- Mount Sinai Health System (New York, NY)
- …assure timely and efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization management , care ... New York State + Certification in case management is preferred Non-Bargaining Unit, BEZ - Utilization...by focusing on patient processes. 9. Develops and implements Utilization Review (UR) based on internal data… more
- Helio Health Inc. (Syracuse, NY)
- … review , and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our Inpatient, ... degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care… more
- Albany Medical Center (Albany, NY)
- …of three years clinical experience in an assigned service.* Recent experience in case management , utilization management and/or discharge planning/home ... Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management , Quality Screening and Delay Management for… more
- Kaleida Health (Williamsville, NY)
- …Suite and Outlook. 2 years of experience In any combination of: case management , home care and utilization review preferred. Knowledge of and experience ... **Patient Management Supervisor** **Location:** Millard Fillmore Suburban **Location of...provides leadership to Patient Care Coordinators to support care management and interventions for patients and families. The supervisor… more
- Independent Health (Buffalo, NY)
- …Collaborative and Accountable. **Essential Accountabilities** Provide High Quality, Professional Utilization Management Services: (Medical necessity review ... culture that fosters growth, innovation and collaboration. **Overview** The Utilization Review Nurse (URN) performs clinical ...disposition of cases - MD reviews, chart reviews, audits, case management referrals, etc. Provide Technical and… more
- Molina Healthcare (Albany, NY)
- …for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given ... **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior… more
- Kaleida Health (Williamsville, NY)
- …Nursing Experience required. 2 years of experience in any combination of case management , home care and utilization review preferred. Knowledge of and ... members of the interdisciplinary team to coordinate care, facilitate utilization and resource management and discharge planning...outcomes for the patient in the acute care setting. Case management is a process that efficiently… more
- St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
- …Centers Location: Inpatient Facility - Saranac Lake, NY Position: Full-time Utilization Review Specialist Shift/schedule: Monday-Friday, 8:00am-4:30pm Pay Range: ... ongoing education to remain updated on managed care, healthcare regulations, and case management best practices. + Contribute to quality assurance activities,… more
- FlexStaff (Bronx, NY)
- …MAP, PACE, etc.). + 5+ years in case management , disease management , utilization review , or quality assurance. + Experience working with frail ... assessments using UAS-NY for prospective and enrolled PACE participants. + Review and update previous assessments, primary diagnoses, and medications in electronic… more
- Crouse Hospital (Syracuse, NY)
- …area preferred. + Three (3) - Five (5) years acute hospital experience. + Case Management or Utilization Management experience preferred. Benefits ... programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track...the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent… more