- Excellus BlueCross BlueShield (Rochester, NY)
- …case reviews and may require peer-to-peer discussions with providers regarding UM case review determinations. + Provides clinical expertise on ARD cases, ... case reviews and may require peer-to-peer discussions with providers regarding UM case review determinations. + Provides input into the utilization management… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review / Case Management/ Medical Management/Claims Review services to its clients. Care Coordinators facilitate ... healthcare services. Primary Responsibilities + Collect data from claimant representative, physician , or hospital; verify claimant case status and provider… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …care for medical inpatients. General Management of Hospitalist Team: Review relevant Internal Medicine Service performance measures, OPPE/FPPE, performance pay, ... quality resident education through evidence-based medicine approach to patient care, case discussions and lectures. The Mount Sinai Internal Medicine Residency… more
- Mount Sinai Health System (Long Island City, NY)
- …The Director will direct and manage departmental activities involved in utilization review , appeals management and discharge planning to facilitate the case ... nursing or healthcare-related field **Experience Requirements** 5 years of Case Management and 6 years of clinical nurse experience....PACU; IR; Peds ICU, and APNs Pediatric Oncology depts.) Non -Bargaining Unit, 140 - Care Management - MSQ, Mount… more
- Bassett Healthcare (Cooperstown, NY)
- …the department manager and the clinical direction of the Registered Professional Nurse, Physician or Surgical PA, provides technical and clinical support to the team ... Recognizes legal implications of own actions, based on periodic review by supervisor. + Adheres to universal protocol 100%...per year. + Cleans and readies room for next case efficiently to minimize turnaround time. Starts a … more
- Stony Brook University (Stony Brook, NY)
- …our Emergency Department perform tasks and responsibilities within the framework of case finding, health teaching, health counseling, and the provision of supportive ... care under the direction of a Registered Nurse, Licensed Physician , or other licensed health care provider. The T&R...NY HELPS Program, this title maybe filled via a non -competitive appointment, which means no examination is required but… more
- New York State Civil Service (Brooktondale, NY)
- …health and substance use screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health treatment ... Committee on Special Education.* Discharge planning.The Psychologist 2 works with youth case managers, direct care staff, education and medical staff to develop and… more
- HCR Home Care (Plattsburgh, NY)
- …computer software. Notify staff, as appropriate, to ensure proper coordination of care. + Review and approve all interim orders before they are sent to physician ... task appears on the action screen + Participate in case conferences, as needed, and process recert/discharge decisions based...route to Medical Records to be sent to the physician for signature. Ensure any corrections are made by… more
- WMCHealth (Suffern, NY)
- …a positive, cheerful manner, promote our organization mission, vision and values. + Review daily IP, ER, Surgery and OP private pay admissions to determine ... of benefit/eligibility issues, financial /insurance forms/applications and arrangements. + Notifies case management, social services and admission staff of case … more
- New York State Civil Service (NY)
- …Participate as a member of an interdisciplinary treatment team and attend meetings for case review ; * Participate in and lead individual, family and group ... and maintain a wide variety of records. * Peer review . LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all #LI-DA1 Minimum Qualifications Minimum Qualifications for… more