- Arnot Health (Elmira, NY)
- …Bachelor's in nursing preferred. Must have proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) ... Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and retrospective authorization and… more
- Evolent (Albany, NY)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review determinations and… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …and peer review . Participates and facilitates implementation of modern care, utilization of new technologies and new procedures. This includes but is not limited ... to potentially required personal technical training and education, preparation, review , and finalization of the corresponding standard of care protocols, related and… more
- FlexStaff (Flushing, NY)
- …religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: - Review and ensure effective development and execution of personalized care ... maintaining optimal health status. - Collaborate with clinicians to review UAS and the UAS analyzer system to ensure...the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to… more
- EMCOR Group (New York, NY)
- …and competitive commercial mechanical and facility maintenance services. Our licensed professional engineers and more than 250 technicians expertly install, ... be assigned. + Monitor personnel or equipment locations and utilization to coordinate service and schedules. + Schedule or...work from start (initial call) to completion (billing). + Review service jobs, quoted jobs, & service projects to… more
- FlexStaff (New York, NY)
- …religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: Review and ensure effective development and execution of personalized care ... and maintaining optimal health status. Collaborate with clinicians to review UAS and the UAS analyzer system to ensure...the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to… more
- WSP USA (New York, NY)
- …promoting their professional development. Track and manage team financial KPIs and utilization goals. Manage backlog and staff workload. + Recruit/hire staff and ... project meetings, public meetings, and professional conferences/meetings. + Perform and review work products developed and prepared by junior staff, including dam… more
- Northern Rivers Family Services (Troy, NY)
- …county and community partners, and participate in any quality audit and utilization review + Provide on-site/community based/home visits, medication evaluations, ... and education to staff + Prescribe medications, monitor, and review of drug regimen for enrolled individuals + Participate...adults diagnosed with mental illness. + Must be fully licensed Nurse Practitioner in the State of New York… more
- CAMBA (Brooklyn, NY)
- …toward their goals (dates achieved) and document via progress notes. + Review all documentation related to clients' progress for accuracy, completeness, and clarity. ... + Review and sign time sheets. + Prepare performance appraisals...client files (ie, paper and electronically). + Ensure staff utilization of electronic database and conduct oversight to ensure… more
- CAMBA (Brooklyn, NY)
- …toward their goals (dates achieved) and document via progress notes. + Review all documentation related to clients' progress for accuracy, completeness, and clarity. ... + Review and sign time sheets. + Prepare performance appraisals...client files (ie, paper and electronically). + Ensure staff utilization of electronic database and conduct oversight to ensure… more