Utilization review jobs in Howard Beach, NYCreate job alerts

Documents clinical review summaries, bill audit findings and audit details in the database ... Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and ...

Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its ... Preferred License, Certification, Association Active, unrestricted Utilization Management ...

Documents clinical review summaries, bill audit findings and audit details in the database ... Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and ...

Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its ... Preferred License, Certification, Association Active, unrestricted Utilization Management ...

Background in quality and/or risk management and/or utilization review * Data entry skills. * Medical research skills. * Education And Experience * Registered Nurse with current NYS license

Participation in committees responsible for quality assurance, incident management and utilization review. * Oversee EHR workflows and clinic procedure training of new staff. * Generate EHR reports ...

The Case Manager is responsible for all aspects of discharge planning and utilization management/review for an assigned group of patients to determine the appropriateness of the admission and ...

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

Ensure all clinic KPIs are met, including sales goals, labor utilization, and NPS scores. * Regularly review patient schedules, coordinate labor staffing, and ensure optimal use of resources

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

The Senior Addiction Counselor II ensures optimal utilization of resources and services, and ... Conducts intakes; assigns patients to clinicians; monitors, reviews and tracks caseloads

Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical services being performed at the clinics * Provide supervision and consultation to ...

Participate in utilization/quality assurance reviews. * Provide outreach presentations on YAI Crisis Intervention and other related programs within and outside of the agency. * Perform ...

... fleet utilization, and building strong relationships with clients. The role involves negotiating ... Collaborate with finance and legal departments to review contract . Oversee freight negotiations ...

Responsibilities: *1. Assesses the patient's physiologic health status Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers ...

Monitor/Complete nursing audit for the cluster, work closely with the Nursing Supervisor / Director of Nursing and Team to review findings, and develop a plan of correction. Monitors individuals ...

... review of records of the patient 2. Ensures that the patient's progress, or lack of progress, is reflected in progress notes and in the revised care plans 3. Discharge planning consistent with the ...

We look forward to reviewing your application and exploring the possibility of you joining our team! JOB CODE: 1000442

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

Ability to review health status questions and make evaluations and determinations based on UAS criteria for enrollment ; ability to work with technology in the workplace; knowledge of the theory ...

Ability to review health status questions and make evaluations and determinations based on UAS criteria for enrollment ; ability to work with technology in the workplace; knowledge of the theory ...

Ability to review health status questions and make evaluations and determinations based on UAS criteria for enrollment ; ability to work with technology in the workplace; knowledge of the theory ...

The Department of Care Management at SUNY Downstate Health Sciences University is seeking a full-time Utilization Review Nurse / TH Utilization Review/Quality Assurance Senior Coordinator. Th Utilization Review and Quality Assurance Senior Coordinator. Complete and send initial clinical reviews w...

CCU RN traveler needed for 13 week travel assignment.The Coronary Care Nurse is responsible for delivery of excellent patient care through out the nursing process.Must have at least one (1) year of recent CCU RN experience, BLS, and ACLS.Travel CCU nurses earn an outstanding salary! *Many CCU tra...

Must have relevant clinical competence in the area of nursing practice assigned; in this case, acute care utilization review. The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations within a particular department/unit...

CVICU nurses are responsible for administering care to acutely ill patients who are recovering from open heart surgery, CABC, AAA repairs, and other types of cardiovascular surgery.These nurses must excel at using their skills in a fast-paced setting with some of the highest-acuity patients.CVICU...

The Department of Care Management at SUNY Downstate Health Sciences University is seeking a full-time Utilization Review Nurse / TH Utilization Review/Quality Assurance Senior Coordinator (Nights). Utilization Review Nurse (Nights). Utilization Review Nurse (Nights).

Turbo Bonus Boost: Enjoy the bonus from April 9th through 15th.Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday.TurboTax is looking 2000+ people.As a Customer Service Representative, you will help TurboTax customers by answering their questio

Attends annual review and unit specifics within the department.

Concord Center for Nursing and Rehabilitation.Skilled Nursing Facility in Brooklyn, NY.Now Offering a $5,000 Sign-On Bonus!!!.Providing advice & support to the Residents and their families.Monitoring Residents and administering medication and treatments.Documenting Resident care services by chart...

Review lab and diagnostic test results with patients. Maintains/reviews patient records, charts and other pertinent information in Powerchart.

Review PRI's & coordinate all components of the admission process with the interdisciplinary team. Review & evaluate Residents' care plans when conditions warrant a change as necessary.

Come lead with us at New York, NY.In this field-based position, you will visit.MJHS Hospice and Palliative Care.Patient visits will be made in both community and facility settings.As the Hospice Field Case Manager.The schedule includes working one weekend per month and functioning in a backup On ...

Far Rockaway Center is hiring a Registered Nurse (RN) Supervisor in Far Rockaway, NY.Complete resident care requirements by scheduling and assigning nursing staff.Establish a compassionate environment by providing support to residents & families.Provide information to residents & staff by answeri...

This position performs day-to-day responsibilities of the Medical Records Unit (MRU), which includes:  extensive review of employees' medical records and dissemination of appropriate records to respective requestors (employees, Legal, and Labor Relations); reviewing medical charts for accuracy an...

Review Resident records & quality of care. Monitor overall care & review individual Residents' cases.

The Jewish Board, we don’t just make a difference – we make a bigger difference as we serve 45,000 New Yorkers every year.Join our dedicated team that’s been helping communities across New York City for almost 150 years and see just how big of a difference you can make.RN Case Managers are car

PRIDE Health is seeking a travel Pharmacist for a travel job in Brooklyn, New York.Job Description & Requirements.Pride Health is urgently hiring for "Pharmacist" for one of our top client/hospitals in Brooklyn, NY.Job title: Pharmacist Job location: NYP Brooklyn Methodist Hospital, 506 6th St Br...

The Case Manager is responsible for all aspects of discharge planning and utilization management/review for an assigned group of patients to determine the appropriateness of the admission and continued stay, assist in the development of the plan of care; ensure that the plan is implemented timely...

Gentiva is seeking a Registered Nurse (RN) Hospice for a nursing job in Prospect Heights, Illinois.Job Description & Requirements.Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care.Our place is by the side of those ...

BSN preferred; ADN with experience considered.Experience in case management preferred.Case Management Certification (CCM or ACM) preferred or willingness to obtain.Excellent communication and coordination skills.Ability to manage resources effectively.Advocacy and patient education skills.

Preparing for, serving on, and facilitating the Interdisciplinary Group (IDG), as assigned, including presiding over IDG, presentation of patients for review, coordination of minutes, review of patient charts to note and address any changes to patient condition and/or the plan of care, and solici...