Latest Utilization Review Physician jobs in White Plains, NY

12 Utilization Review Physician Jobs in White Plains, NY

Director of Pharmacy 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 3 days ago
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 16 days ago
Medical Director of Utilization Management - Part Time 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 14 days ago
Variable Hours Officer / Clinical Coordinator III - Certified Midwife at The Trustees of Columbia University in the City of New York The Trustees of Columbia University in the City of New York - New York, New York with peers and physician colleagues to determine quality and appropriateness of care provided. Engages in ongoing peer review and utilization review activities, competency evaluations and Medical Board reviews 8 days ago
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Clinical Documentation Specialist - RN Hackensack Meridian Health - Hackensack, New Jersey ED inpatient admissions and observations as specified by the facility's Utilization Management/Review Committee for documentation completeness and compliance with patient status. Facilitates accurate 14 days ago
Care Coordinator, Utilization Management, RN - F/T Days Hackensack Meridian Health - Hackensack, New Jersey certifications, concurrent managed care denial appeals and retrospective medical record utilization reviews. Obtains and evaluates medical records for inpatient admissions to determine if required documentation 15 days ago
Care Coordinator, Utiliz Mgmt RN - F/T - Days Hackensack Meridian Health - Hackensack, New Jersey company, billing certifications, concurrent managed care denial appeals and retrospective medical record utilization reviews Obtains and evaluates medical records for inpatient admissions to determine 15 days ago
Psychiatric Nurse Practitioner Newport Healthcare - Darien, Connecticut and initial assessment documentation • Provide collateral/liaison contact to patient families • Provide collateral/liaison contact to outpatient providers for clients • Assist with utilization reviews 24 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 24 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 More than 30 days ago

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