- TD Bank (New York, NY)
- …Video Devices** + **Neat Video Endpoints (Good to have)** + **Unified Call Manager ** + **Unity Voice Mail** + **Cisco Emergency Responder** + **Cisco Jabber** + ... service/solutions consistent with objectives and client requirements + Design, review , and integrate all application requirements, including functional, security,… more
- Nuvance Health (Poughkeepsie, NY)
- …management of patient care to an assigned group of patients through the utilization Standards of Practice and policies and procedures and in collaboration with other ... quality assurance programs as requested by the Clinical Nurse Manager or Program Medical Director. * Participates in the...forces as requested. * Participates in the discussion and review of articles in the field of hyperbaric oxygen.… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …the provision of services + Support the Adult Education and Workforce Case Manager (s) with the development of a comprehensive referral list and referral process + ... annual program budgets and budget modifications; monitor quarterly progress with budget utilization + Attend all necessary DYCD, NYSED, and any other required… more
- Elevance Health (Middletown, 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, and patients' office visits with providers and external physicians.… more
- Wolters Kluwer (Albany, NY)
- …customer relationships to retain and grow existing commercial customer base. + Review account utilization management reporting and provide recommendations. + ... product value proposition and solution design. + Develop and review implementation scope. + Coordinate with Sales Operations team...be reviewed during the monthly meetings with the Account Manager to identify renewal concerns and the need for… more
- Evolent (Albany, NY)
- …value- based care and initiatives within pathway, policy, and beyond utilization management solutions. + Introduce innovative initiatives supported with evidence and ... related external journal articles. + Support the development and review of clinical and health plan policies, workflows, job...serve as the clinical lead (SME) on the Rules Manager Team. + Ability to travel 15% for external… more
- WellLife Network (South Richmond Hill, NY)
- …location and schedules are subject to change. + Attend certification inspections, utilization review and independent professional reviews as needed. + Attend ... medical pre-admission evaluations and screening of prospective clients. + Review and update persons with disabilities pre-admission evaluation within thirty… more
- Elevance Health (Latham, NY)
- …policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions listed ... decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Trinity Health (Albany, NY)
- …Skilled Nursing Facilities have a unique opportunity for a RN to receive, review and process referrals of patients at St. Peter's Hospital referred for subacute ... members, referral sources, and external payers regarding the effective and efficient utilization of program services and available resources. + Screening of clients… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE COMPUTER SYSTEMS MANAGER CIVIL SERVICE TITLE. The Department of Social Services Accountability Office (DSS-AO) is ... The Office of Data Security Management is recruiting for (1) Computer Systems Manager M IV to function as an Assistant Deputy Commissioner, Data Security Operations,… more