- Ellis Medicine (Schenectady, NY)
- …services provided by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and ... experience in a hospital environment preferred. + Previous case management, utilization review , and discharge planning experience highly preferred. Home… more
- Mohawk Valley Health System (Utica, NY)
- …population. Provides direct oversight of the case manager's daily operations of utilization review practice, process and procedures ensuring accurate member care ... Supervisor is responsible for the oversight of the case management staff 's authorization/coordination/ utilization and provision of member services. Duties… more
- Northwell Health (Forest Hills, NY)
- …Masters Degree, preferred.Current license to practice as a Registered Professional Nurse in New York State.Patient Review Instruments (PRI) Certification, ... Management, preferred.Minimum five (5) years clinical experience as a registered nurse . Prior experience in utilization management and/or discharge planning,… more
- Guthrie (Binghamton, NY)
- …years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtaining ... levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration...in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to… more
- Elevance Health (New York, NY)
- …members and providers. **How you will make an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens ... and supportive care. + Perform physician-level case review , following initial nurse review ,...regimens. + As necessary, assist pre-certification nurses and other staff in understanding the principles behind appropriate utilization… more
- BronxCare Health System (Bronx, NY)
- …dates required for timely response by the department physician advisors and clinical staff . Qualifications - NYS Registered Nurse required - The Appeal Manager ... with the Department Denial and Appeals Coordinators, Physician Advisors, and the clinical staff , the Appeal Manager is responsible to develop a strong appeal letter… more
- Mount Sinai Health System (New York, NY)
- …Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... are not limited to: 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …Operate office equipment. Supervises the scheduling of medical appointments by responsible staff . Monitors and track transportation utilization and convey all ... POSITION SUMMARY Under the Supervision of the VP of Nursing and Nurse Administrators, works collaboratively and assists in the management of medical care… more
- Bassett Healthcare (Cooperstown, NY)
- …the clinical staff and Nursing Supervisors, work as a procedural Nurse for after-hour cases and emergency procedures, lend assistance with starting difficult ... exceptions, as measured by direct supervisory observation and random supervisory chart review + Demonstrates consideration of safety, effective utilization of… more
- Villa of Hope (Rochester, NY)
- …coordinator, providers, director of LHTC and administrative team, including billing and utilization review . + Triages potential admissions and when needed ... JOB TITLE: Intake Coordinator- RN/ Evening DEPARTMENT/PROGRAM: Medical Services SUPERVISOR: Nurse Manager/Health Coordinator PAY GRADE: 82 FLSA STATUS: NON EXEMPT… more