- 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
- 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
- Northwell Health (New Hyde Park, NY)
- …the development, implementation, and maintenance of drug formularies, clinical utilization management (UM) criteria, and evidence-based drug therapy guidelines, and ... Responsibility** + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy,… more
- Northwell Health (Forest Hills, NY)
- …Applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. Job Responsibility 1. Coordinates and facilitates ... attending physician and/or physician advisor the appropriateness of resource utilization , consultation and treatment plan.Participates in interdisciplinary patient care… more
- WMCHealth (Valhalla, NY)
- …various clinical services in association with the DIO of NYMC + Reviews utilization of hospital clinical resources and provides guidance when corrective action is ... appropriateness of care including length of stay and resource utilization . + Establishes an environment of quality and cost...that is data driven and develops systems to review utilization of resources and measure outcomes of care. Monitors… more
- Albany Medical Center (Albany, NY)
- …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve ... of care, including pre-admission, discharge, post-discharge, planning length of stay, and utilization of resources. + Utilizes own special body of knowledge and… 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 ... Experience Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a… more
- Molina Healthcare (Buffalo, 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
- 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