Utilization review jobs in Corona, NYCreate job alerts

Must have working knowledge of Utilization management to support the patient, ensuring clients ... Conduct regular case conferences with Clinicians for supervision and consultation; review case ...

Reviews physical assessment of each child to ensure that physicals are compliant. * Provides direct patient care and administer medications in accordance with the physician's orders and updates ...

... utilization review, quality assurance, or discharge planning * Knowledge of community-based long-term care services to dual eligible and frail adult population Preferred Qualifications for UAS ...

Develop, implement and evaluate case management programs, including utilization review, and discharge planning. * Establish and maintain relationships with community-based services and organizations ...

Other non-qualifying experience including, but is no limited to, experience in experimental psychology, research psychology, industrial psychology, organizational psychology, utilization review ...

Attend EBR reviews and client engagement meetings as needed, leveraging executive support to achieve goals. Revenue Growth and Utilization Targets * Impact revenue growth by maintaining consultant ...

Review previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission * Conduct in-person Care Management visits in ...

Keep abreast of the latest developments in child psychiatry as they relate to children and adolescents in foster care through continuous review of the literature and through utilization of the time ...

The position also involves reviewing outcomes, coding, and utilization data to enhance participant health and reduce unnecessary utilization. Benefits Medical, Vision, Dental, and Life Insurance ...

Regularly conducts Quality Assurance reviews and compiles data about telehealth utilization and workflows. Leads Telehealth Quality Improvement initiatives. * Chairs telehealth staff meetings with ...

Utilize evidence-based strategies to prevent hospitalization and inappropriate ER utilization ... Review and authorize service requests according to workflows and timelines. * Collaborate with ...

Review deliverables prepared by team before passing to client * Effectively apply Palo Alto ... Analyze project profitability, revenue, margins, bill rates, and utilization * Strong proficiency ...

Monitors team performance and metrics including utilization, job status, billable hours, and job count * Delegates incoming assignments after careful review of which expert's skillset best fits the ...

The position also involves reviewing outcomes, coding, and utilization data to enhance participant health and reduce unnecessary utilization. Benefits * Medical, Vision, Dental, and Life Insurance

... utilization, billability, grade pyramids etc. * Experience in planning, organizing and tracking Digital Trainings * Experience in creating management review reports. * Experience in Advance MS Excel

... Review, engage, plan and deploy necessary security governance process' and practices so that ... utilization of Cybersecurity resources, · Drive strategy for security awareness management · ...

Experience with the utilization of Patient Management System in the Pharmacy * 340B experience preferred Essential Job Functions: * Review and execute provider's prescriptions checking their ...

Review and interpret screening and diagnostic observations and report findings to the project ... Familiarity with database utilization, regulatory compliance and human subject's protection issues

... utilization of data in real time. By delivering scalable and flexible programmatic innovation, we ... Conduct quarterly business reviews and ongoing direct client management and entertainment * Work ...

... utilization management and clinical review activities. - Conduct chart reviews and assist with the appeals and grievances process. - Participate in developing clinical models focused on high-risk ...

Review, reconcile and validate benefits utilization reports and invoices that are received from carriers and third-party administrators * Plan and execute ANA's employee Wellness Program to engage ...

Continually adapt warehouse layout to ensure efficient space utilization of Facilities/Building Maintenance * Review and approve all Operational Invoices for payment * Learn and continually re ...

Review patient charts for missing labs, reports, and/or open orders * Triage urgent same day or double book appointment requests * Coordinate and participate in daily huddles * Assist with inventory ...

Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types available: full time, part time, and per diem Employer features: Academic ...