- Nuvance Health (Highland, NY)
- …KPI's. * Holds monthly clinical meetings with providers and staff to review clinical KPI and implement/monitor process improvement plan. * Utilizes patient ... for Full-time externals only, pro-rated for Part-time** Medical Office Clinical Lead RN position in the Primary Care... Clinical Lead RN position in the Primary Care department in Highland, NY. 40 hours per week… more
- CenterWell (Albany, NY)
- …Home Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services + Participates in special projects ... working weekends, it will allow for off-days during the week.** The ** Clinical Care Coordinator/ Care Manager, Telephonic Nurse** helps to ensure optimal… more
- Evolent (Albany, NY)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse, you will be a key member of the utilization management ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse, you will routinely interact...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Evolent (Albany, NY)
- …mission. Join a mission with a company behind it. **What You'll Be Doing:** As a Clinical Reviewer , Nurse, you will be a key member of the utilization management ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse, you will routinely interact...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Veterans Affairs, Veterans Health Administration (Castle Point, NY)
- …plans, and risk assessment protocols Adheres to facility/Service policies/practices for clinical care delivery, including risk assessment and reduction practices ... clinical program effectiveness Facilitates liaisons with other health care programs to effectively coordinate services Education and Training (5%) Provides… more
- MVP Health Care (Rochester, NY)
- …will also monitor and review cases with the appropriate provider and on-site clinical care teams to ensure appropriate outcomes when a significant concern is ... as a Registered Nurse required with at least 4 years of recent clinical and Care Management experience. + Certification in Case Manager (CCM) is required within… more
- Whitney Young Health Center (Albany, NY)
- …team, as appropriate, and as required by acuity level. + Participates in weekly HIV/HCV/PrEP Clinical Care Review + Assist clients to access programs that ... Care Coordinator - Community Prevention & Treatment Services...Coordinator participates in multidisciplinary team meetings in partnership with clinical staff to discuss patient needs on a weekly… more
- Humana (Albany, NY)
- …this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of ... work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient… more
- Catholic Health (Buffalo, NY)
- …license EXPERIENCE + 3-5 years Medical Surgical experience required. + 3-5 years Home Care clinical experience preferred (CHHA, licensed, long term home care ... skills necessary to work with medical staff, case management, patient care services, ancillary and support departments + Strong critical thinking, analytical… more
- City of New York (New York, NY)
- …and ensures compliance with the established health standards for children in foster care . The New Admissions Focused (NAF) Nurse Reviewer will be responsible ... health-related topics. The office also conducts research and provides clinical expertise in developing health and mental health policies...initial medical services for children newly admitted to foster care - Review medical records at ACS's… more