- UHS (Johnson City, NY)
- …communication skills and a thorough understanding of insurance requirements. You'll review clinical documentation to confirm it meets agency and payer standards ... in data processing + Certified home care and/or utilization review work experience Why You'll Love Working at UHS...space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes… more
- University of Virginia (Charlottesville, VA)
- …surgical techniques. + Assists other coders in resolving coding issues/questions. + Performs peer review as directed from coding leadership. + Queries physicians ... on paper documentation. + Reviews and resolves charge sessions that fail charge review edits, claim edits and follow-up work queues, identifies areas of opportunity… more
- UHS (Binghamton, NY)
- …weekly hours. Job Responsibilities: + Assist in the development, preparation, and review of preliminary and final annual operating budgets; support the creation of ... space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes...you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity,… more
- Molina Healthcare (Ann Arbor, MI)
- …**RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + Peer Review , medical policy/procedure development, provider contracting experience. + Experience ... requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care and services… more
- Mount Sinai Health System (New York, NY)
- …professional practice environment through facilitation of collegial interdisciplinary relationships, peer review , nursing research, innovation and joint practice ... Care. 4. Confirms that staff members round hourly on all patients by review of rounding validation data and observation of unit rounding. 5. Validates Associate… more
- WMCHealth (Valhalla, NY)
- … physician /resident clinical or documentation outliers to the stroke program peer review process. + Participates in outreach and community education ... as required. + Brings all opportunities for program improvement noted from data review to the attention of the program director in a timely, appropriate manner.… more
- UHS (Johnson City, NY)
- …+ Supports readiness for internal and external audits through education and process review . Job Requirements Minimum Requirements : + 2 years of working in a ... space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes...you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity,… more
- ERP International (Camp Pendleton, CA)
- …rehabilitation team meetings, seminars, and quality assurance meetings. Participate in peer review activities. Provide therapeutic oversight and support to ... progress in patient's chart and/or automated systems. * Coordinate treatment with physician and other staff members to obtain additional patient information, suggest… more
- Glendive Medical Center (Glendive, MT)
- …healthcare team members in a professional and collaborative manner. + Participates in peer review as appropriate. + Uses concepts of professional ethics while ... a fundamental understanding of its implications by reporting information to the physician and others caring for the patient, and by incorporating information in… more
- Bassett Healthcare (Milford, NY)
- …nursing triage, in the outpatient setting on an ongoing basis based on periodic review by the Director, Ambulatory Nursing + Works with master scheduler to schedule ... overcoming deficiencies and ensure success of staff in achieving objectives. Review critical errors with Director, Ambulatory Nursing + Completes performance… more