Utilization Review Physician Jobs in New York, NY

NewYork-Presbyterian Hospital - Manhattan, New York

development team. Coordinates functions such as utilization review, quality assurance programs, medical protocol development and cost management programs/opportunities. Oversees clinical peer review

from: snapjobsearch.com - 9 days ago

TactStaff - Astoria, NY, US

Coordinates utilization review s of managed care contracts using established guidelines and processes. Ensures all clinical operations comply w with Medicare and Medicaid guidelines and other managed

from: staffingfuture.com - 27 days ago

Concentra - Newark, New Jersey

of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities

from: resume-library.com - 3 days ago

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

from: doccafe.com - 8 days ago

Hackensack Meridian Health - Hackensack, New Jersey

as specified by the facility's Utilization Management/Review Committee for documentation completeness and compliance with patient status. Facilitates accurate documentation for severity of illness and medical

from: resume-library.com - 13 days ago

Hackensack Meridian Health - Perth Amboy, New Jersey

with regards to the queries posted. Establish and update any process flow regarding the CDMP management and communication of Mortality and PSI cases reviews. Educate physicians on correct documentation

from: resume-library.com - 17 days ago

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

from: doccafe.com - 8 days ago

St. Joseph?s Health - Paterson, New Jersey

of care. Develops and coordinates efforts to reduce clinical resource utilization by working closely with physicians, nursing staff and other hospital personnel. Reviews medical records for appropriateness

from: resume-library.com - 7 days ago

Hackensack Meridian Health - Edison, New Jersey

, psychosocial assessment and referrals to ICMS or PACT Programs as needed. Completes all other necessary duties with attention to detail and in a timely manner. Collaborates with Utilization Review Nurses

from: resume-library.com - 5 days ago

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

from: resume-library.com - 25 days ago