- Excellus BlueCross BlueShield (Rochester, NY)
- …benefits and State and Federal Mandates and maintains current and working knowledge of Utilization Management Standards. + Clinical skills are excellent and ... area including, but not limited to, Medical and Pharmacy Utilization Management , quality management , member...at first level, appeal and inquiries. + Conducts peer-to-peer clinical reviews with attending physicians or other providers to… 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 maximum clinical and financial outcomes. The Case Manager participates in...assigned service - required + Recent experience in case management , utilization management and/or discharge… more
- Catholic Health Services (West Islip, NY)
- …hospital care management leadership role is required. + Experience in utilization management , working with managed care organizations, and discharge planning ... : + Works collaboratively with, but not limited to, Medical Staff, Quality/Risk Management , CH Utilization and Central Appeals, Managed Care and Revenue Cycle… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration...of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical … more
- FLACRA (Penn Yan, NY)
- …progress notes and other documentation required for the client medical record and utilization management within the timelines outlined by FLACRA. + Participates ... senior clinician is a clinician with demonstrated leadership skills and clinical excellence with experience in substance abuse and mental health treatment.… more
- Trinity Health (Syracuse, NY)
- …patient record. + Act as 1) mentor; 2) clinician; 3) educator; 4) consultant /collaborator; and 5) navigator. **Career Path:** + Clinical ladder advancement with ... Nurse Supervisor is a dynamic leadership role that contributes to the operational management of the unit to promote and support an environment of excellent patient… more
- Guthrie (Binghamton, NY)
- …communication skills. B. Serves as an advocate for patients and family in the clinical management of care. Confers with leadership team and professional staff to ... decision‐making, accountability and autonomy in nursing practice. D. Acts as a consultant regarding clinical , administrative or legal aspects of patient care.… more
- WMCHealth (Kingston, NY)
- …Nursing and/or other staff as needed in the performance of procedures. CLINICAL MANAGEMENT + Monitors the department QC/QA program. Ensures completion ... The Lead Techologist provides direction to Nuclear Medicine staff. RESPONSIBILITIES CLINICAL EXPERTISE + Competently operates all units of the sections imaging… more
- City of New York (New York, NY)
- …linkage referrals. - Build and maintain relationships with Bronx hospital, clinical , mental health and social service providers which oversee services/programs ... priority for Bronx FWS clients. - Lead in the management and facilitation of the Birth Equity Advisory Board,...or soon to be CLC, provide support in increasing utilization of the FWS lactation room and other lactation… more