- Hackensack Meridian Health (Hackensack, NJ)
- **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Nuvance Health (Danbury, CT)
- …(PA) for a second level review . * Forward cases that require secondary physician review to appropriate resource (eg, Physician Advisor). * Resolve any ... of review . If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership. * Coordinate with the care team in changing patient status, as… more
- Deloitte (Stamford, CT)
- …nurse, physician , physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality, DRG Validation ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...for physicians, CDI team and ancillary staff and assist physician champion to conduct education as needed + Train… more
- Mount Sinai Health System (New York, NY)
- …the system on all matters related to medical staff governance, credentialing, peer review and performance management; + In collaboration with the FPA, Development of ... a system-wide physician orientation program, and a streamlined onboarding and recruitment...providers; + Development and maintenance of a system peer review process that is inclusive of all matters related… more
- WMCHealth (Valhalla, NY)
- …to the the coding leadership team. + Participates in mandated medical record review processes. + Using current ICD10 CM/PCS coding systems, assigns and records an ... to all diagnoses, procedures, and operations as documented by the attending physician in the indicated patient's medical record. + Queries physicians for… more