- STG International (West Seneca, NY)
- …and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... patients of the Veterans Affairs Medical Center (VAMC). This care will be delivered in accordance with the terms...Medical Director will also collaborate with the CBOC Clinic Manager to supervise the CBOC's day-to-day delivery of medical… more
- Mount Sinai Health System (New York, NY)
- …the Mount Sinai Health System. Our mission is to provide unparalleled patient care , to conduct cutting-edge research and to train tomorrow's physicians. Our faculty ... preferred. + 5-7 years minimum of experience in health care , particularly an academic medical center, strongly preferred. +...have a proven track record of success as a manager , with superb interpersonal skills, including both written and… more
- Mount Sinai Health System (New York, NY)
- …practice which includes review of policies and procedures and standards of care ; the practice of nurses according to full scope within the legal regulations of ... through the organization and oversight of all policies and procedures and standards of care , insuring all are within the scope of nursing practice and in accordance… more
- Villa of Hope (Rochester, NY)
- …coordinator, providers, director of LHTC and administrative team, including billing and utilization review . + Triages potential admissions and when needed ... TITLE: Intake Coordinator- RN/ Evening DEPARTMENT/PROGRAM: Medical Services SUPERVISOR: Nurse Manager /Health Coordinator PAY GRADE: 82 FLSA STATUS: NON EXEMPT JOB… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents ...manager by considering all aspects of the residents care and coordinating services with physicians, families, third party… more
- Access: Supports For Living (Howard Beach, NY)
- …other entities as required (OPWDD 147 form, etc.) + Support appropriate budget utilization : Review expenditures for overage issues and address such issues with ... Essential Functions: + Oversee a caseload of 60-80 participants + Review , upload and approve budget, budget amendments/CNBAs/Annual Rollovers within eVero portal.… more
- WellLife Network (South Richmond Hill, NY)
- …location and schedules are subject to change. + Attend certification inspections, utilization review and independent professional reviews as needed. + Attend ... along with Client Coordinator. + Act as a medical resource person for Residence Manager and staff to ensure proper medical care and follow through on… more
- CVS Health (Rochester, NY)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... of continuous improvement, with the goal of changing health care for the better. **Position Summary:** At CVS Health,...+ Any additional tasks as directed by Supervisor or Manager **Preferred Qualifications:** + 1+ years of related work… more
- Sharecare (Albany, NY)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to become… more
- J&J Family of Companies (White Plains, NY)
- …We invite candidates from various locations to apply and encourage you to review the following [states/cities] where this opportunity is available: + Bronx + ... and customer knowledge to present, demonstrate, and ensure proper utilization of products. Actively promote special marketing promotions and...various aspects of the product sales cycle + Customer Care : Strive to improve patient care . Service… more
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