- US Tech Solutions (Corning, NY)
- …Protection + Dameware remote connection/ utilization + Altiris Deployment server utilization + Asset management skills + Internet Explorer and various ... of standard IP telephony + Hardware ordering/deployment + Documentation (records) management + Knowledge base utilization + Project interaction +… more
- Crouse Hospital (Syracuse, NY)
- …as a Registered Professional Nurse in New York State. + Recent acute care Utilization Management and Case Management experience. + Current certification in ... support systems. Coordinates financial and budgetary acquisitions, allocations and utilization of resources needed for quality, cost-effective, program(s)/service(s). +… more
- University of Rochester (Rochester, NY)
- …of Medicare and other payer regulations for the coordination of benefits. + Notify Utilization Management of clinical requests by third party payers. + Maintain ... Counseling, Medicaid Enrollment & Outreach, Financial Assistance, Registration and Insurance Management , Utilization Management , Social Work, Patient… more
- Humana (Albany, NY)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Highmark Health (Albany, NY)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Catholic Health Services (Port Jefferson, NY)
- …patients across the acute care continuum. + Perform required activities for utilization management , PRI assessment and completion, transition planning, and ... acute care clinical RN experience required + Prior RN experience in Utilization Management , Performance Improvement, Transition Planning and/or Care … more
- Catholic Health (West Seneca, NY)
- …as a registered nurse required + One (1) year previous case, disease, or utilization management experience preferred + One (1) year previous experience in a ... illness, improve compliance with evidence based clinical guidelines, encourage patient self- management , increase coordination of care, increase the utilization … more
- CVS Health (Albany, NY)
- …for Part B and specialty drugs. Key areas of responsibility include utilization management , clinical programs, and operational excellence. Responsible for ... + Lead the long-term vision and strategy around Part B drug management related to utilization management (UM), clinical programs, and pharmacy operations. +… more
- Arms Acres (Carmel, NY)
- …enhance the services we provide. The UR Coordinator assists in the overall utilization management process to ensure that services and programs meet accepted ... eligible and/or have at least three years' experience in case management , utilization management or chemical dependency. PHYSICAL DEMANDS: The physical… more
- Calvary Hospital (Bronx, NY)
- …unencumbered NYS licensure. + Five (5) or more years experience in either Utilization Management , Quality Assessment and Improvement, Risk Management , and/or ... Spending, Transit Check. + Free On-Site Parking Requirements Participates in the Utilization Review, Discharge Planning, Risk Management , and Quality Assessment… more
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