- Kaleida Health (Buffalo, NY)
- …outpatient, and the home health continuum, as well as managed care utilization management and coordination of care. Incumbent must maintain their knowledge ... social work) preferred. Registered nurse license required. Case management certification preferred.** **Experience** **3-5 years in Utilization , Discharge… more
- Mohawk Valley Health System (Utica, NY)
- Home Health Scheduler - Full Time - Days Department: CLINICAL OFFICE SUPPORT Job Summary The Home Health (HH) Scheduler is responsible for the electronic ... scheduling of all clinical disciplines of the Visiting Nurse Association of Utica and Oneida County, Inc. (VNA). Schedules home health nursing, rehabilitation… more
- Molina Healthcare (Rochester, 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
- Bassett Healthcare (Oneonta, NY)
- …specific resident care programs + Responsible for effective and efficient fiscal management of department operations to ensure proper utilization of ... policies, and procedures of the hospital and the nursing home and their effect on resident care in a...the areas of resident care, human resource, and financial management . + Assists the DON in development, implementation, and… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... services provided by the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration with physicians and… more
- Amgen (New York, NY)
- …formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works with other sales colleagues to lead ... Representatives, District Sales Managers, Regional Sales Directors, Reimbursement/Access Specialists, Nurse Educators, Regional Marketing Managers, and the Value Based… more
- University of Rochester (Rochester, NY)
- …Serves as the primary internal contact for national and state registry data management questions, issues or concerns, but not limited to clinical data collection, ... validation, delivery, reconciliation, and data management activity timeliness. Concurrently and retrospectively reviews medical records and data to identify patient… more
- Arnot Health (Elmira, NY)
- … of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's average caseload ... The Case Manager tracks and trends LOS , resource utilization , outliers, readmissions , denials , delay days...nursing program with a current license as a registered nurse . BSN or Case Management Certification… more
- Kaleida Health (Williamsville, NY)
- …planning, case management and home care required. Knowledge of Utilization Management . Use of computer applications related to health care industry as ... **Clinical Care Coordinator** Department: MFS Patient Management **Location:** Millard Fillmore Suburban Location of Job: US:NY:Williamsville Work Type: Full-Time… more
- Calvary Hospital (Bronx, NY)
- …Calvary Hospital. Qualifications: + Five (5) or more years experience in either Utilization Management , Quality Assessment and Improvement, Risk Management , ... For over 125 years, Calvary Hospital and Calvary @ Home located in the Bronx, New York has been...length of stay (ELOS). The RNCM participates in the Utilization Review, Discharge Planning, Risk Management , and… more