Utilization Review Jobs in Jericho (NY)
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Search Results - Utilization Review Jobs in Jericho (NY)
Greenlife Healthcare StaffingJericho (NY)workable.com
Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives.
Requirements
Qualifications:
• Job qualifications & certifications:
• Active NY RN license
• Experience in billing, reimbursement, or utilization review
• Knowledge of payer...
Medix™Jericho (NY)
Clinical Reviewer Primary Duties
1. Conduct utilization reviews up to and including the appeal level. This includes chart screen, complete electronic worksheets, enter required information and make level one denial decisions when necessary.
2. ..
Greenlife Healthcare StaffingJericho (NY)jobvertise.com
in Med-Legal review setting; 1-3 years in acute care utilization review/appeals
• Technical Skills:Experience with electronic medical records; strong research and documentation abilities
• Soft Skills:Excellent written/verbal communication; ability...
Greenlife Healthcare StaffingJericho (NY)workable.com
goals.
Position Overview:
We are seeking a skilled Registered Nurse Clinical Reviewer to join a team at a respected non-profit organization in Jericho, NY. This role combines clinical expertise with analytical review, focusing on utilization reviews...
Yonkers, 20 mi from Jericho (NY)icims.com
with applicable federal, state, and local law.
Personalized care together with advanced technology is what it means to be Community Strong
Responsibilities:
The Senior Manager of Utilization Review & Denials provides leadership and oversight for the hospital’s...
CenterWell Home HealthWestbury (NY), 4 mi from Jericho (NY)
to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed.
• Analyzes situations, identifies problems, identifies and evaluates alternative courses of action through...
Pride HealthWhite Plains (NY), 20 mi from Jericho (NY)
planning
• Perform Utilization Review (UR) activities and payer reviews
• Arrange post-discharge care and patient education
• Collaborate with healthcare teams to ensure safe patient transitions
Requirements
• BSN required
• Active NY RN License
• 3...
CenterWell Home HealthOld Westbury, 3 mi from Jericho (NY)
documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed.
• Analyzes situations, identifies problems, identifies and evaluates alternative...
Pride HealthNew York, 25 mi from Jericho (NY)
execution, especially with reporting actionable activity by / for clinicians.
• Experience in managed care setting with knowledge of VBP, utilization review, case Mngmt, etc.
• Proficiency in claims analysis.
• Proficiency in SQL (required), SAS (desired...
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