- Evolent (Albany, NY)
- …medical review roles that emphasize volume throughput, this position integrates utilization management with collaborative engagement and innovation. **Core ... Responsibilities** + **Clinical Review & Peer Collaboration** + Serve as the physician reviewer for oncology cases that do not initially meet medical necessity criteria, applying evidence-based guidelines to ensure high-quality and cost-effective care. +… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Empire State Development, NYS Title Project Manager, Utilization - MWBE Occupational Category Other Professional Careers Salary Grade NS Bargaining ... direct supervision of the Director of Contract Participation, the Project Manager, Utilization , will lead the planning, execution, and monitoring of key initiatives… more
- Elevance Health (Latham, NY)
- …with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires ... **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with...assessments to identify individual needs and a specific care management plan to address objectives and goals as identified… more
- Elevance Health (Latham, NY)
- …with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires ... The **Nurse Case Manager II** is responsible for care management within the scope of licensure for members with...assessments to identify individual needs and a specific care management plan to address objectives and goals as identified… more
- Centene Corporation (New York, NY)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... discharge planning + Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members and their families… more
- Trinity Health (Troy, NY)
- …+ Direction of food service staff as needed. + Electronic Menu system utilization and management . + Participation in food and nutrition management ... colleague in this role will be responsible for the following: + Nutrition management of all patients in assigned areas, involving nutritional assessment and care… more
- University of Rochester (Rochester, NY)
- …Using clinical judgment and available resources, develops and oversees medication management procedures and strategies to ensure safe and compliant receiving, ... activities as defined by NYS Laws and Regulations. The Pharmacy Medication Utilization and Inventory Compliance Manager has direct supervision and management … more
- Hillside Family of Agencies (Auburn, NY)
- …of day-to-day campus operations, which includes budget development and management , utilization , hiring, supervision, training, clinical oversight, regulatory ... financial and operational success of the program. Achieve budgeted utilization for all campus programs. + Spearhead exceptional quality...that are aligned with those of the organization. + Management : Aligns the right work with the right people;… more
- Boehringer Ingelheim (Rochester, NY)
- …along with further development of technical product knowledge is imperative. Effective utilization and management of internal and external resources is expected. ... records concerning activities; communicates timely, accurately and meaningfully with Management . Utilizes CRM tool and supporting analysis to plan activity,… more
- Trinity Health (Troy, NY)
- …precautions, direction of food service staff as needed. Electronic Menu system utilization and management , participation in food and nutrition management ... service issues, and completion of required in-servicing on patient nutritional management . A successful dietitian will also appropriate practice of infection control… more
Recent Jobs
-
Pharmacy Technician - Sharp HealthCare System Float Pool - Variable Shift - Per Diem
- Sharp HealthCare (San Diego, CA)