- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... Follows cases for authorization for in patient stay. + Staff review short stay, long stay and...patients who were readmitted within thirty days. Documents over utilization of resources and services. + All Medicare cases… more
- Mohawk Valley Health System (Utica, NY)
- …population. Provides direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member ... - SNH is responsible for the oversight of the case management staff 's authorization/coordination/ utilization and provision of member services. Duties include the… more
- University of Rochester (Rochester, NY)
- …closely with the Hospital Quality Office, the Departmental Quality Teams and providers/ staff from the Division to identify opportunities for clinical safety and ... Leads and facilitates relevant conferences in collaboration with appropriate staff . Regularly reports quality improvement activities and quality outcomes to… more
- Catholic Health Services (West Islip, NY)
- …Hospital Conditions of Participation. + Implements care management programs, including utilization review , intake and discharge planning. + Evaluates patient ... of Care Management: + Works collaboratively with, but not limited to, Medical Staff , Quality/Risk Management, CH Utilization and Central Appeals, Managed Care… more
- Northwell Health (Mount Kisco, NY)
- …RN Case Management and Social Work Services team. Develops processes to monitor utilization review inclusive of length of stay (LOS) and resource reduction ... procedures to improve quality of patient care and plans utilization of staff resources and activities aimed...Nursing. *Current license to practice as a Registered Professional Nurse in New York State, required, plus specialized certifications… more
- Mount Sinai Health System (New York, NY)
- …settings. The program manager supervises and directs a designated group of nurse clinical coordinators within the Bone Marrow Transplant and Multiple Myeloma ... interpersonal skills. + Current license and registration as a Nurse Practitioner OR Professional Registered Nurse in...approach to care delivery. 8. Performs a patient record review with transplant coordinators and providers to ensure accurate… more
- Albany Medical Center (Albany, NY)
- …Licensure, Certification & Registration: + Must hold a current NYS Registered Nurse license. Experience: + 7-10 years of experience in nursing, involving ... of the healthcare team. + Articulates clear expectations with staff and members of the patient care team. +...changes in work efficiently and effectively. Support implementation and utilization of clinical nursing research. Promote the use by… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. ... consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory… more
- Mount Sinai Health System (New York, NY)
- …communication and interpersonal skills. + Current certification and registration as a Nurse Practitioner in New York State + Current license and registration as ... a Professional Registered Nurse in NY State + National Board Certification in...approach to care delivery. + Performs a patient record review with the collaborating physician in a timely fashion… more
- Northwell Health (Manhasset, NY)
- …transplant team and provide pharmacy recommendations + Education and development of nurse , physician and pharmacy staff development pertaining to transplant and ... utilization of medications in collaboration with the medical staff , Pharmacy, and Therapeutics Committee; monitors medication utilization effectively… more