- CenterLight Health System (Ridgewood, NY)
- …of five (5+) years of experience in care/case management , disease management , population health management , utilization review, quality assurance, or ... escalate issues of changes to ensure proper care and management of cases are followed. + Promotes and educates...active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: + Be legally authorized (for… more
- FlexStaff (New York, NY)
- …of five (5+) years of experience in care/case management , disease management , population health management , utilization review, quality assurance, or ... documentation and escalate issues of changes to ensure proper care and management of cases are followed. Promotes and educates potential referral sources about… more
- Mount Sinai Health System (New York, NY)
- …or medical economics departments highly valuable. + Experience as a nurse informaticist highly valuable. + Experience working in healthcare provider analytics ... related to revenue modeling, managed care contracting, population management , case management , clinical or financial decision report + PhD, MD or DO program may… more
- Fresenius Medical Center (New York, NY)
- …barriers to quality improvement. This includes promoting the adoption and utilization of Medical Advisory Board Recommended Algorithms and Standing Orders, clinical ... a frequency determined by Clinical Quality leadership. + Collaborates with facility management staff to evaluate the effectiveness of the facility QAPI Program and… more
- Highmark Health (Buffalo, NY)
- …result in the greatest ROI for the Organization. Further, in a matrix management environment, will be responsible for collaborative work with the other members of ... and interpretation of claims submission for superior coding accuracy, cost and utilization reports, medical loss ratio reports, Medicare STARS gaps and other risk… more
- Guthrie (Binghamton, NY)
- …Summary: Provides clinical and administrative leadership and is responsible for the management of the assigned nursing division. The Director of Nursing is ... accountable for the management of patient care, human, fiscal and material resources...role in staffing and scheduling of personnel, considering appropriate utilization of personnel, scope of practice, competencies, patient needs… more
- Highland Hospital (Rochester, NY)
- …Manager, the RN Care Manager's central role integrates and coordinates access and utilization management , proactive patient management , care facilitation and ... professional nursing experience. Ambulatory care experience in community health, care management , disease management , quality improvement and/or management … more
- MVP Health Care (Rochester, NY)
- …every interaction **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes ... bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after hire. + At least 3… more
- The Institute for Family Health (Bronx, NY)
- …accordance with approved protocols, provides high quality patient care, Diabetes Self- Management Education and Support as well as disease prevention counseling ... and home needs). Adjust intensity of service based on needs, and appropriate utilization of resources. + Develop patient centered plan of care based on… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …eligibility. Applies scheduling priority guidelines, adheres to CC consult management timeliness metrics. Ensures designation of patient desired in-network community ... and schedule care with community providers. Effectively uses Provider Profile Management System (PPMS) when scheduling care in the community. Accommodates patient… more