- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- Catholic Health Services (Melville, NY)
- …Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of ... payment related activities. Position Responsibilities: + Prepares necessary documentation for utilization management and appeals processes, performs data … more
- Helio Health Inc. (Syracuse, NY)
- …Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management ... review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ourSyracuse… more
- Mount Sinai Health System (New York, NY)
- …Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front...EOW** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring… more
- Mohawk Valley Health System (Utica, NY)
- RN Supervisor Case Management - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Supervisor Case Management - SNH is responsible ... for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include the supervision and… more
- Ellis Medicine (Schenectady, NY)
- + The Supervisor of Case Management and Social Work (CMSW) assists with the daily operations of the Department. This person can assist with the hiring and ... of stay (LOS) and cost per case through resource management . + The Supervisor of CMSWS is...CMSWS assist with providing the link between compliance, clinical management , patient progression, gathering and reporting of utilization… more
- Trinity Health (Syracuse, NY)
- … position is dedicated to providing quality care and excellent outcomes. **RN Supervisor - Capacity Management Hub Night Shift** **Position Purpose:** This ... care coverage to promote safe quality care coverage 24/7. + Coordinate bed management for all admissions and transfers throughout the hospital to achieve most… more
- Catholic Health (Buffalo, NY)
- …(the payers) and internal stakeholders including, but not limited to, Utilization Review, Case Management , Clinical Documentation Integrity, Health Information ... of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is responsible for the people, carrying out and...Case Manager (CCM) or any other certification approved by management + Certification in a Nationally Recognized Utilization… more
- Stony Brook University (Stony Brook, NY)
- …personnel. HV Supervisor will alternate leading monthly safety meetings with management . + Prepare and maintain written and electronic (INFOR) records of work ... Trades Supervisor (Electrician) **Required Qualifications:** Per Civil Service Standards...schedule work to be performed to insure the effective utilization of staff, materials and equipment and completion of… more
- Graham Windham (Bronx, NY)
- Supervisor , FTR Multiple Locations Job Details Level Management Job Location 1946 Webster Avenue, Bronx, NY 10457 - Bronx, NY Position Type Full Time Education ... Level Graduate Degree Salary Range $66951.00 - $68951.00 Salary/year Supervisor , Family Treatment & Rehab Position Title : Program Supervisor Position Type :… more