- Albany Medical Center (Albany, NY)
- …program is required; Baccalaureate degree preferred + Minimum of 1-3 years clinical RN experience in pediatrics or critical care /emergency nursing preferred ... friendly team-oriented work environment centered on efficient, compassionate patient care . The Ambulatory RN may provide direct patient ...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
- Stony Brook University (Stony Brook, NY)
- …interventions, restraint/seclusion, behavior plan development and safety plan development, utilization and monitoring. + Conducts a variety of patient treatment ... cultural diversity and patient boundaries. + Provides quality patient care by maintaining knowledge and skill level related to...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Rochester Regional Health (Rochester, NY)
- …the Director of Care Management. Provides daily oversight of the onsite review activities of third party payors identifying issues and cases for appeal. + ... of the Medical Management Department to maintain daily operations. Oversees the daily review process of the third party payors ensuring information is tracked and… more
- Sodus Rehab & Nursing Center (Utica, NY)
- …review package. + . Submitting concurrent review package and follow up with Utilization Management team at the Managed Care Plan for status. + . Submit ... . Obtain authorization single case agreement for all Managed Care patients. + . Provide notification to Nursing Home...Home Leadership Team regarding status & deadline of concurrent review . + . Coordinate with Social Services and Medical… more
- Catholic Charities Family Community Services (Rochester, NY)
- …periodic updates and a closing letter. + Provides information for HMO and payer utilization review as required. + Participates in staff meetings and clinical ... program staff, and is responsible for ensuring a trauma informed care environment. **Essential Duties and Responsibilities** + Conducts diagnostic assessments and… more
- Kaleida Health (Buffalo, NY)
- …Weight Requirement - Sedentary (10 lbs) **Job Details** Department: HPTE SNF Utilization Review Standard Hours Bi-Weekly: 75.00 Weekend/Holiday Requirement: Yes ... directs and integrates quality, resident safety, resident experience of care and compliance for HighPointe on Michigan and DeGraff...Nursing facility with at least two years in a nursing/ clinical leadership role required. 2 years of experience in… more
- Project Renewal, Inc. (New York, NY)
- …in the development and implementation of quality assurance management and utilization review + Participates in interdisciplinary meetings with shelter ... Title: Primary Care Nurse Practitioner - Part Time Program: Healthcare...to patients + Provides medical supervision to the assigned clinical team leaders + Directs, organizes and participates in… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 920750 Dentistry Urgent Care Work Shift: UR - Day (United States of America) Range: UR URCC 204 ... accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . Negotiates down-payments and authorizes repayment status for high dollar,… more
- Access: Supports For Living (Middletown, NY)
- …Support Professional Supervisors work as part of an interdisciplinary team ( clinical staff, nurses, families, advocates, etc.) providing services to adults with ... and procedures. Direct Support Professional Supervisors hire, train and supervise direct care staff to ensure quality delivery of services, including, personal … more
- Humana (Albany, NY)
- …ABMS Medical Specialty + Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative… more