- University of Rochester (Rochester, NY)
- …Maintains knowledge of hospital clinical practice guidelines to support the most thorough review of the medical record. Other duties as assigned. **MINIMUM ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500009 Utilization Management Work Shift: UR - Day (United States of America) Range: UR… more
- CDPHP (Latham, NY)
- …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 ... in CDPHP applications and, when applicable, a practice's electronic medical record with a high level of accuracy. The...Care Programs preferred. + Minimum of two (2) years Utilization Management experience is preferred. + Experience with the… more
- UHS (Johnson City, NY)
- …procedure, we welcome you to join our team. Work Locations: UHS Wilson Medical Center, Johnson City, NY UHS Binghamton General Hospital, Binghamton, NY Primary Work ... + Ensures procedural instrumentation, power equipment, surgical implants and patient medical devices are assembled, inspected for proper function, and appropriately… more
- CDPHP (Latham, NY)
- …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 ... (2) years experience in a health insurance related discipline required. + Utilization management experience is preferred. + Knowledge of managed care, health plan… more
- Rochester Regional Health (Rochester, NY)
- …+ Three (3) years of acute hospital care, case management or utilization management experience preferred + Excellent oral and written communication and interpersonal ... skills + Good understanding of medical management techniques and processes + Knowledge of federal...managed care payment principles helpful RESPONSIBILITIES: + Evaluation & Review . Evaluate hospital admissions to assure care is medically… more
- UHS (Norwich, NY)
- …Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management, supplies, and services + Complies ... Unit Council, participating in improvement initiatives, and contributing to peer review practices + Actively engages in professional development, continuing nursing… more
- UHS (Norwich, NY)
- …Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management, supplies, and services + Complies ... Unit Council, participating in improvement initiatives, and contributing to peer review practices + Actively engages in professional development, continuing nursing… more
- UHS (Johnson City, NY)
- …Department, Division, or Unit: Main Tower 6 Cardiac Telemetry, UHS Wilson Medical Center Primary Work Shift: Day Rotational Regular Scheduled Weekly Hours: 40 ... with the health care team, productivity and effective resources utilization ; participation in Shared Governance; support of a learning...Comprehensive Benefits for Life & Family - We offer medical , dental, and vision coverage starting the first of… more
- YesCare Corp (Goshen, NY)
- …insurance processes. + Ability to interact effectively with clinicians, office staff, utilization review teams, and other departments (eg, customer service, ... + **Experience:** + 2+ years of experience working in a physician 's office or with medical records management. + Strong knowledge of Coordination of Benefit… more
- St. Mary's Healthcare (Amsterdam, NY)
- …the referral the patient has presented. Schedules requested exams to maximize equipment utilization by time and location, review open slots and manage waitlist ... financial clearance to the patients, as required. Communicates successfully with Medical Imaging staff, surgical scheduler, doctor's offices and other providers as… more