- Nuvance Health (Poughkeepsie, NY)
- …via program dashboard on quality and process measures.Participates in quarterly Utilization Review. 7.Prepares reports to DQS and Clinical Team as appropriate. ... degree in nursing or equivalent experience. * Minimum of three (3) years Home Care experience. * QAPI experience 1-3 years *Minimum Knowledge, Skills and Abilities… more
- Cardinal Health (Albany, NY)
- …travel (typically air travel), though will otherwise be remote (work from home ). **_Responsibilities_** + Travel to programs to present QBR's and Support Champs ... Member Profiles, and overall success of membership network with utilization and optimization of Salesforce keeping up to date...82,000.00 USD **Bonus Eligible** - No **Benefits** : Cardinal Health offers a wide variety of benefits and programs… more
- Arnot Health (Elmira, NY)
- …from any one of our Arnot campuses, looking for a Traveler role closer to home ? Great PAY - Great PERKS - NO Agency! Tax-Free Stipend! Available campuses: Arnot ... our Traveler program you'll receive: + Professional Growth and Experience: Arnot Health pool nurses gain experience in multiple specialties, enhancing their clinical… more
- Rochester Regional Health (Rochester, NY)
- …will rotate during these hours D/E Monday-Saturday OUR Department: Rochester Regional Health offers a full range of Dialysis treatment options to patients with ... their kidney function recovers or they return to their home dialysis center, move or get a transplant; or...and the heart of patient care at Rochester Regional Health . You make a positive difference every single day… more
- Intermountain Health (Albany, NY)
- …be necessary, regardless of state of residence, and will primarily be within Intermountain Health 's service area (UT, ID, NV, CO, WY, MT), but may also require ... Corporate / Central office b) Intermountain Healthcare's hospitals c) Home Care d) Medical Group e) Life Flight f)...Care d) Medical Group e) Life Flight f) Select Health Job Essentials 1) Directs efforts between key stakeholders… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United States of America) ... notification of transfer to third party payers. + Notify Utilization Management of clinical requests by third party payers...western New York, Rochester is our namesake and our home . One of the world's leading research universities, Rochester… more
- Evolent (Albany, NY)
- …experience and as an RN - **Required** + Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies… more
- Evolent (Albany, NY)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and client policies… more
- Rochester Regional Health (Rochester, NY)
- …Center. Other ancillary services include navigation, social work, spiritual care and home care service connections. SUMMARY: As a Registered Nurse (RN), you're the ... and the heart of patient care at Rochester Regional Health . You make a positive difference every single day...clinical practice. * Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department… more
- Veterans Affairs, Veterans Health Administration (Canandaigua, NY)
- …learning to perform basic nursing duties under close supervision in a variety of health care settings such as outpatient, inpatient, home or community living ... prevent injury to self or others in all settings such as utilization of lifting equipment. Embraces patient-family centered care principles. Practices excellent… more