- University of Rochester (Brighton, NY)
- …continuously improve the tools and methodologies used in program and project management , operational enhancements and resource utilization across the department. ... implementation and ongoing maintenance of processes to support Strategic Portfolio Management (SPM), in support of established governance best practices. Responsible… 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
- Molina Healthcare (Rochester, NY)
- …Degree in Behavior Analysis or a related field. **Preferred Experience** Utilization Management experience Health Plan/MCO work experience **Preferred License, ... requested treatments and/or procedures. * Works collaboratively with the Utilization and Case Management departments to provide...Director , and Senior Medical Directors to ensure proper management of the BHT benefit * Up to 30%… 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… more
- Akin Gump Strauss Hauer & Feld LLP (New York, NY)
- …arrivals and transitions. Talent Management & Development + Work with Director to support workload management / utilization through ongoing communication ... Corporate Practice Manager in our Client Value & Practice Management department, reporting directly to the Director ...with partners, associates and staffing personnel. Review utilization reports and raise productivity issues… 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 ... and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates… more
- Guthrie (Corning, NY)
- …Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs). Has ... and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates… 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 ... This includes but is not limited to fast-track case management , expansion on mobile medical assessments and projects which...Work with Assistant Medical Director and Medical Director on Performance and workload review . +… more
- Evolent (Albany, NY)
- …sources to establish and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved through ... Minimum 3 years of professional experience in value-based healthcare analytics or utilization management within a payer, provider, clinical vendor, managed care,… more
- WMCHealth (Valhalla, NY)
- … areas of Integrated Case Management including mentoring/coaching care coordinators, utilization review staff and social workers. + Reviews cases for medical ... to discuss cases and problems. + Participates in daily review of aggregate denials/appeals with the Medical Director...leveling and/or appeals agency preferred. Previous utilization management , case management or peer review… more