- Sedgwick (Albany, NY)
- …cost effective, and high quality delivery of case management and utilization review services to clients for multiple business lines; and to provide expertise ... in client specific case management and utilization review requirements and ensure customer satisfaction through the provision of these services. **ARE YOU AN IDEAL… more
- St John's Community Services (Ithaca, NY)
- …programs. What are we looking for? We are looking to add a Full-TimeResidential Clinical Directorto our team . As theResidential Clinical Directoryou will ... daily operation of an 11-bed residential facility. Activities include clinical supervision, plan development, review of client...position? We are waiting for you to join our team ! Apply today on our company website SJCS Careers… more
- YAI (Fairfield, NY)
- …home are being addressed. + The QBMP will attend and participate in the weekly/monthly clinical review . The QMP is responsible to contribute to the agenda and ... situations, and activities. + The QBMP will complete annual clinical Performance Evaluations. + The QBMP will meet regularly...to the agency/department. + The QBMP will interface with RN 's and other outside consultants to coordinate trainings and… more
- Bassett Healthcare (Cooperstown, NY)
- …record according to unit and organizational standards, as evidenced by supervisory chart review . Updates patient clinical information systems in a timely manner ... procedures, follow-up appointments, and communicates plans to the health care team , as measured by random supervisory interdepartmental review . Performs… more
- UPMC (Dunkirk, NY)
- …of clinic issues. + Provide input for LPN/MA performance review and conducts review in conjunction with the clinical coordinator. + Provide input for hiring ... We're looking for a motivated LPN who can guide clinical staff while delivering compassionate nursing support to individuals... expertise and leadership skills to a close-knit, high-impact team , we encourage you to apply!** This position will… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …standards required by the Company. + Evaluates Insured's condition through review of field assessments, medical records, etc. Determines benefit eligibility based ... for employee development and promotional opportunities. Level I: + RN or social worker with a minimum of three...of three years combined experience in insurance and/or a clinical setting. Alternatively, Bachelor's degree with a minimum of… more
- UHS (Binghamton, NY)
- …and medications for mental illness. You will be an integral part of a team of Registered Nurses, Social Workers, Mental Health Technicians, Rehabilitation Staff, ... $15k Sign-On Bonus** Our Behavioral Health Unit is a team orientated unit working together to make a positive...physician* Providing detailed documentation for care Qualifications:* A valid RN license * Strong communication skills and ability to… more
- CVS Health (Albany, NY)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our...for members who cannot advocate for themselves. The TOC team will review prior claims to address… more
- Bassett Healthcare (Cooperstown, NY)
- …and actions. Raises up emergent situations or expressed patient problems directly to RN , Supervising Nurse , or Practitioner for assistance. Answers phones within ... is a key role in the patient centered care team . Demonstrates excellence in all patient and customer encounters...that a high-quality patient experience takes place by providing clinical support to ambulatory patient care teams through excellent… more
- Northwell Health (Mount Kisco, NY)
- …activities of the inpatient RN Case Management and Social Work Services team . Develops processes to monitor utilization review inclusive of length of stay ... safe discharge back to the community. Job Responsibility 1.Leads RN case management and social work services team...be in Nursing. *Current license to practice as a Registered Professional Nurse in New York State,… more