• Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …regarding correct level of care and reimbursement. Apply knowledge of utilization review , discharge planning, patient status changes, length of stay, patient ... and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements,… more
    Mohawk Valley Health System (07/09/25)
    - Related Jobs
  • Registered Nurse Critical Care Float Pool…

    Catholic Health (Kenmore, NY)
    …data to patient care improvement, and professional development and coaching to clinical success. At the conclusion of the residency, the graduate nurse will: + ... a six (6) to twelve (12)-month transition to becoming an RN in the Critical Care Float Pool which encompasses the Emergency Department (ED) and Intensive Care more
    Catholic Health (08/08/25)
    - Related Jobs
  • Medical Director (Marketplace)

    Molina Healthcare (Albany, NY)
    …adjustment, disease management, and evidence-based guidelines. + Experience in Utilization /Quality Program management + HMO/Managed care experience **PREFERRED ... national, state, and local laws and regulatory requirements affecting the medical and clinical staff. MD licenses required for the following states: WA, FL, MI, MS,… more
    Molina Healthcare (08/08/25)
    - Related Jobs
  • Registered Nurse I, Acute Care - Medical…

    Bassett Healthcare (Delhi, NY)
    …2-3 exceptions, as measured by direct supervisory observation and random supervisory chart review . Directs and supervises patient care provided by LPNs and ... best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is accountable for the delivery of safe patient care utilizing the… more
    Bassett Healthcare (08/13/25)
    - Related Jobs
  • Graduate Nurse Critical Care Float Pool…

    Catholic Health (Buffalo, NY)
    …data to patient care improvement, and professional development and coaching to clinical success. At the conclusion of the residency, the graduate nurse will: + ... the clinical education department, Emergency Department, and the Critical Care Unit (CCU) to determine the individual's competency levels and graduation… more
    Catholic Health (05/21/25)
    - Related Jobs
  • Primary Care Physician (PCP)

    STG International (Kingston, NY)
    …safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... VA health care system. + Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. + Provide leadership to CBOC… more
    STG International (07/09/25)
    - Related Jobs
  • Primary Care Physician (PCP)

    STG International (Dunkirk, NY)
    …safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... as the point of entry into the VA health care system. *Participate in the orientation of clinical...Quality Performance Improvement Team (QPIT) strategic initiatives. *Participate in review and improvement of clinical success in… more
    STG International (07/02/25)
    - Related Jobs
  • Primary Care Physician (PCP) - PRN

    STG International (Auburn, NY)
    …safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... VA health care system. * Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. * Provide leadership to CBOC… more
    STG International (06/27/25)
    - Related Jobs
  • Care Manager - Registered Nurse (NICU)

    Crouse Hospital (Syracuse, NY)
    …education and outreach programs. Crouse's Care Coordination Services team is hiring a Care Manager (in the NICU) to review the services delivered to patients ... allocation of hospital resources while maintaining the quality of care . + Participates in the utilization management...assessment of the patient's discharge plan based on the clinical course and proactively interacts with the healthcare team… more
    Crouse Hospital (07/03/25)
    - Related Jobs
  • Patient Care Coordinator

    Kaleida Health (Williamsville, NY)
    …Experience required. 2 years of experience in any combination of case management, home care and utilization review preferred. Knowledge of and experience ... of collaborating with members of the interdisciplinary team to coordinate care , facilitate utilization and resource management and discharge planning… more
    Kaleida Health (06/19/25)
    - Related Jobs