- 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
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** 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
- Ellis Medicine (Schenectady, NY)
- …information per policy. + Assists Utilization Management with initial clinical review requests as needed. + Notifies Case Manager of any potential ... is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate...Nurse to facilitate patient discharge plans, support coordination of care activities, and assist in utilization management… 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 ... Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service,...+ Certification by American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) preferred. 4. Knowledge,… more
- New York State Civil Service (Sherrill, NY)
- …policy, treatment, and therapeutic programs, and serves on committees such as placement, utilization review , medical records review , and related committees, ... Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional Comments * If you are currently… more
- Molina Healthcare (Buffalo, NY)
- …to healthcare services team supporting one or more of the following functions: care management, utilization management, care transitions, long-term services ... care , and at least 2 years of managed care experienced in utilization management * Registered...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care … more
- Mohawk Valley Health System (Utica, NY)
- …care to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, processes and ... RN Supervisor Case Management - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Supervisor Case Management - SNH is responsible for the… 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 ... of service provided, length of stay and level of care . + Applies appropriate criteria on PAR and Non-PAR...Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. +… more