- Deloitte (New York, NY)
- …clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality, DRG ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of… 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 operating room procedures. This individual seeks the assistance of the Nurse Manager in identifying cases, which require pre admission screening or have questionable admission criteria. **Qualifications** + High School/GED Degree + 1-2 years related… more
- 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 stay.… 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
- New York State Civil Service (Albany, NY)
- …or improve children's intensive outpatient community based mental health services. Review data reports, such as utilization rates, patient characteristics, ... working with children and/or adolescents with mental illness, as well as utilization management experience, including familiarity with the review of medical… more
- New York State Civil Service (Albany, NY)
- …adolescents with mental illness in a clinical capacity, as well as experience with utilization management and/or utilization review . ? The ideal candidate(s) ... Agency Mental Health, Office of Title Mental Health Program Specialist 2, Central Office; Occupational Category Other Professional Careers...will have direct care and utilization management experience, including familiarity with the … more
- New York State Civil Service (Brooklyn, NY)
- …Agency Mental Health, Office of Title Mental Hygiene Program Evaluation Specialist 3 (NY HELPS), Kingsboro Psychiatric Center, P26689 Occupational Category Health ... Psychiatric Center is currently recruiting a Mental Hygiene Program Evaluation Specialist 3 to join their program evaluation department which is responsible… more
- Northwell Health (New Hyde Park, NY)
- **Req Number** 171104 **Job Description** The Clinical Pharmacy Specialist is responsible for the development, implementation, and maintenance of drug formularies, ... clinical utilization management (UM) criteria, and evidence-based drug therapy guidelines,...hospital's Formulary and related activities; contributes to the Formulary review process. + Initiates/coordinates MUEs for P&T presentation; discusses… more
- Arc Allegany-Steuben (Hornell, NY)
- …money, why wait to be paid! Job Summary The Self Direction Billing Specialist is responsible for ensuring timely, accurate, and compliant billing for services ... requires proficiency with EVero software to manage billing processes, track utilization , reconcile records, and ensure all billing is submitted to accounting… more