- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review/ Case Management / Medical Management /Claims Review services to its clients. Care Coordinators facilitate ... care management and utilization review by performing data collection &...data collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, employers and claimants in regard to… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …and quality health care services. Examples may include: Utilization Management , Quality , Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... within the group. + Responsible for all aspects of the Case Management department functions including quality , productivity, utilization performance, and… more
- Rochester Regional Health (Rochester, NY)
- …for agency regarding cardiopulmonary program areas assigned. * Collaborates with the Quality Management staff to design, monitor, and evaluate the continuous ... quality improvement process, and risk management components... improvement program and clinical observations. * Educate the nurse generalists and health team members about technical, cognitive,… more
- University of Rochester (Pittsford, NY)
- …medical building. + Implements procedures for enhancing levels of service and quality and enforces medical office policies and procedures. + Develops guidelines for ... and office staff. + Ensures proper registration and insurance pre-verification management processes are followed, including warm transfers to centralized functions.… more
- Saratoga Hospital (Saratoga Springs, NY)
- …About Saratoga Hospital At Saratoga Hospital, we've built a reputation for high- quality , compassionate care and a commitment to the health and well-being of ... on the governance and leadership of the Department providing high quality care in a patient focused environment. Responsibilities include ensuring appropriate… more
- Mount Sinai Health System (New York, NY)
- …and coordination through Mount Sinai Hospital and Mount Sinai Health System's quality infrastructure. This role combines project management , education, and ... sensitive and responsive work environment. **Experience** + Demonstrated success in quality and performance improvement, and project management . + Experience… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a ... Our nurses are titled Care Managers, because our case management services are centered on the person rather than...Work at home care managers are responsible for meeting quality and productivity measures daily and maintaining working home… more
- Evergreen Health (Buffalo, NY)
- …Manager - Transition of Care: + Develops a plan of care utilizing clinical quality indicators for all patients on case load, including but not limited to patients ... with diabetes, hypertension, Coumadin management , complex and comorbidity, etc. + Provides case ... is implemented and managed to improve continuity and quality of care. + Maintains communication with patients on… more
- Surgery Care Affiliates (Middletown, NY)
- …systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn't just what we ... make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork +...will. Responsibilities We are actively hiring for an Registered Nurse Pre-Assessment Testing. + Promote the mission, vision, and… more
- STG International (West Seneca, NY)
- …regulations to ensure compliance and patient safety. * Design and participate in quality improvement, care management , risk management , peer review, ... continuous effective operations of the CBOC and participate in the Clinical Quality Assurance Program. ESSENTIAL FUNCTIONS: * Provide vision and direction of… more