Utilization Review Specialist jobs in New York, NY

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Clinical Documentation Specialist - 00165-7423 (Clinical Doc...
JFK Medical - 204 reviews - Edison, NJ
The individual will perform concurrent inpatient medical record reviews. The Clinical Documentation Specialist (CDS) facilitates improvement in the overall...
DRG Reviewer
MJ Morgan Group - 10 reviews - New York, NY
Inform the personnel involved in the review process of any applicable coding guidelines, conventions and information that will ensure quality in DRG reviews....
Easily apply
MICA Specialist
Brooklyn Community Housing & Services, Inc. - Brooklyn, NY 11205
$40,000 a year
Participate in Utilization Reviews, Incident Reviews. Document Medicaid Billable Notes and submit for review in a timely manner....
Easily apply

Specialist, Long Term Care Utilization Management - Telecomm...

Healthfirst - 657 reviews - New York, NY
The LTC Utilization Management Specialist supports primary care managers by arranging qualified services for their members....

Specialist / 1H

ConEdison - 4 reviews - New York, NY
Vendor management experience including ongoing vendor interaction, review of program utilization, oversight of performance guarantees and program effectiveness....

MICA Specialist

Brooklyn Community Housing & Services, Inc. - Brooklyn, NY 11205 (Fort Green area)
$40,000 a year
Participate in Utilization Reviews, Incident Reviews. Document Medicaid Billable Notes and submit for review in a timely manner....
Easily apply

Utilization Review Nurse A

Phoenix House - 186 reviews - Brooklyn, NY
Complete utilization, discharge, and peer reviews. Understand all aspects of the managed care system, ASAM criteria, behavioral health benefits,...

Care Specialist - 4405-208-N

CCBQ - Queens, NY
Reassesses needs for Health Home services and reviews health home members’ historical or targeted clinical measurements (i.e....
Easily apply

Utilization Nurse

KINGSBROOK JEWISH MEDICAL CENTER - 78 reviews - Brooklyn, NY
RN Utilization Review Specialist. Seeking a RN Utilization Review Specialist who will review clinical documentation to ensure it accurately reflects the level...

Case Manager

WellCare - 696 reviews - New York, NY 10004 (Financial District area)
Promotes effective utilization and monitors health care resources. Intermediate Ability to create, review and interpret treatment plans Ability to create,...

ETF Capital Markets Sell Side Specialist

State Street - 1,268 reviews - New York, NY
Review market quality with Lead Market Makers. You will also focus on our sell side research distribution efforts to increase SPDR awareness and utilization....

Health Services Specialist

Amida Care - 22 reviews - New York, NY
Knowledge of Article 49- Utilization Review process. Collaborate with hospital and UM staff to request clinical information required for utilization review....

Customer Services Representative I

MetroPlus Health Plan - 64 reviews - New York, NY
$39,084 a year
The primary responsibilities include but are not limited to documenting all customer contacts into the tracking system, process complaints, conduct outreach...
Clinical Documentation Specialist
Reviews and recommends opportunities for documentation improvement. Participates in Task Force Meetings and attends Clinical Resource Utilization Committee, as...
Documentation Specialist
Consults a physician advisor when indicated by review results and/or query response Maintains worksheets on all concurrent reviews Logs all concurrent queries....

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