- Bassett Healthcare (Oneonta, NY)
- …and accurate information to payors. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The Case Manager ... to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include: + Facilitation of… more
- Ellis Medicine (Schenectady, NY)
- …function is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse to facilitate patient discharge plans, support coordination of care ... activities, and assist in utilization management activities under the direction of a registered...Participation at the direction of the Case Manager. + Utilization Management Activities: + Collaborates with Case Managers and… more
- Evolent (Albany, NY)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a ... meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your… more
- Mount Sinai Health System (New York, NY)
- …on reducing the length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice and may require ... Requirements + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Care Facilitator Department: Utilization ReviewLocation: Unity HospitalHours Per Week: Full Time - 40 HoursSchedule: Monday through Friday; Days; ... optimal patient outcomes in the expected time frame and with most efficient utilization of resources. Carries out activities related to utilization management,… more
- Molina Healthcare (Syracuse, NY)
- …Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical ... Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for mental health… more
- Evolent (Albany, NY)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization … more
- Guthrie (Binghamton, NY)
- …for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with other internal ... years of experience in an acute care setting with strong care management, utilization review, and payer knowledge. A Case Management certification or obtaining a… more
- Evolent (Albany, NY)
- …As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization … more
- Mohawk Valley Health System (Utica, NY)
- …hospitals objectives, and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides the team to improve ... regarding correct level of care and reimbursement. Apply knowledge of utilization review, discharge planning, patient status changes, length of stay, patient… more
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