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The Medical Director will provide ongoing development and review of protocols to ensure optimized care for patients is in compliance with licensing agencies. Participates in agency-wide QA Committee ...

Review medical records and referrals to provide informed evaluations. * Accurately input and code data in the UAS-NY (Uniform Assessment System of New York). * Document all interactions, outcomes ...

The Brooklyn District Attorney's Conviction Review Unit (CRU), the largest and most prolific unit of its kind, has an opening for an experienced trial attorney with extensive investigative experience ...

Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve optimal patient outcomes and ...

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 ...

Develop, review, and revise the Utilization Management Plan on a yearly basis. * Engage with payors and vendors in the management and tracking of denials and appeals, as appropriate. * Maintains a ...

Review medical records for potential study patients and ensure documentation of all laboratory test results and procedures. * Instruct potential study patients, caregivers, and staff on trial aspects ...

Review and update medication list to ensure accurate and complete list in electronic medical record (EMR) available for provider review and submission. Complete referrals and tracks patients ...

Review and update medication list to ensure accurate and complete list in electronic medical record (EMR) available for provider review and submission. Complete referrals and tracks patients ...

Review of required medical tests and documents pertaining to consultations and medical histories * Secure a thorough health history from the applicant and record findings * Arrange (but not ...

May review up to one thousand grant applications per year for pre-award financial and administrative policies on behalf of the Institution/Department. May assist in submission of high priority ...

Yearly review for growth opportunities * Professional Development Growth Tracks * Tuition discounts for employees and their families * TicketsAtWork and LifeMart company perks * Our workplace fosters ...

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 ...

Reviews complaints and grievances made or filed by staff. Makes appropriate reports to the Nursing Manager/charge nurse as required or as may be necessary. * Ensures that staff participates in and ...

Reviews qualified life event documentation and approves enrollment as appropriate * Researches issues involving benefit eligibility, enrollment and payroll deduction errors and discrepancies

Must also have at least 4 years of technology contracts review experience. Requirements * J.D. from an accredited law school. * Active bar license in any US state . * Minimum of 4 years of legal ...

Visits each assigned home weekly (minimally) to provide nursing oversight and complete review of items. * Interacts with primary, medical specialists, various clinical staff as necessary. * Advocate ...

Develops, implements, and annual reviews the HIV SNP's comprehensive Quality Management/Quality Improvement Plan. Ensures compliance with Federal, State and City regulations as they relate to the HIV ...

This plan should be reviewed and revised as needed. * Integrates therapeutic intervention techniques into programs or home of person served through consultation with parent/guardian and staff at team ...

In coordination with other leadership: design, implementation, ongoing review, and monitoring of relevant clinical facility-specific procedures, policies and operating manuals * Direct clinical ...

Review incident reports. Anything that is serious or needs to be escalated would have to reach out to leadership. Root Cause Analysis/Deeper dives into incidents Culture of safety survey Will do new ...

Ensure CRM systems are up to date by regularly reviewing and verifying sales deal data for accuracy and maintaining ownership of file quality throughout the process, demonstrating integrity at every ...

Review and evaluate the assessment and UAS information for members in the MLTC and MAP lines of business. Develop a working relationship with the PCP to be able to contact and discuss the care of the ...

Minimum Qualifications NYC Children's Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of psychiatric and medical services ...