UAS-NY Review associate will provide general support to the UAS-NY Review team. Responsible for accurate and timely data entry and electronic file maintenance.
Representative will be responsible for assisting in service claim review and other data analysis, assisting with provider claim inquiries/appeals, and supporting the department as needed.
The Utilization Nurse will be responsible for reviewing authorization requests/claims for medical necessity, under the direction and supervision of the Director of UM/Transitional Service Dept.
The Utilization Nurse will be responsible for reviewing authorization requests/claims for medical necessity, under the direction and supervision of the Director of UM/Transitional Service Dept.
RN Care Manager utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate long-term care services for Extended MLTC members through assessment and member-centered care planning, direct provider coordination and collaboration to promote effective utilization of available resources, optimal member functioning, and cost-effective outcomes.
RN Care Manager utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate long-term care services for Extended MLTC members through assessment and member-centered care planning, direct provider coordination and collaboration to promote effective utilization of available resources, optimal member functioning, and cost-effective outcomes.
Professional, who assesses psychosocial status, interprets the social and emotional factor related to health problems and provided counseling, referral to community resources and crisis interventions in addition to assisting with discharge planning.
