- Intermountain Health (Albany, NY)
- **Job Description:** The Manager of Cash Control is responsible for leading and overseeing the Quality Assurance (QA) and Electronic Data Interchange (EDI) functions ... monitors compliance with standard operational procedures across multiple RSC functions. Review and assess processes related to RSC (ie billing, follow-up, credits,… more
- Fresenius Medical Center (New York, NY)
- …of their clinical and operational processes to impact patient centered care resulting in improved patient outcomes and satisfaction and decreased morbidity ... barriers to quality improvement. This includes promoting the adoption and utilization of Medical Advisory Board Recommended Algorithms and Standing Orders, clinical… more
- Northwell Health (Manhasset, NY)
- …- planning, assessing, implementing and evaluating patient in collaboration with the health care team. + Conducts chart review for appropriateness of admission ... the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses,… more
- Arnot Health (Elmira, NY)
- …Bachelor's in nursing preferred. Must have proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) ... Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and retrospective authorization and… more
- Catholic Health (Buffalo, NY)
- …Two (2) years acute care RN experience required + Preferred prior insurance /managed care / utilization review experience in the role of a Case Manager ... Weekend and Holiday Rotation Hours: 7:30am to 5:30pm/8:00am to 6:00pm Summary: The RN Care Manager , Transition of Care , as an active member of the Care… more
- University of Rochester (Rochester, NY)
- …all other staff (nursing, physicians) for all technical and patient care related issues pertaining to catheterization and electrophysiology procedures. **ESSENTIAL ... for all other staff (nursing, physicians) for all technical and patient care related issues pertaining to catheterization and electrophysiology procedures. + Assists… more
- Nuvance Health (Carmel, NY)
- …experience in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred. ... in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a...including The Heart Center, a leading provider of cardiology care . Non-acute care is offered through various… more
- Kaleida Health (Williamsville, NY)
- …Experience required. 2 years of experience in any combination of case management, home care and utilization review preferred. Knowledge of and experience ... collaborating with members of the interdisciplinary team to coordinate care , facilitate utilization and resource management and...(5) years of hire to the position. Certified Case Manager (CCM) preferred. Employees in the job title prior… more
- Catholic Health Services (Roslyn, NY)
- …and safety and every human moment in between - we're dedicated to providing better care for our communities. Every patient. Every moment. That's what it means to be ... Monitor CT workflow continuously to ensure efficiency and minimize patient wait times Review the CT completed list and identify any unread exams; escalate to… more
- STG International (Kingston, NY)
- …+ Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... THIS IS FOR A FUTURE OPENING STGi is currently seeking a Primary Care Physician to provide services at our Community Based Outpatient Clinic. JOB SUMMARY: The… more