- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability utilization to ensure that clinic schedules ... eligibility. Applies scheduling priority guidelines, adheres to CC consult management timeliness metrics. Ensures designation of patient desired in-network community… more
- Elderwood (Waverly, NY)
- …Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + Demonstrated ... Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/ RN MDS Coordinator with case management responsibilities. The candidate is… more
- Bassett Healthcare (Cooperstown, NY)
- …and enjoy the best quality of life possible. What you'll do The Assistant Nurse Manager provides management assistance on an assigned shift and is accountable ... procedures. Participates or leads committees as directed by the Nurse Manager, as noted in portfolio review ....terminate or be suspended at any time. Bonus Amount: RN (excluding management ) sign-on bonuses are awarded… more
- US Tech Solutions (Tarrytown, NY)
- …initiatives. - Lead material resource selection, standardization, price optimization and utilization initiatives while promoting and utilizing Value Analysis in the ... processes as it pertains to new product initiatives, category management strategies etc. . Lead the development and focus...in the development and ongoing improvement of new product review and approval process, and assist in identifying and… more
- Garnet Health (Harris, NY)
- …Manager for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. At Garnet Health, we are committed ... Medical Center - Catskills Emergency Department. Additionally will provide case management , and discharge planning for non-psychiatric patients. The Clinician is… more
- CVS Health (New York, NY)
- …Manager, Intake Operations (Managed Long-Term Care) will oversee the day-to-day management and leadership of critical aspects of pre-enrollment operations. You will ... initial assessments and plan of care assignment with internal RN team and external vendors. + Oversee delivery of...to improve team performance and monthly conversion. + Quarterly review 's enrollment trends and proposes new strategies to increase… more
- Elevance Health (Latham, NY)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses...equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by… more
- Bowery Residents Committee (Manhattan, NY)
- …and crisis intervention. Gather and review documentation as requested for utilization management reviews of clients on caseload including completion of ... LOCADTRs. Participate fully in a multidisciplinary team including MD, RN , LPN, CASAC, LMHC, Peer specialists and LCSW. Provide emergency first aid/CPR assistance… more
- Kaleida Health (Buffalo, NY)
- …Weight Requirement - Sedentary (10 lbs)** **Job Details** Department: HPTE SNF Utilization Review Standard Hours Bi-Weekly: 75.00 Weekend/Holiday Requirement: No ... **Education And Credentials** **Associate degree in nursing required, bachelor's preferred. RN license required upon hire.** **Experience** **3 years of Long Term… more