- Mount Sinai Health System (New York, NY)
- …are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. + ... outlined in the facility's Employee Handbook and as communicated by the facility's management . . Contributing to a positive work team by sharing information, using… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- MDS Coordinator RN The Glengariff Healthcare Center is looking for a talented and hard-working MDS Coordinator to join our ever-growing team. We are seeking ... and third party payers + Proactively communicates with Administrator and Director of Nursing to identify regulatory risk, effectiveness of Facility/Community Systems… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …accreditation standards pertaining to its state licensure, third party administrators, utilization review and management requirements. The Manager of Compliance ... maintenance of all HealthDirect policy and procedure. Responsible for the overall management of the clinical team and corresponding policy, procedure, and programs.… more
- Guthrie (Corning, NY)
- …a) Works closely with the Medical Director and other members of the healthcare team to provide appropriate medical management and resource utilization ... Bonus For Qualified RNs! Position Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services… more
- Ellis Medicine (Schenectady, NY)
- …function is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse to facilitate patient discharge plans, support coordination of ... care activities, and assist in utilization management activities under the direction of...+ Performs audit activities under the supervision of the Director of Case Management and Social Work… more
- CenterWell (Liverpool, NY)
- …of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations. + Participates in the interviewing, hiring,… more
- Ellis Medicine (Schenectady, NY)
- Basic Function: Assess, plan, implement and evaluate individual healthcare needs. Integrate Discharge Planning, Utilization Review and Performance Improvement ... admissions as assigned. + Efficiently escalates barriers and/or legal case to the Director of Case Management & Social Work Services and/or delegated covering… more
- Mount Sinai Health System (New York, NY)
- …NYSNA-SLW NYSNA at Mount Sinai St. Luke's and Mount Sinai West, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** 1. Principle Duties and ... are not limited to: 1. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more
- Elevance Health (Latham, NY)
- The **Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information ... a medical necessity denial determination made by a Medical Director . + Refers complex or non-routine reviews to more...a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted… more