- Evolent (Albany, NY)
- …monitoring for improvement. Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the ... requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business… more
- Rochester Regional Health (Rochester, NY)
- …optimal patient outcomes in the expected time frame and with most efficient utilization of resources. Carries out activities related to utilization management, ... base to support the clinical review process. + Concurrently monitors resources utilization , performing continued stay reviews and assists with managing the length of… more
- Catholic Health Services (Melville, NY)
- …Details The Senior Analyst is responsible for assisting the both AVP and the Manager of Finance - Physician Strategy with the financial responsibilities of the ... a home health service, hospice and a network of physician practices across the island. At Catholic Health, our...Experience with Lawson, Strata, and Essbase all a plus. Utilization of Microsoft Excel models for financial analysis purposes… more
- Fresenius Medical Center (Bronx, NY)
- …pre, during and post procedure, under the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing ... techniques to assist the physician in optimum patient outcomes following facility policies and...the facility and reports any issues to the Facility Manager . + Ensures a clean, safe and sanitary environment… more
- Fresenius Medical Center (Rochester, NY)
- **PURPOSE AND SCOPE:** Works with the Facility Manager , facility staff and physician to coordinate the facility operations and patient procedures to ensure ... to patients and staff. Assist with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records,… more
- Fresenius Medical Center (Schenectady, NY)
- * Dialysis Experience Required **PURPOSE AND SCOPE:** Works with the Facility Manager , facility staff and physician to coordinate the facility operations and ... to patients and staff. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records,… more
- Elevance Health (New York, NY)
- …Determines the medical necessity of requests using clinical criteria. + Performs physician -level case review of musculoskeletal utilization requests. + Conducts ... peer-to-peer consultation with ordering physicians, physician assistants and advanced practice nurses regarding established guidelines and accepted standards of care… more
- Nuvance Health (Poughkeepsie, NY)
- …Utilizes patient teaching according to policy. * Collaborates with Clinical Nurse Manager , physician , and other caregivers to provide effective patient care. ... New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading...care to an assigned group of patients through the utilization Standards of Practice and policies and procedures and… more
- WMCHealth (Kingston, NY)
- …that performs a functional evaluation of the client; conducts the planning and utilization of a program of purposeful activities; implements the development and ... utilization of a treatment program, and/or consultation with the...be rendered on the prescription or referral of a physician , nurse practitioner or other health care provider acting… more
- Catholic Health (Buffalo, NY)
- …guidelines, encourage patient self-management, increase coordination of care, increase the utilization of resources and services across the continuum and improve ... and process improvement and provides operational and clinical support to the site Office Manager . The Care Coordinator oversees the efforts of the Quality LPN at the… more