Utilization Review Specialist jobs in Jamaica, NY

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Denials/Appeals Specialist
Brookdale University Hospital & Medical Ctr - Brooklyn, NY
1.Responsible for utilization chart reviews. 2.Focuses on the review and analysis of governmental denial rationales and provides appropriate medical necessity...
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Sponsored by Brookdale University Hospital & Medical Ctr - 30+ days ago
Documentation Improvement Specialist (RN)
Execu | Search 43 reviews - Bronx, NY
Previous experience with Case Management, Quality Improvement and Utilization Review. The Documentation Improvement Specialist (RN) will:....
Sponsored by Execu | Search - 30+ days ago
Human Resource Specialist
Sports & Arts in Schools Foundation 29 reviews - Woodside, NY
Coordinate and support the development, collection and utilization of up-to-date job descriptions for all positions in the organization....
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Sponsored by Sports & Arts in Schools Foundation - 11 days ago

Clinical Documentation Improvement Specialist

South Nassau Communities Hospital 63 reviews - Oceanside, NY
Case Management, Utilization Review or previous coding experience preferred. BSN and CCS (Certified Coding Specialist) Preferred. NYS Registered Nurse License....

University HR Operations Specialist - Shared Services, Benef...

CUNY 54 reviews - New York, NY
Reviews transactions and employee data using the utmost discretion; Analyzes employee data, benefits utilization statistics and prepares various reports as...

Administrative Specialist - Citizenship Now!

CUNY 54 reviews - New York, NY
Research coordinates and organizes materials for key events such as promotion and tenure reviews. To promote a cohesive and engaged work community across...

Staff Psychologist- Adult Day Program

AABR,Inc. - Queens, NY
Participate actively on the Admission and Discharge Committee and Utilization review. Review the behavioral development of all individuals so as to target them...
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QA/Utilization Review Specialist

Institute for Community Living 43 reviews - New York, NY
Utilization Review Tasks:. Maintains each client’s Utilization Review record within the EHR with current authorization information and relevant notes....

Care Manager

White Plains Hospital 38 reviews - White Plains, NY
Expedites throughput of the complex patient to meet overall LOS, quality and resource utilization goals. He/She will perform overall utilization management,...

Lead Specialist

Security Industry Specialists, Inc. 42 reviews - New York, NY
Security Industry Specialists, Inc. The Lead Specialist, under the direct supervision of the Operations Manager, ensures SIS standards and policies are met in...

PMO Specialist

Deutsche Bank 596 reviews - New York, NY
Complete quality assurance review checks to monitor the quality of project reporting and deliverables to drive improvements across the portfolio....

Quality Improvement Specialist

VillageCare 6 reviews - Manhattan, NY
Facilitates quality assurance and utilization review activities with interdisciplinary teams on ways to improve and positively affect the care that is provided...

Supervisor Government Hospital Accounts - Patient financial...

Mount Sinai Health System 431 reviews - Manhattan, NY
Claim denials appeals process experience for inpatient/outpatient services in conjunction with Utilization Management’s appeals process....
Staff Psychologist- Adult Day Program
AABR,Inc. - Queens, NY
Participate actively on the Admission and Discharge Committee and Utilization review. Review the behavioral development of all individuals so as to target them...
Easily apply
Sponsored by AABR,Inc. - 30+ days ago
Senior Budgeting Specialist (Pharmacy Services)
EmblemHealth 72 reviews - New York, NY
Prepares utilization reports for Rebates and Specialty Pharmacy Leader to aid with the manufacturer contracting decisions....
Sponsored by EmblemHealth - 17 hours ago

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Company with Utilization Review Specialist jobs
Sports & Arts in Schools Foundation (SASF) is New York’s leading provider of after-school programs.