Utilization review jobs in Whitestone, NYCreate job alerts

Assures proper cost-effective utilization of resources. * Maintains an environment that is conducive to meeting patient care needs and that facilitates patient flow. * Promotes and provides for ...

Utilization Management * Participate in utilization review and management. * Maintain focus on key strategic priorities including patient experience, access to care, increased market share, and ...

Registered Nurse Clinical Reviewer / IDR - Lake Success, NY (#25154 B) Minimum of 1-3 years of experience in utilization review/appeals background Greenlife Healthcare Staffing is currently seeking a ...

Participate in Utilization reviews and remaining available for emergency consultations. • Analyze the best medications or therapy treatment to help patient maximize quality of life. * Maintain ...

... Review, Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patient's values, preferences, cultural diversity, expressed needs and knowledge in all aspects of care. 3. Establishes and ...

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 ...

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 ...

Reviews stock levels, storage locations and utilization of film inventories and medical and surgical supplies 8.Performs related duties, as required." Job Qualification: Graduate of an accredited ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. * Follow up with assigned nurses for clinical updates to care plan. * Document within two business day ...

... 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 ...

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 ...

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

Review incoming referrals and update medical chart + medical tracking * Schedule medical appointments * Complete, quarterlies, semi annuals and annual CFAs * Review and update individualized plan of ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. Follow up with assigned nurses for clinical updates to care plan. Document within two business day ...

Conduct Utilization review via Chart Review. * Conduct timely concurrent reviews and responses to third party payors request for clinical reviews. * Work collaboratively with ED Case Managers and ...

This CARM role will manage a team responsible supporting SPGI's acquisition, utilization, and distribution of market data sourced from stock exchanges globally. The primary focus will be to review ...

Assess, review, and maintain that daily resident care needs are met, and appropriate resident care is given * Address resident and staff concerns to promote quality care * Supervise staff nurses and ...

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 ...

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 ...

Engages in formal and informal peer and institutional review processes * Collaborates with interdisciplinary teams to create and implement quality improvement projects, evidence-based practice ...

Engages in formal and informal peer and institutional review processes. * Collaborates with interdisciplinary teams to create and implement quality improvement projects, evidence-based practice ...

Based on a comprehensive review of the client's overall condition, prepares, continually reviews and evaluates plans of nursing intervention to ensure that such interventions are consistent with the ...

... Reviews patients' medical records for completeness and updates prior to patients' visit. • Assists in routine medical examinations by preparing the patient, the equipment, and supplies and ...