UTILIZATION REVIEW NURSE jobs in NEW YORK CITY NY, United Kingdom #3

with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment...

About The Role Casualty Support Coordinators facilitate care management and utilization review by performing data... collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, providers, employers and claimants in...

, racial, ethnic, religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: Review and ensure... Clinical Delivery reports. Participates and represents the Community Health Nurse (CHN) in all IDT meetings, when...

and participates in the Utilization Review of medical services provided by CLHC/DTC. Develops and supervises the provision..., and utilization of care for the site participants. Carries a caseload of patients as PCP and participates in direct medical care in...

, racial, ethnic, religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: Review and ensure... Clinical Delivery reports. Participates and represents the Community Health Nurse (CHN) in IDT meetings, when...

based upon patient and nurse performance data and direct observation of nursing practice. The CES possesses mastery... communication and promotion of a collegial atmosphere Collaborates with the interprofessional team to review patients’ goals/needs...

’s fiduciary responsibilities. Prepares records for physician review as needed. Conducts review of requests for prior... Hearings), Centers for Medicare and Medicaid Services (CMS), Independent Review Entities and Quality Improvement Organizations...

135 years. The Case Manager is responsible for all aspects of discharge planning and utilization management/review.... A utilization nurse completes no less than 20 initial clinical reviews daily. Responsibilities also includes: Completing 100...

, and for the utilization of health care services by health home members who have complex, chronic, high-cost conditions. Direct... and face to face meetings. Directly observe and review coordination of care for a higher risk cases. Supervise reassessment...

utilization of resources. Develop patient centered plan of care based on individualized patient needs. Utilize motivational... to review site quality metrics, track aggregate data and identify at risk patients to target for intervention Collaborates...

management, population health management, utilization review, quality assurance or discharge planning (preferably... and reassessment, UAS-NY completion, comprehensive assessment, medication review, and post-hospital discharge evaluation. An ideal...

special needs into utilization review decisions Ability to multitask while effectively performing job duties, which include... conclusions for supporting a superior written rationale for review determinations - Excellent computer skills with experience in...

states. Evaluation of EMR to review: drug and disease interaction, medication selection, labs/vitals, allergies, RX orders..., coordinate home nurse visits, transitions between liaison/PSC, use of mobile app or other technologies. Productivity monitoring...

, instrument and informatics volume utilization as directed by key account plans and POC performance targets Increase and maintain... partnership with the account In partnership with the AE, work to review and target customers with a legacy install base...

. Supplies analytical support to the nursing leadership to plan and predict education needs based upon patient and nurse... and promotion of a collegial atmosphere Collaborates with the interprofessional team to review patients’ goals/needs Assist nurses...

, or Assistant Nurse Manager) will support the oversight of the clinical and operational functions of the patients. The Assistant... communication, patient satisfaction, and resource utilization Maintain and update Arthroplasty and Spine materials in collaboration...

. Ability to cross train Utilization Review/Discharge Planning. NYS RN license, BSN, PRI certification preferred. Minimum 5 yrs RN... on diagnostic categories. Additionally, will work in collaboration with the medical staff and nurse management to coordinate...