- 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** + 1-2 years related healthcare administrative… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… 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
- Agiliti Health (NY)
- …Office (MT), Home Office (NC) {+ 17 more} **Job Title:** Business Review Specialist **Company:** Agiliti **Location City:** Not Applicable **Location State:** ... **POSITION SUMMARY** Create and deliver high-impact, customer-facing business- review presentations that clearly communicate Agiliti's value, service performance, and… more
- Trinity Health (Troy, NY)
- …college level course in medical terminology. + One year of case management or utilization review /billing or coding experience. + One year of experience in ... utilization reviews with the facilities Per Diem- Insurance Specialist to assist with authorizations for Substance abuse and...related field + One year of case management or utilization review , billing, or coding experience Please… more
- Stony Brook University (Stony Brook, NY)
- Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... of excellence._ Duties of a Care Manager - Readmission Specialist may include the following but are not limited...the case management plans such as clinical needs, barriers, utilization of resources via assessments and/or progress notes. *… more
- Healthfirst (NY)
- …in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management. + Demonstrated ... and Suspension of services. The end-to-end process requires the Specialist to independently: + Research issues + Quality of...understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual,… 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
- BAE Systems (Greenlawn, NY)
- …a BAE Systems facility 100% of the time. The role of the Ops Specialist II is to help oversee and manage the programs/projects within Operations responsibility. ... phases, from development to transition to production and production. The Ops Specialist II aids in preparing project execution plans, identifies the technical and… more
- Stony Brook University (Stony Brook, NY)
- Per Diem - Behavioral Health Specialist **Position Summary** At Stony Brook Medicine, our Behavioral Health Specialist : + Orients patients to treatment setting ... interventions, restraint/seclusion, behavior plan development and safety plan development, utilization and monitoring. + Conducts a variety of patient treatment… more