- Ellis Medicine (Schenectady, NY)
- …provided by the Case Manager include, but are not limited to, utilization review, case management, care transition, collaboration with physicians and social workers ... experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning experience highly preferred. Home care, payer,… more
- Rochester Regional Health (Rochester, NY)
- …optimal patient outcomes in the expected time frame and with most efficient utilization of resources. Carries out activities related to utilization management, ... base to support the clinical review process. + Concurrently monitors resources utilization , performing continued stay reviews and assists with managing the length of… more
- Trinity Health (Albany, NY)
- …NY** is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) per diem. The team is willing to help train the ... solutions. **The selected candidate will** : + Be responsible for the utilization management, both concurrent and retroactive for inpatient and outpatient services… more
- Rochester Regional Health (Rochester, NY)
- …optimal patient outcomes in the expected time frame and with most efficient utilization of resources. Carries out activities related to utilization management, ... care, document medical necessity, and support reimbursement. + Monitors resource utilization through continued stay reviews, manages length of stay, and coordinates… more
- Molina Healthcare (Albany, NY)
- …healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare ... utilization and cost containment reports and makes recommendations based...Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare. + Must be able to… more
- Oracle (Albany, NY)
- …with healthcare executives, clinical leaders, and IT teams to drive adoption and utilization of the Oracle Population Health suite. o Provide expert guidance on ... to continuously assess and identify opportunities for expansion and deeper utilization of Oracle Population Health solutions across the organization. o Identify… more
- Humana (Albany, NY)
- …with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
- City of New York (New York, NY)
- …will: * Analyze business structures, classification procedures and processes, and the utilization of resources. * Design and implement a variety of developmental ... department's Talent Management (formerly Recruitment Strategies) to guide the utilization , development, or hiring of personnel. * Lead business optimization… more
- City National Bank (New York, NY)
- …defined. * Resolves problems, answers questions related to customer accounts and utilization of bank products and services. Works with customers and/or business ... all banking products and services including technical proficiency with product utilization . * Develops new business through referrals and existing clients.… more
- Mount Sinai Health System (New York, NY)
- …by: 1) Assisting clinical nurses and other health care professionals in the utilization of the nursing problem solving process in current clinical situations. 2) ... clinical nurses and other health care professionals in the utilization of the nursing problem solving process in current...research in clinical practice. + Participates in development and utilization of nursing research designs and serves as a… more