- WMCHealth (Warwick, NY)
- …ensure facility compliance with Nursing Care Standards as applied to Resource Utilization Groups. The MDS Nurse assume responsibility for accurate completion of MDS ... eligibility for Medicare coverage. Initiates Medicare Certification and recertification for physician signature as needed. + Monitor assessment schedules and nursing… more
- WMCHealth (Valhalla, NY)
- …agreement for 50+ GME programs, 200 annual GME in-rotations, and physician assistant in-rotations to ensure congruence between ACGME reporting, residency management ... Ensures and tracks congruence between ACGME reporting and residency management system utilization , and assists in addressing compliance in GME cost reports. +… more
- YesCare Corp (Coxsackie, NY)
- …+ Participate in quality improvement activities, including sentinel event reviews and utilization reviews. + Provide appropriate health care within the scope of ... and ECGs. + Initiate consultations and non-formulary requests with supervisory physician 's approval. + Educate patients about medical conditions, medications, diets,… more
- 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