- Guthrie (Binghamton, NY)
- …Position Summary: Provides clinical and administrative leadership and is responsible for the management of the assigned nursing division. The Director of Nursing ... leadership role in staffing and scheduling of personnel, considering appropriate utilization of personnel, scope of practice, competencies, patient needs and… more
- Catholic Health Services (Melville, NY)
- …Initiatives Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical ... Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. Supervises the Facility Physician… more
- Humana (Albany, NY)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …a timely manner. Provide evidence-based clinical care for medical inpatients. General Management of Hospitalist Team: Review relevant Internal Medicine Service ... The James J Peters VAMC is seeking a Full-Time Hospitalist Section Chief and Director of Inpatient Quality who will direct patient care and support a range of… more
- The New Jewish Home (Bronx, NY)
- …informed of the latest internal and external issues and trends in utilization and quality management through select committee participation, networking, ... New Jewish Home is seeking for a full time Director of Patient Care to join our team. Job...as required. o Leads the quality assessment, quality program management and quality 2. Performance improvement strategies for TNJH… more
- CVS Health (New York, NY)
- …and consistent responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical ... the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director … more
- Molina Healthcare (Yonkers, NY)
- …experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review ... and expertise in the performance of prior authorization, inpatient concurrent review , discharge planning, case management and interdisciplinary care team… more
- New York State Civil Service (Albany, NY)
- …No Agency Financial Services, Department of Title Assistant Team Lead ( Director Financial Services Programs 1, SG-31) Occupational Category Financial, Accounting, ... examiners to specific segments of the examination (eg, loan review , earnings, liquidity analysis, capital, Bank Secrecy Act/Anti-Money Laundering, systems… more
- Highmark Health (Albany, NY)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review , the incumbent participates as the...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Vail Resorts (NY)
- …is filled (whichever is first). **Jo** **b Summary:** The Senior Director of Strategic Mountain Planning is responsible for leading long-range, multi-disciplinary ... related to terrain expansion, lift infrastructure, skier circulation, capacity management , and guest experience. Working cross-functionally with operations, finance,… more