- Kaleida Health (Buffalo, NY)
- …conventions and insurance / managed care practices including but not limited to: utilization review , RAC, MAC, Q10, clinical and DRG denial management ... successfully execute, support, implement, and monitor the DRG and Utilization Management Clinical Denial teams Work Plan...5 years of experience in a large, complex acute care setting in a supervisory / administrative role required.… more
- Molina Healthcare (Yonkers, NY)
- …Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Mount Sinai Health System (New York, NY)
- …bed utilization , reduce length of stay, streamline transitions of care , and enhance discharge planning. **Collaborative Review of Existing Initiatives** ... leaders to optimize hospital medicine, consultative services, and team-based inpatient care delivery models. Ensure clinical standardization across specialties.… more
- Mount Sinai Health System (New York, NY)
- …a day functions of health-system throughput, transfer center, quality, and delivery of care . The Clinical Program Manager, Clinical Command Center ... planners, admitting staff, Emergency Department, Perioperative Services, Transfer Center and clinical and administrative staff on the patient care units… more
- Villa of Hope (Rochester, NY)
- …Ensures full participation of Tuckahoe staff in compliance, quality assurance, utilization review , and program evaluation activities. Maintains operating ... related services they may enroll in at Villa of Hope (Clinic, Health Homes/ Care Management, etc.). The Clinical Director operates these programs in alignment… more
- Stony Brook University (Stony Brook, NY)
- Clinical Laboratory Technologist Shift Supervisor - Immunology **Position Summary** At Stony Brook Medicine, a TH Clinical Laboratory Technologist I/Shift ... with all regulatory standards. Qualified candidates will demonstrate superior patient care and possess outstanding communication skills while adhering to our high… more
- New York State Civil Service (Albany, NY)
- …working with children and/or adolescents with mental illness, as well as utilization management experience, including familiarity with the review of medical ... Agency Mental Health, Office of Title Mental Health Program Specialist 3 ( Clinical ), Central Office; Occupational Category Other Professional Careers Salary Grade 25… more
- WMCHealth (Valhalla, NY)
- … and resource management areas of Integrated Case Management including mentoring/coaching care coordinators, utilization review staff and social workers. ... Physician Services PC City/State: Valhalla, NY Category: Physicians Department: Clinical Care Mgmt- WMC Health Union: No... guidelines and parameters to assure consistency in the review process to reflect appropriate utilization and… more
- Fresenius Medical Center (Jamaica, NY)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all… more
- Stony Brook University (Stony Brook, NY)
- Clinical Laboratory Technologist -Blood Bank - Per Diem **Position Summary** At Stony Brook Medicine, a **TH Clinical Laboratory Technologist** is a valuable ... member of our team, who provides clinical services to our patient population. Qualified candidates will demonstrate superior patient care and possess outstanding… more