- City of New York (New York, NY)
- …the Agency in high level planning and implementation meetings. Represent the Executive Director in meetings with program management , legal staff, and key ... is recruiting for one Administrative Staff Analyst NM-II to function as Senior Director , Specialized Services who will. Reporting to the Executive Director (ED),… more
- Evolent (Albany, NY)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Oncology, you will be a key member of the utilization management team. We can offer you… more
- Evolent (Albany, NY)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Rehab you will be a key member of the utilization management team. We can offer you… more
- Elevance Health (New York, NY)
- …a State agency.*_ **Preferred Skills, Capabilities and Experiences:** + 1-2 years Utilization Management experience strongly preferred. + Strong oral, written, ... entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Nurse (RN) reviewers and manages the denial process. + Leads interdisciplinary complex care management rounds. + Provision of clinical oversight and leadership ... to Utilization Management /Case Management (UM/CM) staff...Management (QM/UM) Plan, including having the BH Medical Director for Children's Services and participate on the BH… more
- Evolent (Albany, NY)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Radiology you will be a key member of the utilization management team. We can offer you… more
- Trinity Health (Albany, NY)
- …service line to drive financial, operational and strategic priorities. The Administrative Director is _not_ responsible for day-to-day care delivery or ... opportunities to improve operational efficiency, reduce costs, and maximize resource utilization while maintaining excellence in patient care . **Clinical… more
- Centene Corporation (New York, NY)
- …VPMA responsibility in absence of VPMA. + Provide medical leadership for all utilization management , pharmacy, case management , disease management , ... Provide medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- University of Rochester (Rochester, NY)
- …management , clinical services, pharmacy data analytics, and pharmacy procurement/inventory management . The Senior Director , Ambulatory Pharmacy Services in ... services using a just culture approach in collaboration with institutional quality management professionals. **Patient and Family Centered Care ** + Develops and… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …reports and ensures that appropriate follow-up action is taken + Facilitates the Care Management Process engaging the resident, IDT and family in timely ... MDS Director RN Glengariff Rehabilitation and Healthcare Center is...case manager by considering all aspects of the residents care and coordinating services with physicians, families, third party… more