- 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
- CenterWell (Albany, NY)
- …+ Monitor plan performance and proactively bring issues to the forefront for review + Support new business implementations with a goal of ensuring all pharmacy ... and present to client + Escalate issues for immediate review and action whenever necessary + Request, review...internal partners and the Medicaid market to manage pharmacy utilization and spend + Manage escalated member, client and… more
- CVS Health (Farmingdale, 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
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …information and referrals to clients as needed + Assist clients with medication review and understanding directives from Primary Care Physicians (PCPs) in order ... include: + Serve as part of a team comprised of Case Manager , Health Services Coordinator, and program supervisors to serve frail previously homeless… more
- Mohawk Valley Health System (Utica, NY)
- …+ Participates in appropriate agency meetings and the quality improvement and utilization review activities of the organization. + Supports the Agency's ... home health patient. Collaborates with the patient's primary case manager and other members of the health care team. Makes and documents home care nursing… more
- Albany Medical Center (Albany, NY)
- …We offer a friendly team-oriented work environment centered on efficient, compassionate patient care . The Ambulatory RN may provide direct patient care , patient ... triage, assessment, planning and evaluation of a patient's specific care . The Ambulatory RN collaborates with other members of...practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The (per diem) Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, pre-admission testing and ... procedures. This individual seeks the assistance of the Nurse Manager in identifying cases, which require pre admission screening...information to other areas that assist in facilitating the care of patients at Sinai for surgery. 3. Arranges… more
- Catholic Health Services (Smithtown, NY)
- …comprised of 296-bed not-for-profit community hospital; a 240-bed nursing and rehabilitation care center; and a 60,000 square foot medical office building. Our ... nurses, physicians, and support staff are devoted to providing advanced health care in an environment of compassion to our patients, their families, and our… more
- University of Rochester (Rochester, NY)
- …s overall dental treatment plan. Serves as primary contact to Billing personnel, care provider and/or Practice Manager or Administrator to resolve patient ... Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 920750 Dentistry Urgent Care Work Shift: UR - Day (United States of America) Range: UR URCC 204… more