- Ellis Medicine (Schenectady, NY)
- …plan, implement and evaluate individual healthcare needs. Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the patient, ... levels. Efficiently and effectively anticipates, identifies and resolves issues through utilization review and discharge planning processes. Collaborates with… more
- Arnot Health (Elmira, NY)
- …related to the management of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... a resource to the team regarding insurance benefits, managed care processes, and utilization issues. ** 18....EXPERIENCE: Three years clinical nursing in acute care hospital setting or two years utilization … more
- Mount Sinai Health System (New York, NY)
- …that support the primary mission of the Department (education, research and clinical care including community outreach) + Facilitate the appointments and ... and administration of departmental and divisional budgets for all funds (including clinical /practice, grants, gifts, and endowment expenses + Review monthly… more
- Mount Sinai Health System (New York, NY)
- …support variance analysis across facilities. + Monitor medication waste, off-label utilization , and high-cost medication trends through clinical and financial ... automation to improve pharmacy financial performance, operational efficiency, and clinical decision-making. This role works cross-functionally with stakeholders from… more
- Stony Brook University (Stony Brook, NY)
- …Supervisor - Cytogenetics **Position Summary** At Stony Brook Medicine, a **TH Clinical Laboratory Technologist I/Shift Supervisor** is a valuable member of our ... with all regulatory standards. Qualified candidates will demonstrate superior patient care and possess outstanding communication skills while adhering to our high… more
- Sedgwick (Albany, NY)
- …narcotic use contract with client. + Maintains accurate record system of pharmacy utilization review and complex pharmacy reviews to include cost savings, ... and experience required to include three (3) years of recent clinical practice experience. Utilization practice experience preferred. Insurance/claims industry… more
- Mount Sinai Health System (New York, NY)
- …practice which includes review of policies and procedures and standards of care ; the practice of nurses according to full scope within the legal regulations of ... practice councils, Nursing Practice Committee guiding all nursing policies and clinical procedures; collaboratively participates in the Peer Review process,… more
- The New Jewish Home (Bronx, NY)
- …Services and/or Chief Financial Officer Duties and Responsibilities: Develops and administrates a clinical program for the delivery of care to clients. o ... infection control policies and procedures. o Monitors quality of care delivered by staff through record review ,...clinical supervisory experience and 1 year of home care experience required. + Current New York State Driver's… more
- Evolent (Albany, NY)
- …experience and as an RN - **Required** + Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- New York State Civil Service (Goshen, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... Services, Office of Title Psychologist 2 (NY HELPS) Occupational Category Health Care , Human/Social Services Salary Grade 23 Bargaining Unit PS&T - Professional,… more