- Elevance Health (Middletown, NY)
- …equivalent. + Requires a minimum of 4 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN license ... **Medical Management Clinician** **Location:** **New York** . This role...a medical necessity denial determination made by a Medical Director . + May work directly with healthcare providers to… more
- City of New York (New York, NY)
- …& Innovation, Contract Administration, Contract Compliance and Opportunities, Purchasing Management , Accounts Payable Unit, Contracts Review and Negotiations, ... maintain records of proposed and current Agency's Requirement Contracts. Ensure the utilization of these contracts by Procurement Liaisons. Review specifications… more
- Ellis Medicine (Schenectady, NY)
- …plan, implement and evaluate individual healthcare needs. Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the patient, ... levels. Efficiently and effectively anticipates, identifies and resolves issues through utilization review and discharge planning processes. Collaborates with… more
- Touro University (Hawthorne, NY)
- …management techniques. + Assist in solving patient-related problems + Assist the Director in the review within their clinical practice, each student's ... with disabilities, and veterans. Responsibilities Directly reporting to the Director of Orthodontics, Touro College of Dental Medicines, ...+ Guide doctor/patient interaction + Aid in the continual review of student rosters. + In the case of… more
- New York State Civil Service (Schenectady, NY)
- …Schenectady State NY Zip Code 12305 Duties Description Reporting to the Director of Charitable Gaming, the incumbent will perform research, conduct program planning, ... on holding Bingo, Games of Chance, licensing, and financial requirements.Application Review /Technical Guidance:* Review for approval or denial, applications of… more
- Touro University (Hawthorne, NY)
- …daily student production reports. + Meet at least weekly with CPL or discipline Director to review student compliance. + Manage clinic activity and patient ... to the Group Practice Team with their patient care management . + Perform patient check-in duties including updating patient...and backfill patients into student provider open slots + Review phone call and utilization reports to… more
- City of New York (New York, NY)
- …within the Office of Policy, Contracting and Development and reporting to the Deputy Director of Contract Management , the Contract Manger will be responsible for ... stakeholders, and community- based providers. This may include the review of proposals related to the contract as well... of the unit. Under the supervision of the Director of Contract management and with latitude… more
- New York State Civil Service (Albany, NY)
- …Solicit, review and track compliance of MWBE and SDVOB utilization , commitments, and workforce participation.* Ensure data is accurately reflected in tracking ... Human Resources if you require an accommodation.BASIC FUNCTION:Reporting to the Director , Office of Contractor & Supplier Diversity, the Sr. Compliance Manager,… more
- City of New York (New York, NY)
- …support, guidance and customer service. Under the direction of the Deputy Director of Contracts, the Contract Analyst will perform responsible work in the ... various contracts/projects aimed at improving Administration, Customer Service and Project Management within the Division of Family & Child Health, by coordinating… more
- University of Rochester (Rochester, NY)
- …work with staff on resolving discrepancies. + Utilize Tableau reports for operations, utilization , and revenues. + Build/edit and review reports for various ... Improvement Team monthly meeting and adding updated information to the visual management board quarterly + Generate productivity reports, clinic volume reports +… more