- Molina Healthcare (Buffalo, NY)
- … Registered Nursing ( RN ) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... management initiatives and analytical studies aimed at optimizing utilization of medical resources and maximizing operational efficiencies. + Engages with… more
- Bassett Healthcare (Oneonta, NY)
- …unit specific resident care programs Responsible for effective and efficient fiscal management of department operations to ensure proper utilization of ... that unit in the areas of resident care, human resource, and financial management . Assists the DON in development, implementation, and evaluation of on-going service… more
- CenterWell (Albany, NY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
- Catholic Health Services (Smithtown, NY)
- …for patients across the acute care continuum. Performs required activities for utilization management , PRI assessment and completion, transition planning, and ... relevant clinical medical/surgical or specialty experience required. 2-3 years' Utilization Management , Performance Improvement, Transition Planning and/or Care… more
- Elderwood (Cheektowaga, NY)
- …Care Coordinator Overview The Managed Care Coordinator assists and supports the LPN/ RN MDS Coordinator with case management responsibilities. The candidate is ... peer to peers as applicable and with clinical oversight provided by the LPN/ RN MDS Coordinator. Attends team meetings at the discretion of the MDS Coordinator.… more
- University of Rochester (Rochester, NY)
- …medications, infection management ) to maximize patient care and ensure full compliance with regulatory agencies. + Correspondence: Act as liaison for contacts to ... onsite and regional activities of a team of physicians, APP's and RN 's. Performs functions associated with patient information processing for ambulatory care visits.… more
- Trinity Health (Albany, NY)
- …they remain current with advancements in Oncology care and clinical best practices. ** Compliance & Risk Management :** + Support operational leaders in ensuring ... to strengthen patient and provider access across THNY oncology services. **Financial Management :** + Manage a regional service line dashboard, including oversight of… more
- CVS Health (New York, NY)
- …Manager, Intake Operations (Managed Long-Term Care) will oversee the day-to-day management and leadership of critical aspects of pre-enrollment operations. You will ... will create processes to ensure efficient and accurate enrollment processes, compliance , and consistent customer service within the department. **Fundamental Job… more
- University of Rochester (Rochester, NY)
- …outcomes. Organizes the needs of clinical stakeholders to optimize the utilization of remote care programs.Ensures performance targets align with broader ... efficient services to individuals and their families. Monitors participant compliance with established standards supporting service delivery workflows. Supports the… more
- Ellis Medicine (Clifton Park, NY)
- …care that meets departmental standards of care and standards of practice. Ensures compliance with departmental and regulatory standards of care and practice. This is ... + Currently licensed in New York State as an RN and a graduate of an approved school of...services experience in the acute care setting preferred. Previous management experience preferred. Additionally, knowledge of the following: +… more