- WMCHealth (Valhalla, NY)
- …regarding medical documentation, coding, and APCs/APGs from hospital staff, including utilization and quality assurance staff, patient accounts staff and the Risk ... Manager. + Abstracts information from medical records to compile reports and statistical information. + Enters data such as diagnosis, treatment, admission and discharge dates, length of stay, etc., on hospital-wide or regional automated database.… more
- Citigroup (Getzville, NY)
- …in accomplishing the objectives of the department and organization through the utilization of communication and diplomacy skills to exchange potentially complex and ... sensitive information. Responsibilities: + Apply professional judgment and knowledge of department policy and procedures in completion of assigned duties + Review approved credit package, creation and maintenance of credit records. + Troubleshoot and provide… more
- City of New York (New York, NY)
- …Case Reviews inclusive of Random Reviews - Track and monitor CCP utilization data (ie consultation requests, discipline, consultations held, timely - Collaborate ... with Multidisciplinary Teams and Clinical Consultation Program to support CPS Team's engagement, assessment and service planning of children and families - Identify critical stakeholders in the community from engaging in community events & events held by DCP,… more
- Molina Healthcare (Buffalo, NY)
- …experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, medical ... policy/procedure development, and provider contracting experience + Current clinical knowledge + Experience demonstrating strong management and communication skills, consensus building and collaborative ability, and financial acument + Knowledge of applicable… more
- WMCHealth (Hawthorne, NY)
- …and filing of confidential documents; and basic Internet and email utilization . + Participate in performance improvement activities, staff trainings, weekly team ... huddles. + Maintains a professional appearance and a clean, safe environment. + Respects patients by recognizing their rights; maintaining confidentiality. + Utilizes technology, including specialized software as applicable, to maximize productivity. +… more
- WMCHealth (Poughkeepsie, NY)
- …in the adherence to all departmental budgets + Promotes the effective utilization of department supplies. EFFECTIVE COMMUNICATION + Reports problems or concerns to ... the proper administrative personnel within the Imaging Services Department within specific time frames. + Completes all necessary paperwork and documentation as required by department Policies and Procedures. + Attends and/ or read and signs department… more
- Molina Healthcare (Ramapo, NY)
- …such meetings would occur to discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding. * Independently delivers ... training and presentations to assigned providers and their staff, answering questions that come up on behalf of the Health plan. May also deliver training and presentations to larger groups, such as leaders and management of provider offices (including large… more
- WMCHealth (West Nyack, NY)
- …begins palliative care consultations. . Develops and collects data; analyzes utilization of health care resources, including interpretation and application to case ... load decision making. . Performs analysis of the effectiveness and appropriateness of patient care plan; and modifies care plan based on assessment and evaluation. . Communicates clear, complete and accurate documentation in a health record to ensure that all… more
- WMCHealth (Suffern, NY)
- …assessment and planning and demonstrates sound nursing judgment appropriate resource utilization and compassionate, empathetic support for both patient and family. * ... Records and reports observed physical and emotional reactions to illness, treatment and medications. * Anticipates potential patient problems and performs nursing actions to minimize those problems in a timely manner. * Manages time effectively for proper… more
- NBC Universal (New York, NY)
- …and vendor evaluations. + Data Analysis & Reporting + Analyze claims data, utilization trends, and cost drivers to identify opportunities for plan optimization. + ... Prepare dashboards, executive summaries, and ad hoc reports for leadership. + Support budgeting and forecasting for health and welfare programs. + Employee Experience & Communication + Assist in developing and delivering employee communications, including open… more
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