- Elevance Health (New York, NY)
- …clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer consultation with ordering physicians, ... preferred. + Extensive spine surgery experience preferred. + Experience with utilization management, especially with CMS guidelines preferred. + **Orthopedic Spine… more
- CVS Health (Albany, NY)
- …compliance driven timelines. - Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department Utilization and ... 30-day hospital readmissions. - Follows members identified as inpatient in hospitals (whether planned or unplanned admission) and then throughout the subsequent care continuum until member can return to prior level of functioning in the community. -… more
- CDM Smith (Syracuse, NY)
- …of your team. - Coordinating workload within your Technical Services group and utilization goals for the individuals on your team. - Coordinating with your TDM ... a deep understanding of the business, including key metrics such as utilization , project profitability, overhead, and staffing. - Advanced knowledge of necessary… more
- New York State Civil Service (Rochester, NY)
- …clinical staff on health information management requirements.* Conducting audits for utilization review activities and reporting deficiencies to the Utilization ... Review Committee.* Implementing corrective actions as determined by internal and external audit findings.* May supervise lower-level clerical and support staff. Minimum Qualifications Candidates from outside State Service can be considered for hire under the… more
- Bassett Healthcare (Cooperstown, NY)
- …record keeping for patient's medical record, statistical information, radioactive utilization , and billing process Responsible for supervising their individual ... with all staff Provides leadership and motivation to staff Plans for utilization of staff working times, sets work schedules, defines duties, maintains effective… more
- CenterWell (Albany, NY)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical ... community or mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a related field… more
- Gateway-Longview (Williamsville, NY)
- …collaboration with the Asst. Directors, monitor overall staff productivity and utilization of the Behavioral Health Services department and respective satellite ... locations on a consistent basis and provide feedback to assure productivity and utilization is met + In collaboration with the Assistant Directors, monitor policies… more
- Catholic Health Services (Smithtown, NY)
- …across the acute care continuum. Performs required activities for utilization management, PRI assessment and completion, transition planning, and identification ... relevant clinical medical/surgical or specialty experience required. 2-3 years' Utilization Management, Performance Improvement, Transition Planning and/or Care Management… more
- Global Foundries (Malta, NY)
- …which pertain to employees including recruitment, selection, training, utilization , promotion, compensation, benefits, extracurricular programs, and termination are ... processes which pertain to employees including recruitment, selection, training, utilization , promotion, compensation, benefits, extracurricular programs, and termination are… more
- New York State Civil Service (Salamanca, NY)
- …colleagues to plan maintenance schedules and shop activities to ensure effective utilization of staff and equipment and timely work completion.* Recommends changes ... in shop operating procedures to improve work performance, the utilization of tools and equipment, and working conditions. * Inspects and road tests new and rented… more