- Unknown (Buffalo, NY)
- Vice President, Care Management & Post - Acute Care Transition About the Company Prominent regional integrated healthcare provider Industry Hospital & Health ... Role The Company is seeking a VP for Care Management and Post - Acute Care Transition....business preferred, and at least 10 years of care management or utilization management experience… more
- Molina Healthcare (Syracuse, NY)
- …for gaps in care and preventive assessments. * Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency. * ... of care. * Schedules appointments for visits when appropriate. * Provides post -discharge coordination to reduce hospital readmission rates and emergency room … more
- Kaleida Health (Buffalo, NY)
- **VP Care Management Post - Acute Care Transition** **Location:** **Buffalo General Medical Center** **Location of Job** **: US:NY:Buffalo** **Work Type** **: ... and inclusion where diversity is valued and celebrated!_ **Position** VP Care Management Post - Acute Care Transition **Location** US:NY:Buffalo | Executive… more
- CVS Health (Albany, NY)
- …+ Previous experience with prior authorization. + Previous experience with utilization management . + Previous experience in an acute care setting. + Previous ... with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior...care/treatment. + Identifies members who may benefit from care management programs or other post discharge programs… more
- CDPHP (Latham, NY)
- …is required as a Registered Nurse. + Minimum of two (2) years Utilization Management experience is preferred. + Knowledge of coding/claims processing is ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical...is responsible for completing inpatient level of care reviews, post - acute care initial and concurrent reviews for… more
- Trinity Health (Albany, NY)
- …in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management certification ... Engage the patient and care team in the joint management of key patient outcomes such as management...disease progression, continued LOS and transition to most appropriate post - acute setting + Be a patient advocate… more
- Trinity Health (Troy, NY)
- …in acute settingPreferred requirements:1+ year of experience in case management or utilization managementCase Management certification (CCM) or ... looking for a position in RN (Registered Nurse) Case Management in a dynamic hospital, this could be your...disease progression, continued LOS and transition to most appropriate post - acute settingBe a patient advocate who is… more
- MVP Health Care (Tarrytown, NY)
- …3 years of clinical nursing experience + At least 2 years of experience in utilization management of sub- acute Medicare reviews + Experience with Medicare ... in every interaction **Your key responsibilities:** + Conduct timely and accurate utilization reviews for sub- acute Medicare cases. + Evaluate medical necessity,… more
- Northwell Health (Staten Island, NY)
- …another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for ... acute needs. + * Participates in the quality management of patient care outcomes. + Submits data to... and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred.… more
- Northwell Health (Staten Island, NY)
- …another level of care according to regulatory standards. * * Performs concurrent utilization management using Interqual criteria. * Conducts chart review for ... acute needs. * * Participates in the quality management of patient care outcomes. * Submits data to... and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred.… more
