- Northwell Health (Poughkeepsie, NY)
- …+ Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria + ... Submits data to management regarding case management and/or quality initiatives...collaboration with the health care team + Conducts chart review for appropriateness of admission and continued length of… more
- Burns & McDonnell (Troy, NY)
- …responsibility include the following, with other duties as assigned by senior management : + Plan, organize and direct engineering projects; including, the overall ... cost, schedule and quality of assigned projects. + Ensure that the project review process and other quality control guidelines are followed. + Establish project… more
- University of Rochester (Rochester, NY)
- …+ Collaborates with University Facilities Operations groups and Planning and Project Management to provide technical assistance, including review and support of ... **Responsibilities:** GENERAL PURPOSE Ensures University facilities are optimal for utilization . Administers and coordinates projects for the design, construction,… more
- Elevance Health (Latham, NY)
- …Prepares reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation ... area to refer or assign case ( utilization management , case management , QI, Med Review...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Nuvance Health (Carmel, NY)
- …in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred. Location: ... Carmel-PHC 670 Stoneleigh Avenue Work Type: Full-Time Standard Hours: 37.50 FTE: 1.000000 Work Schedule: Day 10 Work Shift: This is a Monday thru Friday position with rotating weekends. 8am-4pm Org Unit: 1168 Department: Care Coordination Exempt: Yes Grade:… more
- Mohawk Valley Health System (Utica, NY)
- …care to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, processes and ... - SNH is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include… more
- Molina Healthcare (Buffalo, NY)
- …learn new programs. Preferred Qualifications * Experience with utilization /quality program management . * Managed care experience. * Peer review experience. * ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies… more
- Elevance Health (Latham, NY)
- …of 4 years managed care experience and requires a minimum of 2 years clinical, utilization review , or case management experience; or any combination of ... accommodation is granted as required by law. The **Medical Management Nurse** is responsible for review of...in multiple states. **Preferred Skills, Capabilities & Experiences:** + Utilization management experience. + Strong of computer… more
- Cardinal Health (Albany, NY)
- **_What IT Software Supplier Management contributes to Cardinal Health_** IT Software Supplier Management provides strategic support and management of ... procurement (IDP), solution owners, enterprise architecture, finance, and software vendor management to mitigate commercial and legal risks and minimize the impact… more
- Ryder System (East Syracuse, NY)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : BUILD ON YOUR ... package, 401k employer match, PTO, and a discount on shares! **Summary** The Operations Management Trainee will support the shop management process and assist in… more
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