- The University of Vermont Health Network (Plattsburgh, NY)
- …achievement of an acceptable outcome.QUALIFICATIONS:1. Current New York State Registered Nurse license required.2. CCM Preferred. Utilization review and ... Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates variances… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Clinical Review and Coding Nurse is responsible to attain procedure and diagnosis ... and consistency on referred cases. The RN will perform and coordinate the clinical component of the provider appeal function including communication of the decision… more
- Northwell Health (Garden City, NY)
- …Seeking RN - BSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health ... standards are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews… more
- Northwell Health (Lake Success, NY)
- …standards are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews ... substantiated by the documentation in the Medical Record. Job Responsibility + Leverages clinical expertise to identify and validate DRG code assignment + Full … more
- Fresenius Medical Center (Queens, NY)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... updating all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding . + Checks correspondence whether electronic, paper or… more
- Fresenius Medical Center (New York, NY)
- …and auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding . + Manages clinic ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- CDPHP (Albany, NY)
- …The Utilization Review (UR) Nurse is responsible for the clinical review and documentation for services requiring prior authorization. This includes ... reviews for acute and subacute rehabilitation, transportation and DME requests. Review of identified high-cost admissions and extended stays and inpatient… more
- United Health Services (Johnson City, NY)
- LPN Medical Review Nurse , UHS Home Care TTHH United Health Services is seeking a LPN Medical Review Nurse to join our Quality Management 07 department at ... will be provided for OASIS documentation and for ICD-10 coding certification. We prefer familiarity with required clinical...and current registration to practice as a licensed practical nurse in New York State. Preferred: + Not Applicable.… more
- Guthrie (Binghamton, NY)
- …interaction with physicians, nursing staff, other patient caregivers, medical records coding staff to ensure that clinical documentation accurately reflects ... clinical experience in a hospital setting required. Critical care, utilization review or coding experience required. Requires excellent communication skills… more
- Fresenius Medical Center (Bronx, NY)
- …Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance ... for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,...Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. + Performs additional… more
- Centers Plan for Healthy Living (Brooklyn, NY)
- …+ Strong communication skills. + Building relationships + Working knowledge of clinical documentation requirements & Medicare Risk Adjustment coding Preferred: ... Nurse Practitioner - ISNP (Full-Time) Brooklyn, NY, USA...Reviews and manages pharmacotherapy of each member, collaborating with clinical pharmacist and physicians when necessary. + Prescribe appropriate… more
- Vatica Health (Rochester, NY)
- …is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant, you will collect, review and analyze patient data to ... + Minimum of 3 years of recent adult health clinical experience as a Registered Nurse (RN)-...ED + Proficiency with Diagnosis, Billing, and Quality Measures Coding a plus + Excellent interpersonal skills that include… more
- Catholic Health Services (West Islip, NY)
- …technology, expanding services, and increasing focus on academic excellence and clinical research. Good Samaritan University Hospital will redefine what a University ... residency training program at Mercy Hospital and a major clinical campus for the NYIT college of Osteopathic Medicine.... documentation in the EMR in compliance with Neuroscience coding initiatives. Educate patients, families & care providers with… more
- Kaleida Health (Buffalo, NY)
- …Nursing, Patient Management, Quality Department and ancillary staff to perform concurrent analytical review of clinical documentation and coding data. The ... care team. The CDS is also responsible for audit review to identify potential documentation deficiencies in specific records... Nurse required. 1 year of experience in Clinical Documentation Specialist field, coding classifications systems… more
- Fresenius Medical Center (North Bellmore, NY)
- …back by participating in philanthropy and community outreach programs. **Staff Registered Nurse ** This is an exceptional opportunity to succeed with a premier ... the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status… more
- Fresenius Medical Center (Brooklyn, NY)
- …back by participating in philanthropy and community outreach programs. **Staff Registered Nurse ** This is an exceptional opportunity to succeed with a premier ... the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,… more
- Fresenius Medical Center (New York, NY)
- …Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance ... for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,...Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. + Performs additional… more
- Catholic Health Services (Smithtown, NY)
- …response. Validates DRG assignment with medical record documentation, ICD-10-Official Coding guidelines and supporting clinical indicators. Facilitates and ... and goals of Catholic Health Services. Educates members of the team on clinical documentation opportunities, coding and reimbursement issues as well as… more
- Nuvance Health (Rhinebeck, NY)
- …members. + Acts as a liaison to Patient Financial Services, as well as between coding and clinical staff. + Communicates appropriately and clearly to staff and ... of HIM, with a major focus in the management and coordination of the coding functions of the Department. In addition, provides comprehensive management of the CRM… more
- Bassett Healthcare (Oneonta, NY)
- …high quality patient experience takes place by providing administrative and/or clinical support to ambulatory patient care teams through excellent customer service, ... up emergent situations or expressed patient problems directly to Supervisor or Supervising Nurse for assistance as observed by Supervisor and Supervising Nurse … more
