- Fresenius Medical Center (Mineola, NY)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Northwell Health (Staten Island, NY)
- …another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for ... Degree in Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State. + Case Management Certification, preferred. +… more
- Guthrie (Binghamton, NY)
- …recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with ... inpatient admissions and short procedures by translating clinical information to Utilization Management requirements using pre‐determined criteria. b. Documents… more
- Mohawk Valley Health System (Utica, NY)
- … Supervisor is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties ... with the day to day operation of the Case Management department. + Assists with identifying over- utilization ...conjunction with HR. + If working as a Registered Nurse , practices in accordance with New York State Practice… more
- Mount Sinai Health System (New York, NY)
- …are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- Mohawk Valley Health System (Utica, NY)
- … - SNH is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include ... and training to assist with the day to day operation of the Case Management department. + Assists with identifying over- utilization of services and reports… more
- Kaleida Health (Buffalo, NY)
- …social work) preferred. Registered nurse license required. Case management certification preferred.** **Experience** **3-5 years in Utilization , Discharge ... outpatient, and the home health continuum, as well as managed care utilization management and coordination of care. Incumbent must maintain their knowledge of… more
- Kaleida Health (Buffalo, NY)
- …Business field preferred. RN licensure required.** **Experience** **10 years of care management / utilization management experience required in hospital and/or ... **VP Care Management Post-Acute Care Transition** **Location:** **Buffalo General Medical...**The Vice President (VP) role supports the system Chief Nurse Executive (CNE) in providing executive leadership and guidance… more
- DePaul (Rochester, NY)
- Overview The Quality Management Specialist works with the Quality Management Department to provide the highest achievable quality of services to the individuals ... we serve. The Quality Management Department defines best practices, identifies strengths in service...reporting and follow-up consultation and training. + Responsible for Utilization Record Review functions to include Individual record audits,… more
- Molina Healthcare (Yonkers, NY)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more