- STG International (Dunkirk, NY)
- …*Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... STGi is currently seeking a Primary Care Physician to provide services at our Community...and procedures and suggest improvements. *Assist the STGi Program Manager in implementation of Quality Performance Improvement Team (QPIT)… more
- STG International (Auburn, NY)
- …* Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... STGi is currently seeking a Primary Care Physician to provide services at our Community...procedures and suggest improvements. * Assist the STGi Program Manager in implementation of Quality Performance Improvement Team (QPIT)… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE Ensures University facilities are optimal for utilization . Administers and coordinates projects for the design, construction, ... Planning and Project Management to provide technical assistance, including review and support of design and engineering safety regulations...looking for a career in higher education or health care , the University of Rochester may offer the perfect… more
- Burns & McDonnell (Troy, NY)
- …cost, schedule and quality of assigned projects. + Ensure that the project review process and other quality control guidelines are followed. + Establish project ... teams, coordinate activities of multiple disciplines, ensure the efficient, cost-effective utilization of staff. + This position requires an experienced and… more
- Nestle (Bohemia, NY)
- …while enhancing our site's environmental sustainability. You will foster a culture of care , where safety, health, and sustainability are not just priorities but core ... + Risk Assessment and Elimination - Leads the effective implementation and utilization of risk assessment and risk prediction processes across sites to ensure… more
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- …Responsibilities The Primary Care Mental Health Integration (PCMHI) Collaborative Care Manager (CoCM) Registered Nurse (RN) is responsible for providing ... Summary The Primary Care Mental Health Integration Registered Nurse is responsible for all elements of the nursing process when providing and/or supervising direct… more
- Evolent (Albany, NY)
- …the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical… more
- Cherry Bekaert (Albany, NY)
- …Resource Coordinator will effectively fill resource engagement requests overseeing the utilization of resources, ensuring alignment of resources with the strategic ... at least 100 people with minimal oversight from a manager . + Collaborate with engagement teams to understand their...trusted business advisor for service leads. + Generate scheduling, utilization and forecasting reports and provide analysis of the… more
- Catholic Health Services (Melville, NY)
- …Initiatives Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical ... York, as applicable. Certification by American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) preferred. 4. Knowledge, Skills and… more
- Molina Healthcare (Yonkers, NY)
- … Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or ... the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer...of service provided, length of stay and level of care . + Applies appropriate criteria on PAR and Non-PAR… more