- STG International (Auburn, NY)
- …to ensure compliance and patient safety. * Participates in quality improvement, care management , risk management , peer review, utilization review, clinical ... Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. * Provide leadership to CBOC clinicians. * Evaluate the… more
- ZOLL Medical Corporation (Bronx, NY)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
- Stony Brook University (Stony Brook, NY)
- …of excellence. **Duties of a TH Staff Associate/Case Manager in the Care Management Department may include the following but are not limited to:** + Completes ... Utilization review screen for inpatient and observation cases. Activity...assigned. Identifies, follows and documents Avoidable delays in Care Management Program. Reviews and documents on patients who were… more
- WMCHealth (West Nyack, NY)
- …Bon Secours Charity Medical Group City/State: West Nyack, NY Category: Nursing/Nursing Management Department: Admin - Orange County Union: NO Position: Full Time ... and work together with primary care providers and members of the Care Management team. The Ambulatory Care Manger is responsible for coordinating care to obtain… more
- Catholic Health (Buffalo, NY)
- …monitoring and evaluation with the core components (Comprehensive case management , care coordination & health promotion, comprehensive transitional care, patient ... I will be responsible for the following outcomes: reduce utilization associated with avoidable and preventable inpatient stays, reduce...+ Licensure and current registration as a Licensed Practical Nurse in the State of New York required. +… more
- Ellis Medicine (Schenectady, NY)
- …+ The Administrative Clinical Supervisor will work collaboratively with the DON and Nurse Managers to assure effective and efficient utilization of staff and ... of all resources required to assure effective and efficient management of patient care and safety according to departmental...Currently licensed in New York State as a Registered Nurse and a graduate of an approved school of… more
- Albany Medical Center (Albany, NY)
- …the utilization of resources to meet patient outcomes (case management ).* Provides age-appropriate direct patient care from the preparation of patients through ... and other needed care. Under the Supervision of the Nursing Supervisor and/or Nurse Manager, the RN provides nursing support to primary and subspecialty providers.… more
- Humana (Albany, NY)
- …during Medicare and Medicaid LOB - Medicare Clinical Criteria Review (MCCR), Utilization Management Committee (UMC), Medical Coverage Policy Adoption (MCPA) + ... **Desired Qualifications** + Master's degree in health-or business-related field + Utilization management experience (Commercial and/or Medicare) + Proven… more
- Mohawk Valley Health System (Utica, NY)
- …ensure the integration of service line planning into nursing, resource management strategic planning and operational budgets. Lead program planning, implementation ... well as grants and awards. + Assure efficiencies in staffing and resource utilization by comparison with internal and external benchmarks as measured by productivity… more
- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... all telephone communications in accordance with department procedures using Care Management and other resources, escalates issues related to business associate… more