- 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
- WMCHealth (Valhalla, NY)
- …important role in ensuring physician support and execution of for Utilization Management and Documentation strategies and processes. Responsibilities: + Reviews ... to assure consistency in the review process to reflect appropriate utilization and compliance with various organizations. + Documents all communications with… more
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- …goals for eligibility, referral and authorization, care coordination, and utilization management to ensure improved Veteran experience. Makes recommendations for ... improving the Veteran's experience and outcomes. Defines mental health policies, utilization management process and procedures, financial and utilization reports… more
- Evolent (Albany, NY)
- …to the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit processes ... training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts… more
- Stony Brook University (Stony Brook, NY)
- …will play a critical role in improving patient outcomes, optimizing resource utilization , and ensuring the delivery of high-quality care. This individual will work ... Case Management leadership and staff functions related to case management and utilization management activities. + Manage and mentor a team of case managers,… more
- Healthfirst (NY)
- The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, and ... case management as assigned. The Case Manager, Utilization Management is also responsible for efficient ... Utilization Management is also responsible for efficient utilization of health services and optimal health outcomes for… more
- Arnot Health (Elmira, NY)
- …of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's average caseload will ... case managers. f. The Case Manager tracks and trends LOS, resource utilization , outliers, readmissions, denials, delay days and satisfaction of the case managed… more
- C&W Services (New York, NY)
- …systems (CMMS, etc) and standard procedures to optimize maintenance resource utilization and productivity. Responsible for effective configuration and utilization ... alternatives for resource schedule constraints - eg. change assignments, over-time, utilization of 3rd party. + May estimate job requirements for preventative… more
- Northwell Health (Mount Kisco, NY)
- …Case Management and Social Work Services team. Develops processes to monitor utilization review inclusive of length of stay (LOS) and resource reduction strategies, ... facility best practices and makes recommendations for process improvement. Oversees resource utilization for the hospital and provides specific data analysis on … more
- Evolent (Albany, NY)
- …Doing:** Job Description As a FMD, Radiology 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