19 Utilization Review Physician Jobs in Brooklyn, NY
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RN Director of Quality and Oasis Coding Personal Touch Home Care - Brooklyn, New York : *As the Director of Quality, you will manage the timely review of OASIS and physician orders to ensure accuracy of documentation, appropriate reimbursement, and timely filing of claims. Oversight of ICD-10CM 3 days ago
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Pediatrician Needed for Clinic in Cobble Hill (Brooklyn), New York Provider Healthcare - Brooklyn, New York, United States in the development of clinic protocols and procedures to ensure quality medical care Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical services being 2 days ago
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Nurse Manager Unit Medical Surgical Unit (5600/ 5700) NYU Langone Health - Brooklyn, New York unit budget in collaboration with Clinical Director. Participates in annual staffing plan/budget review process. Communicates with peers, staff, patients, families and physicians clearly 20 days ago
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Chair of Medicine - Coney Island Hospital Physician Affiliate Group of New York (PAGNY) - Brooklyn, New York, United States plans for the Department of Medicine services in line with the community needs assessment and with a specific focus on neurology and cardiovascular service lines Support utilization review and quality 23 days ago
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Clinical Sales Specialist Proclinical Staffing - , NY, United States principles of key physician/account prioritization, daily call reporting, and resource utilization. Develop and maintain professional relationships with customers, guided by the best interests of patients Yesterday
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Pharmacy Manager RightPro Staffing - , NY, United States Formulary tool and makes recommendations to the Corporate Director for revisions or enhancement. Monitors and reports Physician prescribing patterns and medication utilization trends. Under the direction 12 days ago
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Sr Utilization Review Spec-Physician FT HUMC Hackensack Meridian Health - Hackensack, New Jersey Overview: The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records 16 days ago
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Medical Director -Radiologist - eviCore - Remote Cigna - Remote, New York, USA necessity of services that do not meet utilization review criteria. Review appeals for denied services related to relevant medical experience and our evidence-based guidelines, in accordance with appeal 24 days ago
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Medical Director Village Care - New York, NY 10014, USA should have a strong grasp of healthcare software and tools to effectively document case reviews and analyze utilization patterns for continuous improvement in medical management practices. A Medical $130000 - $150000 per year 13 days ago
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Telephonic Nurse Case Manager AmTrust Financial Services, Inc. - Latham, New York . Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. Sends letters as needed to prescribing physician(s 6 days ago
Top locations
- New York, NY (7)
- Edison, NJ (5)
- Hackensack, NJ (4)
- Newark, NJ (2)
- Darien, CT (1)
- Maplewood, NJ (1)
- New Brunswick, NJ (1)
- Freehold, NJ (1)
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