- Catholic Health Services (Melville, NY)
- …level of care to MCC in response to physician order, or review of updated clinical information Acts as a resource for MCC/CM regarding regulatory or managed care ... Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals according to industry accepted clinical … more
- Kelly Services (Rochester, NY)
- …permitted by law. Reviews are conducted in accordance with pharmacy management drug policies and procedures. Responsibilities include preparing and interpreting ... cases for Utilization Management (UM) reviews and acting as a content expert...to process these requests. The Technician serves as a resource for staff on members' contract benefits, related health… more
- Mount Sinai Health System (New York, NY)
- …focused on reducing the length of stay (LOS), improved efficiency, quality and resource utilization. Assignment will be by units/ clinical areas of practice and ... (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine...plan of care and coordination of services based on clinical needs and available resources . 3. Utilization… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Buffalo, NY)
- …Behavioral Interventions + Crisis Intervention + IEP and 504 Documentation + Community Resource Connection + Data Tracking + Clinical Assessments + Functional ... student plans Community Resource Connection: + Bridge the gap between community resources and family needs + Connect families with community resources and… more
- Mount Sinai Health System (Long Island City, NY)
- **Job Description** **Care Manager-Care Management -Full Time-Day-Mount Sinai Queens** Responsible for coordinating the care of the patients across the continuum. ... Ensuring and facilitating the achievement of quality, clinical and cost outcomes; Negotiating, procuring and coordinating services and resources needed by the… more
- Stony Brook University (Stony Brook, NY)
- Patient Access Representative, Lead Registrar, Bed Management (Evenings 3p-11p)) At Stony Brook Medicine, our **Patient Access Representatives** are responsible for ... high standard of excellence. **The Patient Access Lead Registrar** assigned to **Bed Management ** is a key member of the Patient Access Services team, responsible… more
- WMCHealth (Valhalla, NY)
- …Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/ Management Department: Marketing Union: No Position: Full Time Hours: ... of our health system's story, driving brand journalism efforts to highlight clinical excellence, research innovation, and community impact. The Senior Director of… more
- Mount Sinai Health System (New York, NY)
- …to hospital and health system leaders to drive operational efficiency, better resource utilization (labor and supply resources ) and financial improvements across ... strategic and financial goals by managing and utilizing available operational, clinical and financial tools. Proactively identify cost reduction and financial… more
- Catholic Health (Buffalo, NY)
- …relationships between care teams. The Nurse Manager assumes responsibility for the management of fiscal and material resources . Abiding by Mercy Hospital ... the Nurse Manager has 24 hour accountability and responsibility for the human resource and outcome management for designated patient populations. The Nurse… more
- New York State Civil Service (New York, NY)
- …NYSPI/Chairman of Psychiatry, ensure that the DCM is staffed appropriately.* Human Resource Management : Lead the recruitment, training, and performance ... Medical Center/New York State Psychiatric Institute/NewYork-Presbyterian Hospital, is hiring a Clinical Veterinarian to serve as the Director of the Division of… more