- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... Hackensack University Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Hackensack Meridian Health (Neptune City, NJ)
- …outcomes. + Board Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) preferred. + Membership in the American ... Medical Center** is seeking a highly motivated and experienced physician to join our team as a ** Physician...with leadership skills to optimize patient care and resource utilization within our dynamic healthcare environment. As a key… more
- Mount Sinai Health System (Jamaica, NY)
- …Description** Under the general supervision of a licensed and Board-Certified Physician , evaluates and treats adult patients having medical, psychiatric, and/or ... patient care. **Qualifications** -Bachelor of Science or Master's degree in Physician Assistant Studies. Additional education/experience may be required for some… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Exciting Opportunity for OR-Experienced Physician Assistants!** Join The Mount Sinai Hospital and become an operational leader. Gain hands-on ... with this incredible opportunity! The Program Director is a credentialed Physician Assistant (PA), responsible for daily operations of _all_ surgical sub-specialties… more
- Centene Corporation (New York, NY)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... physician education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization of… more
- Mount Sinai Health System (New York, NY)
- …interprets the clients responses to the plan of care. + Performs a patient record review with the collaborating physician in a timely fashion but not less than ... to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee. +… more
- Mount Sinai Health System (New York, NY)
- …Experience Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager ... are not limited to: a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
- Mount Sinai Health System (New York, NY)
- …interprets the clients responses to the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion but not less than ... to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee. 4.… more
- Elevance Health (Morristown, NJ)
- …+ Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate on committees or in ... decisions to members and providers. **How you will make an impact:** + Perform physician -level case review , following initial nurse review , of Medical… more
- RWJBarnabas Health (New Brunswick, NJ)
- …unit department utilizing effective and efficient tools/techniques to enhance physician and patient satisfaction, Collaborates with the department Director to ... department schedule, providing continuous and high-quality service for the patient, physician , and staff, Relates effectively with entire department for continuity… more
- Mount Sinai Health System (Long Island City, NY)
- …interprets the clients responses to the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion but not less than ... to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee. +… more
- RWJBarnabas Health (Elizabeth, NJ)
- …+ Provides the Director with regular updates/summaries of key performance indicators, quality review and feedback, and productivity / utilization of staff + ... of Census Management ensuring timely and accurate bed assignment + Ensures patient, physician , and nursing needs are met while maintaining alignment with the goals… more
- Penn Medicine (Plainsboro, NJ)
- …Assistant scope of practice for patients of Princeton Medicine, multi-specialty, physician offices.** **-In addition the CMA-MR facilitates patient flow during ... telephone or in person.** **-Schedule follow up appointment and coordinate physician notes or referrals with appropriate front desk personnel.** **-Coordinate… more
- Mount Sinai Health System (New York, NY)
- …The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse, Physician Assistant, or Nurse Practitioner, who manages the 24 hour a day ... patient-centered care. **Qualifications** Must be a Licensed Registered Nurse, Physician Assistant or Nurse Practitioner Registered Nurse Bachelor?s Degree in… more
- Amgen (New York, NY)
- …HUB, providing live one-on-one coverage support + Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer ... prior authorization to appeals/denials requirements and forms + Review patient-specific information in cases where the site has specifically requested assistance… more
- Elevance Health (New York, NY)
- …state mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician -level case review of utilization requests for procedures ... case reviews for their board certified specialty. + Makes physician to physician calls to gather medical...decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review … more
- New York State Civil Service (Staten Island, NY)
- …2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional Comments * Please note that starting ... administrative leadership to the 24-hour staffing office operations* Regularly review systems and procedures and implement recommendations for improvement of… more
- Hackensack Meridian Health (Edison, NJ)
- …performance of the national STS/TVT, ACC-NCDR, and NJDHSS CV databases. Develops utilization of the Cardiovascular Registry Program to its full potential, by ... continually providing database utilization education, and training of appropriate personnel, including the CV Registry abstractor(s), regarding accurate and complete… more
- Mount Sinai Health System (Long Island City, NY)
- …Description** The Director will direct and manage departmental activities involved in utilization review , appeals management and discharge planning to facilitate ... to influence other services by focusing on patient processes. 8.Develops and implements Utilization Review (UR) based on internal data collection, data received… more
- Elevance Health (New York, NY)
- …Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/ Utilization ** ** Review ** **Virtual:** This role enables associates ... case reviews for their board certified specialty. + Makes physician to physician calls to gather medical...decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director review… more