- Crouse Hospital (Syracuse, NY)
- …team members. Under the direction of the Clinical Manager, acts as a resource for clinical support and management staff. Works with the providers, ... within a fast growing Medical Practice + Longevity and consistency of management + Perfect attendance award + Tuition reimbursement program + Employee referral… more
- Guthrie (Binghamton, NY)
- …continuum of care plan for patients, based on assessed needs and available resources . The Acute Case Manager monitors clinical approaches and make ... and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates… more
- Parexel (Albany, NY)
- …and minutes, and comply with action and decision logs. **Project Financial and Resource Management :** + Ensure appropriate project-level resourcing of staff and ... join our team. If you have a passion for clinical research, strong project management skills, and...staff assignments. + Regularly review and update Data Management resources to ensure alignment with contracted… more
- Mount Sinai Health System (New York, NY)
- …(CCM, ACM) or Utilization Management preferred. + 7+ years of experience in clinical acute clinical , utilization management , appeals management or ... **Job Description** **Director Pre Appeals Management -HSO Appeals Management -Corporate 42nd Street-Full-Time-Days -Remote** The Director, Pre Appeals … more
- Rochester Regional Health (Rochester, NY)
- …visits, and hands-on case management support. + Serves as a clinical resource to staff, contributing expertise and supporting the development of ... Supports ongoing staff development by providing guidance in case management and clinical practices, and by monitoring...classes, providing observation and co-visits, and assisting with case management as appropriate. + Serves as resource … more
- Humana (Albany, NY)
- …electronic records system. Ensure all paperwork and documentation is notated within the clinical management system. + ASN with care coordination efforts of ... referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. **KEY ACCOUNTABILITIES** + Assist beneficiaries… more
- Molina Healthcare (Syracuse, NY)
- …hearing officer during fair hearings as may be required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals...on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. *… more
- Pfizer (New York, NY)
- …the GDL, Clinical Safety, and Biostatistics. + Serve as technical resource for clinical issues raised by internal and external collaborators, investigators, ... Experience working with and solid understanding of related disciplines, eg, Clinical Operations, Safety, Biostatistics, Regulatory, Study Management , Pre-… more
- Healthfirst (NY)
- …participatory leadership, continuous learning environment, current issues and trends in care management and clinical practice, nursing and social work education ... **Duties and Responsibilities:** + Leverages adult learning principles and clinical practice standards to move towards a culture of continuous technical assistance… more
- Rochester Regional Health (Rochester, NY)
- …by conducting orientation classes, providing observation and co-visits, and assisting with case management as appropriate. + Serves as resource person to agency ... clinical staff through provision of assistance in case management or other clinical services. + Represents the agency at community meetings as appropriate.… more