Latest Utilization Review Physician jobs in New York, NY (page 2)

20 Utilization Review Physician Jobs in New York, NY - page 2

OB/GYN Needed| Excellent Pay and Benefits| Maplewood, New Jersey Provider Healthcare - Maplewood, New Jersey, United States Participate 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 2 days ago
Appeal Nurse Specialist Hackensack Meridian Health - Hackensack, New Jersey , trains, and serves as a resource person for the Care Management team, medical staff, residents, and other hospital staff on current utilization review methodologies, requirements and criteria. Collaborates 9 days ago
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
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
Physical Therapy Reviewer Centers Plan for Healthy Living - Jamaica, New York in the member’s care. Provides utilization review for preauthorization, concurrent and post service review Apply medical necessity guidelines based on appropriate criteria Utilizes knowledge of community resources 17 days ago
Clinical Documentation Specialist RN - F/T Days Hackensack Meridian Health - Edison, New Jersey team on documentation guidelines, on an on-going basis. Reviews and screens ED inpatient admissions and observations as specified by the facility's Utilization Management/Review Committee 10 days ago
Nurse Navigator - Transitions of Care Hackensack Meridian Health - Edison, New Jersey all other necessary duties with attention to detail and in a timely manner. Collaborates with Utilization Review Nurses. Referrals: a. Primary Care Physicians b. Behavioral Health Providers c. HUMG Internal 13 days ago
Chief of Hospitalist Medicine RWJBarnabas Health - New Brunswick, New Jersey performance and physician conduct, providing constructive input to the hospitalist team. Overseeing patient assessment activities, utilization review, and quality assurance programs. Conducting regular patient 9 days ago
Clinical Director Mitchell Martin - Clark, New Jersey Director is responsible for the supervision of the clinical staff. He/she consults with the CEO, Physician, and Utilization Review Department as needed. The Clinical Director maintains close communication 19 days ago
Care Coordinator, Utiliz Mgmt RN - F/T - Days Hackensack Meridian Health - Hackensack, New Jersey denials, termination of benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record utilization reviews 24 days ago

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