- Elderwood (Buffalo, NY)
- …Responsibilities In the role of an Social Work Care Manager, you will partner with the Registered Nurse and are a critical resource for our members as you are ... may require interventions. + Participate in Interdisciplinary Team meetings, Disease Management , Utilization Management , and Quality Improvement activities… more
- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... avoidable day and barriers to discharge processes pertaining to utilization management . - Liaisons and coordinates with...department physician advisors and clinical staff. Qualifications - NYS Registered Nurse required - The Appeal Manager… more
- WMCHealth (Warwick, NY)
- …accredited School of Nursing, BSN Preferred Licensure/Certifications: Valid and current NYS Registered Nurse and MDS AANAC Certification Preferred If applicable, ... to ensure facility compliance with Nursing Care Standards as applied to Resource Utilization Groups. The MDS Nurse assume responsibility for accurate completion… more
- Albany Medical Center (Albany, NY)
- …and accurately. The Core Tech will support an integrated SPD/Sterile core/Supply Chain Management function in the operating room. Functions in the OR setting under ... the direction of the OR RN clinical manager(s). Assures surgeons' needs as identified on...as a liaison between the Surgery departments, SPD, Materials Management , and Clinical Engineering departments as necessary to assure… more
- Stony Brook University (Stony Brook, NY)
- …multidisciplinary care is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization of resources via ... with barriers to care * Prior experience with Care Management or Utilization Management *..._ * _ _Bilingual_ _ * _ _Certified in Case Management , UM, Quality, Risk or MCG_… more
- HCR Home Care (Canton, NY)
- …using the development of person-centered goals, culturally competent care management , and professional healthcare and social service coordination. Health Home ... Manager, capable of exceeding the basic tenants of care management . Essential Functions + Actively and progressively care manage...and short - term plans, when appropriate, including the utilization of community support with the goal of reducing… more
- Elderwood (Waverly, NY)
- …Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/ RN MDS Coordinator with case management responsibilities. The ... all types of communication (eFax, email, scan documents, phone calls) with case managers to provide concurrent updates as requested by Insurance Companies, handles… more
- Garnet Health (Harris, NY)
- …Health Medical Center - Catskills Emergency Department. Additionally will provide case management , and discharge planning for non-psychiatric patients. The ... as necessary. Maintaining administrative records related to emergency evaluations and case management . Close collaboration with ED physician and other… more
- Healthfirst (NY)
- **Duties/Responsibilities:** Provide strategic oversight and operational management for all utilization management functions, including prior authorization, ... for audits, performance improvement plans, and corrective actions related to utilization management Foster a culture of accountability, professional development,… more
- Hologic (Syracuse, NY)
- …+ Candidates with backgrounds such as Radiology Technologists, Mammography Technologists, Registered Nurses ( RN ), or other clinical professionals are strongly ... Technology and National Accounts to optimize customer experience. + Educate through case coverage, in-services and office calls to drive account independence. +… more