- Northwell Health (Mount Kisco, NY)
- …Case Management and Social Work Services team. Develops processes to monitor utilization review inclusive of length of stay (LOS) and resource reduction strategies, ... facility best practices and makes recommendations for process improvement. Oversees resource utilization for the hospital and provides specific data analysis on … more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …improve processes to meet the performance measure goals (SAIL/EPRP) and improve utilization management; reviewing requests and determining the best way to obtain the ... Model are required. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Pay: Competitive salary, annual performance bonus, regular salary… more
- Evolent (Albany, NY)
- …approach with call center staff. Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination ... Therapy you will be a key member of the utilization management team. We can offer you a meaningful...cases that an approval cannot be rendered to the Physician Clinical Reviewer. In States where allowed, will make… more
- Nuvance Health (Poughkeepsie, NY)
- …Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology ... from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within the assigned… more
- Mount Sinai Health System (New York, NY)
- …and treatments plans are not required to be countersigned by a physician . **Qualifications** **EDUCATION REQUIREMENTS** 1. Licensure: New York State License with ... course). 5. Has a Collaborative Practice Agreement with a physician and designated protocols if less than 3600 hours...Ability to interpret and apply principles of nursing research utilization . 5. Ability to manage and coordinate a patient… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …HCAP Care transitions Hospital Rating Hospital wide readmissions Mortality Utilization of Clinical Pathways Development of performance improvement priorities and ... inpatient hospitalists. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Pay: Competitive salary, annual performance bonus, regular… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …Participation in multi-disciplinary conferences such as Tumor Board, M & M, transfusion utilization committee etc. - Projects as assigned by the Chief of PLMS- ... of the department. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Education Debt Reduction Program (Student Loan Repayment): Learn… more
- Guthrie (Corning, NY)
- …of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates the physician and ... medical management through ongoing interaction with the patient and family/caregivers, physician and other health care providers to achieve designated clinical,… 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
- Weill Cornell Medical College (New York, NY)
- …level healthcare provider working under the delegated authority of a supervising physician . The role and responsibilities extend beyond those of the Registered Nurse ... advanced clinical services or other tasks delegated by the supervising physician , consistent with education, training and practice protocols, policies and… more