Medical Utilization Review Analyst

Elmhurst Hospital Center (EHC) is the major tertiary care provider in the borough of Queens. The hospital is comprised of 545 beds and is a Level I Trauma Center, an Emergency Heart Care Station and a 911 Receiving Hospital. It is the premiere health care organization for key areas such as Surgery, Cardiology, Women's Health, Pediatrics, Rehabilitation...

Woodhull Medical and Mental Health Center is attuned to the healthcare issues that matter to the people of North Brooklyn. Woodhull focuses on preventing disease and promoting healthy lifestyles by reaching out to the community at various locations.At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception....

A Medical and Health Care Admissions Reviewer on The Princeton Review's Medical Admissions Counseling (MAC) team is a professional editor and writer who crafts material for others, taking a student's vision, story or idea and creating a polished, publication-quality product that the student can submit to application committees. Prior experience with Medical...

About Alaffia & Our MissionEach year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we're on a mission to change that. We've assembled a team of clinicians, AI/ML engineers, and product experts to build advanced AI that finally bends the cost curve for all...

About Alaffia & Our Mission Each year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we're on a mission to change that. We've assembled a team of clinicians, AI/ML engineers, and product experts to build advanced AI that finally bends the cost curve for all...

43 New Scotland Avenue Albany, NY 12208Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Utilization Review NurseSalary Range: $31.28 - $51.61 per hourResponsible for Utilization Management, Quality Screening and Delay Management forassigned patients.Qualifications and Ideal Characteristics Registered nurse with a New York...

A growing health services network in New York is currently seeking an experienced, licensed Registered Nurse (RN) to join their Case Management team as a Utilization Review Manager. In this role, the Utilization Review Manager (RN) will be responsible for assisting the Director of Case Management in overseeing the Utilization Management Program.About the...

Introduction Make a Difference with DHSS Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. We prioritize personal and family independence by assisting individuals and families...

43 New Scotland Avenue Albany, NY 12208Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.Salary Range: $31.28 - $51.61 per hour• Completes Utilization Management and Quality Screening for assigned patients.• Applies MCG...

Job DescriptionJob DescriptionVivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.The Utilization Review Physician is the lead clinician for the health plan. Responsible for the administration of medical services for company health plan...

Utilization Review Case Manager The UR Case Manager will complete prior authorizations and concurrent reviews for new admissions or existing patients. The UR Case Manger will work with insurance companies and the clinical team, reviewing documentation to determine medical necessity criteria and length of stay. Responsibilities Obtain prior authorizations for...

Title: Medical ReviewerLocation: Remote | Based in NYPay: $95-99/hrContract: 12+ months Must have practiced medicine in the US for 3+ years, license can be from outside of US but must be able to and must have practiced in US.Job ResponsibilitiesWorks with study team to ensure high quality of data is maintained by assisting with data review (per data review...

Job DescriptionJob DescriptionUtilization Review Case ManagerThe UR Case Manager will complete prior authorizations and concurrent reviews for new admissions or existing patients. The UR Case Manger will work with insurance companies and the clinical team, reviewing documentation to determine medical necessity criteria and length of...

Overview: To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Utilization Review Specialist (URS) performs...

**Requisition ID**: 195460 **Salary Range**: 110,000.00 - 120,000.00 Join a purpose driven winning team, committed to results, in an inclusive and high-performing culture. **ANALYST, US POWER & UTILITIES INVESTMENT BANKING** **Global Banking and Markets** Global Banking and Markets (GBM) is a leading Canadian Capital Markets and Investment Banking...

The following duties are normal for this position. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned. Leads, supervises and directs the workload in the department and with associated stakeholders review and access payer reports as they pertain to the utilization of days, level of care, services and...

Baker, Donelson, Bearman, Caldwell & Berkowitz P.C. has an immediate opening for a Legal Conflicts Review Analyst. The ideal candidate will have administrative experience, be extremely professional, possess exceptional communication, organizational and computer skills, have strong proficiencies in the Microsoft Office Suite, and the ability to work...

Location New York, New York Shift: Day (United States of America) Description: Posting Job Description Feel the Pride of a Mission-Driven Career Medical Data Analyst - Central Billing Office (Remote) Join the patient-inspired team at New York-Presbyterian and bring new meaning to your career. See how the revenue cycle team in our Central Billing...

Responsibilities Review business and functional requirements Assist in producing high quality prototypes to demonstrate the viability of the solution Work with developers data analysts business analysts and architects to guide the implementation and validation of the solutions at scale in a big data production environment Review the model output results...

Responsibilities Review business and functional requirements Assist in producing high quality prototypes to demonstrate the viability of the solution Work with developers data analysts business analysts and architects to guide the implementation and validation of the solutions at scale in a big data production environment Review the model output results with...