- Evolent (Albany, NY)
- …Director direction, using independent nursing judgement and decision-making, physician -developed medical policies, and clinical decision-making criteria sets. Acts ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- Cognizant (Albany, NY)
- …* A minimum of 1 year claims processing is required. * Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 * ... and regulations. * Experience in the analysis and processing of claims, utilization review/quality assurance procedures. * Must be able to work with minimal… more
- Bassett Healthcare (Cooperstown, NY)
- …Bassett Healthcare Network. This clinical position works in conjunction with the physician and/or staff and has the authority to prioritize bed allocation resources ... medical staff regarding patient status, bed placement, payer requirements, and utilization of resources. Manages Logistic Center staffing process for assigned shift… more
- Rochester Regional Health (Rochester, NY)
- …and updates documentation appropriately. . Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a ... Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $37.18… more
- Rochester Regional Health (Rochester, NY)
- …and updates documentation appropriately. + Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a ... Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $38.22… more
- Rochester Regional Health (Rochester, NY)
- …and updates documentation appropriately. + Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a ... Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $37.18… more
- Mount Sinai Health System (Brooklyn, NY)
- …patient care. He or she works closely with the Nursing Clinical Director, Physician Leader and staff in insuring that the Service/Unit maintains the highest ... and facilitates the delivery of nursing care through the creative utilization of professional nursing expertise 5. Recognizes patient's problems and participates… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules are closely monitored to effectively ... clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and… 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 ... confidentiality of patient information, in addition to hospital and individual physician practice pattern data. Provides information and in services as necessary… more
- WMCHealth (Warwick, NY)
- …resolves interventions on the nursing plan of care and/ or collaborates with physician regarding the need to revise the treatment plan. + Collaborates with ... with other health care providers and community resources to ensure full utilization of support services which address patient needs. + Participates in Quality… more