Clinical reviewer jobs in Corona, NYCreate job alerts

Provides clinical guidance to physicians, mid-level practitioners, nurses and lead medical assistants, including chart review, co-signing, consultation, and case conferences * Provides back-up for ...

... Review Committee, current medical licensure and appropriate medical staff appointment and ongoing clinical activity. The candidate must have the specialty expertise and at least three years of ...

Reviewing clinical records for completeness and accuracy to ensure compliance. * Collecting and analyzing data related to the utilization review process and preparing reports on findings, patterns ...

Support operational scheduling by conducting a clinical review on all transfers in order to identify priority patients to be seen and flag for scheduling as needed. * Support implementation and ...

Read and interpret contracts (e.g., provider, hospital, benefits, managed care plans) and apply contract provisions to the clinical review process * Educate others (e.g., employer groups, providers ...

... clinical judgment to ensure the highest quality of care. The ideal candidate is flexible, tech-savvy, and able to adapt to a variety of environments. Responsibilities: Preparation: • Review ...

Provide focus on transition activities to benefit clinical needs of members. Combine utilization of ... Assess appropriate site of care utilization and continued medical necessity reviews for prior ...

... review, fraud investigation, surveillance or monitoring activities, required; OR * Three years of clinical or administrative experience, required; OR * A Bachelor's degree in nursing and two years of ...

Clinical Director The Physical Therapist Clinical Director is responsible for complete oversight of ... Yearly review for growth opportunities * Professional Development Growth Tracks * Tuition discounts ...

Review and sign out surgical pathology biopsies, excision, and resection cases. * Review and sign out cytopathology cases. * Prioritize malignant cases and submit all first-time malignant cases for ...

Mentor less experienced nurses, offering clinical & career advice * Maintain the standards of care ... Review Resident records & quality of care * Monitor overall care & review individual Residents ...

Psychiatrist / VA Reviewer - Remote Minimum of 5 years active clinical practice within the specialty. Greenlife Healthcare Staffing is currently seeking a Psychiatrist - VA Reviewer to fill an ...

Clinical Nurse Manager / Certified Home Health Agency / CHHA / Bronx Summary The CHHA-Clinical ... Patient Review Instrument (PRI) assessor skills experience preferred * Valid driver's license ...

Mentor less experienced nurses, offering clinical & career advice * Maintain the standards of care ... Review Resident records & quality of care * Monitor overall care & review individual Residents ...

... review treatment plans, record and sign their orders, progress notes, etc. in accordance with established policies. * Signs off physician's orders in EMR as per policy and procedure. Clinical

Provide direct clinical supervision to assessment and clinical team. Assist in the implementation ... Ensure that daily, weekly and monthly DHS statistics are compiled and submitted for review

Participate in clinical research projects including protocol review, patient record review, and compliance monitoring and meeting with regulatory authorities. * Function with defined lines of ...

Provide assistance in monitoring laboratory productivity; including supervisory review of abnormal ... JOB REQUIREMENTS: 1. Valid license as a clinical laboratory technologist, cytotechnologist, or ...

Responsible for supervision of G & C Specialist and Financial Analyst 2. Reviews grants and contracts proposals and expenditures prior to submissions for accuracy, completeness and compliance with ...

Performs pre-visit planning and reviews quality metrics. Retrieves telephonic clinical information from patients who call into the office. Monitors task list and completes tasks assigned by provider ...

Performs pre-visit planning and reviews quality metrics. Retrieves telephonic clinical information from patients who call into the office. Monitors task list and completes tasks assigned by provider ...

SCOPE OF ROLE & RESPONSIBILITIES: - Performs review of letters for Article 44 compliance, generates Lack of Clinical information letters, and ancillary services review, etc., following established ...

Develops and reviews departmental policies and procedures to reflect the Hospital mission and philosophy. * Liaison to clinical departments identifying and assessing problems and monitoring actions

Documents all clinical reviews in Canopy. * Supports the mission, vision, philosophy and goals of the Medical Center. * Promotes an environment that is sensitive to cultural diversity and is open and ...