Utilization review jobs in Whitestone, NYCreate job alerts

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 ...

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 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 ...

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

A minimum of two years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities, required; OR * Three years of ...

... utilization review plan for the Residence; monitors compliance and reports regularly to the Regional Director on the status of compliance efforts. • Reports all untoward incidents and directs ...

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 ...

... on proper utilization of those medical devices. * Supervise procedures for students taking ... Review and maintain accurate and current health records in accordance with local governmental ...

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

Assess appropriate site of care utilization and continued medical necessity reviews for prior authorization to vendors. * Ensure communication with MD offices in relation to Site of Care program

... to ensure optimal utilization of services. * Ensure quality standards set by the external ... Provide ongoing review of emergency equipment, biological and medications in order to maintain ...

... 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 · ...

... and utilization of referral services, as part of the health care system. Assists in providing ... Reviews and analyzes trends pertinent to delivery of nursing care services and collaborates with ...

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 ...

Reviews Schedule/Orders. * Promotes patients' independence by establishing patient care goals and teaching patients and families to understand conditions, medications, and self-care skills * Assists ...

... review, etc., following established MetroPlusHealth Utilization Management policies, procedures, and protocols. - Oversee the coordination and delivery of comprehensive, quality healthcare and ...

... review current work and make regular reports to senior management about how InRhythm teams and ... Optimize utilization and resource planning across the organization by making staffing decisi

Proactive utilization of workflow management system to manage assignments from timekeepers, and ... Review proformas for billings received from the Accounting Department to clients for services ...

Review of existing hardware and configurations, and make recommendations for improvements ... Highly organized with the utilization of tickets and workflow process; * Experience with Concert ...

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 ...

Job Summary: • 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 ...

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 ...