Maintains a working relationship with Physician Advisor regarding physician issues related to auths/denials. 9. Provide… more
- WellLife Network (South Richmond Hill, NY)
- …location and schedules are subject to change. + Attend certification inspections, utilization review and independent professional reviews as needed. + Attend ... medical pre-admission evaluations and screening of prospective clients. + Review and update persons with disabilities pre-admission evaluation within thirty… more
- Rochester Regional Health (Rochester, NY)
- …of the Medical Management Department to maintain daily operations. Oversees the daily review process of the third party payors ensuring information is tracked and ... maintained. Creates departmental reports for senior management. RESPONSIBILITIES + Oversees the review process of third party payors with oversight from the Director… more
- YesCare Corp (Coxsackie, NY)
- …measures including sentinel event review . + Actively participant of the Utilization Review process and follow proper procedures. + Provides appropriate ... in-service education of staff as requested. Participates in monthly review of quality of care and chart reviews as...quality of care and chart reviews as requested. Sponsors physician assistants or nurse practitioners as required. + Notifies… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The (per diem) Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, pre-admission testing and ... testing and operating room time. 7. Checks credentials system for physician 's delineation of privileges for equipment and/or procedures according to medical… more
- Albany Medical Center (Albany, NY)
- …RN - Ambulatory Job Description Summary Under the direction of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse ... to patients in clinic, under the direction of a physician or APP + Participates in in-office procedure, as...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
- Project Renewal, Inc. (New York, NY)
- …in the development and implementation of quality assurance management and utilization review + Participates in interdisciplinary meetings with shelter ... Title: Primary Care Physician - Part Time Program: Healthcare Department ,...$120,000 depending on experience Position Overview: The Primary Care Physician working in Mobile Health is responsible for the… more
- Albany Medical Center (Albany, NY)
- …dynamic, quality focused, team-based department. Under the direction of the practice physician and/or advanced practice provider (APP) and the supervision of the ... to patients in clinic, under the direction of a physician or APP* Assesses and documents response to medication...in EHR* Performs venipuncture per order of MD/APP* Performs review and triage of incoming test results, patient requests… more