- Evolent (Albany, NY)
- …Director's direction, using independent nursing judgement and decision-making, physician -developed medical policies, and clinical decision-making criteria sets. The ... to maintain high-quality, cost-effective care delivery. + Perform pre-certification utilization reviews of **Oncology treatment requests** + Determines medical… more
- Nuvance Health (Carmel, NY)
- …Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology ... RN experience in an acute care setting; Leadership experience preferred; Utilization review, discharge planning or case management experience preferred. Location:… more
- Mohawk Valley Health System (Utica, NY)
- …supervises all healthcare plan services for members. Collaborates with member, family, physician , social worker and service providers to ensure appropriate care for ... all types of weather conditions. PREFERRED: + Experience in quality improvement and utilization review. + At least 2 years of case management or homecare experience.… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …and accrediting body standards. + Interprets and evaluates all physician 's medication orders to assure therapeutic appropriateness, cost effectiveness, accuracy ... to patients, nurses and physicians as required regarding the contents, utilization , therapeutic actions, possible adverse reactions or interactions of drugs. +… more
- Rochester Regional Health (Rochester, NY)
- …to improve clinical practice. + Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research ... Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $80,000.00… more
- Kaleida Health (Olean, NY)
- …Sites Senior Leadership Team, the COO will collaborate with both physician and administrative leaders to advance growth initiatives, operational improvements, ... efficient and effective resource utilization and allocation, and further our mission to advance the health of our community. They will enable a seamless journey of… more
- Fresenius Medical Center (Bellmore, NY)
- …plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. + Assesses, collaborates, and documents patient/family's basic learning ... of their daily processes. + Ensures documentation in eQUIP and utilization of data, benchmarking, and graphical representations in performance improvement… more
- Catholic Health Services (Melville, NY)
- …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the ... hours of admission / arrival. + Coordinate with onsite Case Management and Utilization Management to guarantee payer requirements are met for inpatient and 23-hour… more
- Garnet Health (Harris, NY)
- …to emergency evaluations and case management. Close collaboration with ED physician and other staff members, psychiatrist on-call, and Behavioral Health inpatient ... Manager for the detox patient on the medical floor assuring discharge planning, utilization review, and insurance approval. At Garnet Health, we are committed to… more
- Mount Sinai Health System (New York, NY)
- …health status, improve the health of patient populations and reduce utilization and healthcare costs. Population health initiatives particularly focus on preventive ... includes services such as care coordination, information technology, workflow optimization, physician engagement and quality reporting. The Department of Social Work… more
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