- Fallon Health (Buffalo, NY)
- …Weinberg PACE. Work is performed under the general supervision of the Clinical Physician and Center Manager. The employee also interacts with and takes direction, at ... non-compliance.* + Provides nutrition education to participants/caregivers as ordered by physician and according to ADA* + Develops and maintains department policies… more
- Catholic Health (Kenmore, NY)
- …Kenmore Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: Trinity Medical Exempt from Overtime: Exempt: Yes Work Schedule: Days Hours: 8:00am to ... guidelines, encourage patient self-management, increase coordination of care, increase the utilization of resources and services across the continuum and improve… 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 from ... patients who were readmitted within thirty days. Documents over utilization of resources and services. + All Medicare cases...on all other payers. + Active participation with the physician and payer to prevent denials. Reviews cases for… 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...be rendered on the prescription or referral of a physician , nurse practitioner or other health care provider acting… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social ... Summary This position serves as an Advanced Medical Support Assistant at the VA WNY Healthcare...with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The (per diem) Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, pre-admission testing and ... preadmission testing and operating room time. 7. Checks credentials system for physician 's delineation of privileges for equipment and/or procedures according to … more
- CDPHP (Albany, NY)
- …as described in the drug policies. + A clear understanding of prescription and medical benefits as it applies to the utilization review process. + Must ... for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality… more
- Amgen (New York, NY)
- …+ 6 years' experience with specialty/biologic self-injectable (pharmacy benefit) or physician -administered (buy and bill/ medical benefit) products + Advanced ... HUB, providing live one-on-one coverage support + Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer… more
- Rochester Regional Health (Rochester, NY)
- …RGH and Newark 8a-4:30p Sign-On SUMMARY At the direction of the Physician Director of Ultrasound and Administrative Sonographer, the Staff Sonographer performs a ... variety of procedures requiring independent judgment and initiative in the utilization of ultrasonic equipment for the diagnosis of disease in humans. The department… more
- Mount Sinai Health System (Long Island City, NY)
- …(UR) based on internal data collection, data received from external agencies, Physician 9.Advisors and the Medical Director. 10.Ensures Discharge Appeals ... Director will direct and manage departmental activities involved in utilization review, appeals management and discharge planning to facilitate...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more