- Bassett Healthcare (Cooperstown, NY)
- …no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data ... no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. + Identifies expected outcomes individualized to… more
- CenterWell (Albany, NY)
- …Director of Physician Strategy at Utilization Management. The Medical Director conducts Utilization review of the care received by members in an assigned ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Highmark Health (Albany, NY)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and… more
- Catholic Health Services (West Islip, NY)
- …Hospital Conditions of Participation. + Implements care management programs, including utilization review , intake and discharge planning. + Evaluates patient ... collaboratively with, but not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals, Managed Care and Revenue Cycle and Patient… more
- New York State Civil Service (Jamaica, NY)
- …monitor productivity and performance and determine standards to allow for the maximum utilization of personnel and resources. Plan, review , and update preventive ... assistance and instruction to subordinate supervisors and workers, as required. Review completed work to assure quality and adherence to instructions. Perform… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE PRINTING SERVICES MANAGER CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR ... coordination, lease and property management, land use and environmental review activities, contract administration for facilities services, and warehouse operations.… more
- Bassett Healthcare (Cooperstown, NY)
- …consistent with ethical standards of practice in the field . Participates in the Utilization Review Process . Collaborates with outside agencies, such as CPS/DSS ... other duties as requested and observed by supervisor or manager . Partial remote work is available dependent upon...of practice in the field . Participates in the Utilization Review Process . Collaborates with outside… more
- Bassett Healthcare (Cooperstown, NY)
- …no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback + Analyzes assessment data ... no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation + Identifies expected outcomes individualized to… more
- Elevance Health (Latham, NY)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations. + May conduct peer-to-peer clinical appeal case reviews with… more
- WMCHealth (Kingston, NY)
- …that performs a functional evaluation of the client; conducts the planning and utilization of a program of purposeful activities; implements the development and ... utilization of a treatment program, and/or consultation with the...subjective and objective information obtained through interview, medical chart review , formal and informal test administration, with appropriate analysis… more
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