- Albany Medical Center (Albany, NY)
- …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve ... Duties and Responsibilities + Assists the admission MD and or designated physician and the interdisciplinary teams in assuring coordination of care across the… more
- Catholic Health Services (West Islip, NY)
- …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. We are committed to caring for Long Island. Be ... The Associate Chief Medical Officer at Good Samaritan University Hospital is a physician who possesses a current, unrestricted license to practice medicine in the… more
- Mount Sinai Health System (Long Island City, NY)
- …plans are not required to be countersigned by a physician . **PRINCIPLES DUTIES AND RESPONSIBILITIES** **CLINICAL PRACTICE** **EDUCATION REQUIREMENTS** Licensure: ... (3-hour course). c.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 . + Ability to manage and coordinate a patient… more
- Catholic Health Services (Roslyn, NY)
- …compliance with regulatory and external review agencies. + Participates in the Utilization Management Committee, reporting data on utilization trends, resource ... and denials. + Serves as a resource to physicians, physician advisors, CM department, and hospital staff. + Collaborates...resolution of issues. + Refers cases and issues to Physician Advisor in compliance with identified procedures and follow-up… more
- Northwell Health (Melville, NY)
- …and knowledge gaps. Job Responsibility + Serves as liaison between the patient and facility/ physician and the third party payer. + Prepares and defends level of care ... and medical necessity for assigned case. + Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care… 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
- Crouse Hospital (East Syracuse, NY)
- …protocols and activities to improve patient access and care. Ensures efficient utilization of all resources. Provides leadership, supervision and motivation of all ... with IT department, manages installation and implementation of new technology for physician practice and ensures appropriate use of systems. + Work closely with… more
- BronxCare Health System (Bronx, NY)
- …electronic format. Collaborating with the Department Denial and Appeals Coordinators, Physician Advisors, and the clinical staff, the Appeal Manager is responsible ... the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns and… more
- CenterWell (Liverpool, NY)
- …care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of caregivers. ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- Humana (Albany, NY)
- …scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post… more