- Guthrie (Binghamton, NY)
- …services regarding admissions, case management, discharge planning and utilization review . Responsibilites: Reviews admissions and service requests within assigned ... with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to federally mandated… more
- Mount Sinai Health System (New York, NY)
- …interdisciplinary approach to acute/primary health care delivery. i. Performs a patient record review with the collaborating physician in a timely fashion but ... in the specific clinical area and performs a periodic review of the collaborative agreement. b. Assesses the health...care in the patient's medical record. f. Consults with physician as established in the collaborative practice agreement. g.… more
- Molina Healthcare (San Francisco, CA)
- …+ Provides telephone, clerical, and data entry support for the Care Review team. + Provides computer entries of authorization request/provider inquiries, such as ... phone, fax, and mail according to Molina operational timeframes. + Contacts physician offices according to Department guidelines to request missing information from… more
- Beth Israel Lahey Health (Plymouth, MA)
- …using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to ... management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established guidelines for… more
- Atlantic Health System (Morristown, NJ)
- …and to ensure safe, effective and efficient patient care. Develops, with our physician colleagues, a system-wide quality review program. Ensures compliance with ... Under the supervision of the Assistant General Counsel (ACG), review prepare and negotiate a full range of hospital contracts including, without limitation, … more
- Dignity Health (Santa Maria, CA)
- …and other physical therapy assessment techniques. Accurately interprets the physician 's order. Measurement: Discussion, Feedback, Chart Review , Observation. ... abuse and neglect of elders and children. Measurement: Feedback, Chart Review , Observation. + Annual Performance Evaluations: Assists Therapy Manager/Supervisor in… more
- BrightSpring Health Services (Arroyo Grande, CA)
- … of body systems on assigned individuals per program requirements. Refer to physician any assessment findings needing further review . + Ensures incidents are ... observation of client's health status, assists the RN and physician in treatments and communicating with clients and their...direction of the RN and as ordered by the physician , provides direct care as outlined in the Service… more
- BrightSpring Health Services (Marietta, OH)
- … of body systems on assigned individuals per program requirements. Refer to physician any assessment findings needing further review .* Ensures incidents are ... observation of client's health status, assists the RN and physician in treatments and communicating with clients and their...direction of the RN and as ordered by the physician , provides direct care as outlined in the Service… more
- Catholic Health Initiatives (The Woodlands, TX)
- …patients receive their diagnostic procedures in an efficient and safe manner + Direct physician interaction by performing case by case review of the physician ... required to perform the procedure + Communicates with Patient Transportation, Nursing Units, Physician Offices, and other diagnostic areas to ensure that the… more
- UCLA Health (Los Angeles, CA)
- …+ Document medical records for inpatient, outpatient, and partial program services + Review documentation with physician after each visit to ensure accuracy and ... completeness + Collaborate closely with the assigned physician and clinical team to support coordinated patient care + Other duties as assigned Please note: this… more