- Arnot Health (Elmira, NY)
- …$10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and ... denied by payer. Under the direction of the System Director of Care Coordination coordinates data with other Arnot...5. Relays denial information to appropriate billing clerks and management . 6. Follow up on denial claims using reports… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** Serves as principal assistant to the Assistant Dean and Director of the Office of Minority Student Affairs (OMSA) and Higher ... department, as well as specialized student support functions. Personal Assistant to the director - With general guidance as to priorities, manages the time and… more
- MTA (Brooklyn, NY)
- …acquires a solid foundation, knowledge, and/or experience in the areas of utilization management , quality improvement, and employee fitness for duty ... - $ 195,000 DEPT/DIV: HQ/ Occupational Health Services (OHS) SUPERVISOR: Assistant Medical Director HOURS OF WORK: 7.5 hours per day LOCATION: 300 Cadman Plaza West… more
- WMCHealth (Valhalla, NY)
- …an important role in ensuring physician support and execution of for Utilization Management and Documentation strategies and processes. Responsibilities: + ... in daily review of aggregate denials/appeals with the Medical Director , peer, or the Clinical Review Supervisor. + Provides...a third party leveling and/or appeals agency preferred. Previous utilization management , case management or… more
- Stony Brook University (Stony Brook, NY)
- …Flow Cytometry & Lyme Laboratory sections). Under the direction of TH Assoc Technical Director , she /he will be responsible for oversight of the operations to ensure ... ensure efficient workflow under the direction of the SL-5 Associate Technical Director , Immunology Laboratory. This includes ensuring test results are timely and all… 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
- Guthrie (Binghamton, NY)
- …related to interviews, new hires, transfers, promotions, evaluations, and performance management issues. In collaboration with manager / director recommends ... and department support staff, mentors under the Clinical Manager / Director . Pursues professional development through Guthrie leadership training. Appointed special… more
- Rochester Regional Health (Rochester, NY)
- …case coordination/patient navigation for patients, including triage management , algorithm management , utilization management and resource management . ... and maintains required documentation on each patient. + Makes referrals to administrative director , medical director , quality management , risk management… more
- Arnot Health (Elmira, NY)
- …values established by the Division of Nursing. Reports to assigned Unit Director . DUTIES AND RESPONSIBILITIES: STANDARDS OF CARE Nursing Process Assessment 1. ... nursing research and implements findings in Nursing Practice as applicable.** Resource Utilization 23. Functions to establish priorities of patient care based on… more
- University of Rochester (Rochester, NY)
- …well-being. The Case Manager exercises independent judgment while coordinating with the Director of CARE, other faculty and staff members, and parents or community ... ODOS teams and events. The Case Manager assists the Director with oversight and administration of the CARE Network...evening and weekend hours. **ESSENTIAL FUNCTIONS** CARE Student Case Management : + Maintain a caseload of CARE referrals for… more