- Trinity Health (Schenectady, NY)
- …Inpatient Rehabilitation Facility (IRF) setting. Incumbent will be working out of their home based in Western, New York and traveling to area hospitals when needed. ... members, referral sources, and external payers regarding the effective and efficient utilization of program services and available resources. + Screening of clients… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …401K with up to 5% in contributions by VA Insurance: Federal health /vision/dental/term life/long-term care (many federal insurance programs can be carried into ... the geriatrics and extended care service line including Community Living Centers, Home Based Primary Care and Palliative Care services. Provides medical oversight,… more
- The Institute for Family Health (New York, NY)
- CERTIFIED DIABETES EDUCATOR Job Details Job Location Family Health Center of Harlem - New York, NY Position Type Full Time Education Level 4 Year Degree Salary Range ... - $100000.00 Salary Travel Percentage Negligible Job Shift Day Job Category Health Care Description SUMMARY: The Certified Diabetes Care and Education Specialist, in… 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...Nurse, you will be a key member of the utilization management team. We can offer you a meaningful… 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...by performing medical economics analyses to determine cost and utilization drivers. Showcase standard stack of reporting capabilities while… more
- Boehringer Ingelheim (New York, NY)
- …elements. **Description** The Strategic Account Manager will uncover opportunities for utilization of approved BI oncology product and optimal clinical benefit in ... as strategic account management lead to engage Marketing, Specialty Market Access/HEOR, Health Systems, and Field Based Medicine where appropriate to meet the needs… more
- Humana (Albany, NY)
- …quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation. ... Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , DME, skilled nursing facility and waiver requests. The Medical… 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...membership data, and clinical outcomes to uncover cost drivers, utilization trends, and opportunities for integrated care solutions using… more
- Rochester Regional Health (Rochester, NY)
- …Registered Nurse I Department: Long Term Care Location: Clifton Springs Nursing Home Hours Per Week: Part Time, Full Time Schedule: Days/Evenings/Nights, and Every ... Nurse (RN), you're the engine and the heart of patient care at Rochester Regional Health . You make a positive difference every single day in the lives of our… more
- Ellis Medicine (Schenectady, NY)
- …management, utilization review, and discharge planning experience highly preferred. Home care, payer, or other experience will be considered. SECTION III ... the Case Manager include, but are not limited to, utilization review, case management, care transition, collaboration with physicians...+ Adheres to the New York State Department of Health and Centers for Medicare and Medicaid Services discharge… more