- Mount Sinai Health System (New York, NY)
- …preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... **Job Description** **RN/Case Manager Mount Sinai West FT Days 8a-4p Inpatient**...new admissions to identify patients where utilization review , discharge planning, and/or case management will… more
- Regeneron Pharmaceuticals (Armonk, NY)
- We are seeking a highly motivated **Senior Manager , Business Operations Cost Management ** , who will be responsible for cost management activities regarding ... trials. The Senior Manager , Business Operations Cost Management , will work at the portfolio, program and functional...study teams, Procurement and Finance. Help support new cost management processes and ensure process utilization . +… more
- Albany Medical Center (Albany, NY)
- … works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... assigned service - required + Recent experience in case management , utilization management and/or discharge...Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered… more
- Ellis Medicine (Schenectady, NY)
- …provided by the Case Manager include, but are not limited to, utilization review , case management , care transition, collaboration with physicians and ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management ...experience in a hospital environment preferred. + Previous case management , utilization review , and discharge… more
- Arnot Health (Elmira, NY)
- …Bachelor's in nursing preferred. Must have proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) ... Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal...FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and retrospective… more
- TD Bank (New York, NY)
- …for this role. **Line of Business:** Audit **Job Description:** The Audit Manager is accountable for overseeing the planning and execution for audits covering ... + Performs testing of critical areas of audit. Performs review of audit documentation. Oversees findings follow up and...subject matter expertise. + Acts as primary contact with management regarding audit scope, findings and status **Education &… more
- CenterWell (Hauppauge, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... at our Hauppauge, NY branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- Cherry Bekaert (Albany, NY)
- **Description** We have a new opportunity to join our Advisory Resource Management team as we continue to add integral capabilities and tools to support Cherry ... Bekaert's (https://www.cbh.com/) growth. As a Resource Manager you are collaborating with executive and staff-level professionals in this highly visible role. As a… more
- Mount Sinai Health System (New York, NY)
- …approach to collaborate with other health care professionals to plan, monitor, review , and evaluate the cost, utilization , safety and effectiveness of ... continuing education hours (ACPE approved). , 203 - HSO PHARMACY BENEFITS MANAGEMENT - MSH, Mount Sinai Hospital **Responsibilities** 1. Demonstrates the ability to… more
- Stony Brook University (Stony Brook, NY)
- … Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to… more