- UHS (Johnson City, NY)
- Position OverviewUnited Health Services is seeking a Director of Nursing - Medical Surgical Services to lead strategic and daily operations across medical ... helps ensure exceptional patient experiences and sustainable operational success across the Medical Surgical Services area. Work Locations: UHS Wilson Medical … more
- Cognizant (Albany, NY)
- …guidelines and regulations + Experience in the analysis and processing of claims, utilization review /quality assurance procedures + Must be able to work with ... processing is required + Facets experience is highly preferred + Knowledge of physician practice and hospital coding, billing, and medical terminology, CPT,… more
- Catholic Health Services (Melville, NY)
- …of Finance - Physician Strategy with the financial responsibilities of the Medical Group. Serves as the strategic link between finance and operations for the ... for all employed providers and practices Maintain/update as needed data for Tableau physician productivity dashboard Preparation and review of physician … 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 ... cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to...patients who were readmitted within thirty days. Documents over utilization of resources and services. + All Medicare cases… more
- CenterWell (Hauppauge, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- Mount Sinai Health System (New York, NY)
- …The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse, Physician Assistant, or Nurse Practitioner, who manages the 24 hour a day ... patient-centered care. **Qualifications** Must be a Licensed Registered Nurse, Physician Assistant or Nurse Practitioner Registered Nurse Bachelor's Degree in… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …are managed in a timely manner. Provide evidence-based clinical care for medical inpatients. General Management of Hospitalist Team: Review relevant Internal ... who serve our Country. Responsibilities James J. Peters VAMC is a tertiary care medical center classified as a Clinical Referral Level 1b facility that provides a… more
- Albany Medical Center (Albany, NY)
- …our patients' needs. + Collaborate with Risk Management, Patient Relations, Utilization Management, Case Management, and Quality Management about potential problems ... resolution of conflict. + Participate in case presentation in Complex Care Review to seek interdisciplinary input regarding challenging cases. + Participate in and… more
- Guthrie (Corning, NY)
- …healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates the physician and ... requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs). Has a working knowledge of the hospital computer… more
- Nuvance Health (Poughkeepsie, NY)
- …or BSN preferred. Must have current RN license. Preferred experience in Utilization Review /Management.Company: Vassar Brothers Medical Center Org Unit: ... Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus multiple primary...New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading… more