- Ellis Medicine (Schenectady, NY)
- …services provided by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and ... in a hospital environment preferred. + Previous case management, utilization review , and discharge planning experience highly...to social workers on patients in need of transfer, medical review and care planning + Coordinates,… more
- STG International (West Seneca, NY)
- …safety. + Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... of the Primary Care Physician is to provide covered professional outpatient primary medical services to enrolled patients of the Veterans Affairs Medical Center… more
- Mount Sinai Health System (New York, NY)
- …Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management...Supports the mission, vision, philosophy and goals of the Medical Center. 2. Case Management: The CM process will… more
- Albany Medical Center (Albany, NY)
- …license as a Registered Nurse Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require ... Work Shift: Day (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse (RN) - Full time HIV Medicine Clinic - Albany, NY We have an… more
- STG International (Watertown, NY)
- …* Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service Corps - 67G,… more
- STG International (Kingston, NY)
- …+ Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service Corps - 67G,… more
- Rochester Regional Health (Rochester, NY)
- … necessity in the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization , performing continued stay ... in the expected time frame and with most efficient utilization of resources. Carries out activities related to ...continuum. + Appropriately identifies and refers cases to the Review Physician Advisor to validate level of care based… more
- Northwell Health (Forest Hills, NY)
- …of care across the acute care continuum. Applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. Job ... Masters Degree, preferred.Current license to practice as a Registered Professional Nurse in New York State.Patient Review Instruments (PRI) Certification… more
- Mount Sinai Health System (New York, NY)
- …NCCPA Board Certification New York State Licensure BLS and ACLS Certification Nurse Practitioner Credentialed through Committee of the Medical Board with ... The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse , Physician Assistant, or Nurse Practitioner, who manages the 24… more
- Guthrie (Binghamton, NY)
- …years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtaining ... in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to...other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved… more