- Travelers Insurance Company (Albany, NY)
- …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically… more
- Fox Rothschild LLP (New York, NY)
- …to perform, and the employee may be required to perform additional duties. Additionally, management reserves the right to review and revise the job description ... Fox Rothschild seeks a dynamic and experienced Practice Group Management professional to join our team. This role is...meet the education needs of the practice group. + Review notices of CLE and other programs and seminars… more
- Molina Healthcare (Buffalo, NY)
- …Reforecast according to Corporate guidelines. + Collaborate with Actuarial staff to review IBNR estimates and rate adequacy studies. + Analyze results to identify ... and trends. + Research and develop reports and analysis for senior management , effectively presenting and communicating results. + Works closely with operational … more
- Molina Healthcare (Syracuse, NY)
- …+ Manage projects spanning multiple domains + Supports Market and Enterprise management and other team members are related to all things financially related ... guidelines + Coordinate the Market month-end close with Accounting staff; review all non-IBNR reserves for appropriateness monthly + Work collaboratively with… more
- City of New York (New York, NY)
- …transition from shelter into appropriate permanent housing. DHS is responsible for management of over 200 facilities, which mainly are individual and family shelters ... and DOB, to ensure strategic alignment and effective resource utilization . - Ensure robust field supervision systems are in...to address client needs and develop innovative solutions. - Review and approve case summaries and reports for special… more
- Citigroup (New York, NY)
- …strategy across the business and key functions ensuring synergy and optimal utilization of resources to achieve identified business goals focused on excellent client ... initiative-taking; comfortable working with ambiguity. + Organizationally savvy; understands systems, management processes, knows where to go for information and how… more
- Mount Sinai Health System (New York, NY)
- …to: a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using standardized ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will...Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case… more
- Guthrie (Binghamton, NY)
- …experience: five (5) years of experience in an acute care setting with strong care management , utilization review , and payer knowledge. A Case Management ... levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care...and community providers. a) Works closely with the Medical Director and other members of the healthcare team to… more
- Stony Brook University (Stony Brook, NY)
- …Coordinator: investigates issues and presents findings and recommendations to Associate Technical Director SL-5, as assigned. + Conducts monthly review of ... Laboratory sections). Under the direction of TH Assoc Technical Director , she /he will be responsible for oversight of...and LIS (Clinisys & CoPath) order entry and result review screens, new tests additions to the test menu,… more
- CenterWell (Westbury, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more